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A Continuum of Competency Restoration Services Need Not Include Jail
1Dr. Kapoor is Associate Professor of Psychiatry, Law and Psychiatry Division, Yale School of Medicine, New Haven, Connecticut. reena.kapoor@yale.edu.
The Journal of the American Academy of Psychiatry and the Law
|February 13, 2020
Summary
Competency restoration in jails is a growing trend due to cost and wait times. However, enhancing community-based services offers a more sustainable, long-term solution for all involved.
Area of Science:
- Forensic Psychiatry
- Mental Health Services Research
Background:
- Jail-based competency restoration programs have increased over the last decade.
- This growth is driven by cost-effectiveness and long wait times for inpatient services.
Purpose of the Study:
- To evaluate the long-term benefits of jail-based competency restoration.
- To propose an enhanced continuum of care for competency restoration services.
Main Methods:
- The study reviews trends in jail-based competency restoration.
- It analyzes the components of a comprehensive continuum of care.
Main Results:
- Jail-based programs are a temporary solution to bed shortages.
- Adequately funded community services (inpatient, residential, outpatient) can eliminate the need for jail-based restoration.
Conclusions:
- Enhancing community-based competency restoration services is crucial.
- Jail-based restoration offers no unique benefits if community services are robust.
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