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Competency to Stand Trial, Civil Commitment, and Oregon State Hospital.

Joseph D Bloom1, Thomas E Hansen2, Amela Blekic2

  • 1Dr. Bloom is a Clinical Professor of Psychiatry, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ. Dr. Hansen is Psychiatrist and Adjunct Associate Professor and Dr. Blekic is Psychiatrist and Associate Professor at the School of Medicine, Oregon Health & Sciences University, Portland, OR. bloomj@ohsu.edu.

The Journal of the American Academy of Psychiatry and the Law
|December 9, 2021
PubMed
Summary

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Competency to stand trial evaluations and restoration services in Oregon have surged since 2000. This trend correlates with decreased civil commitment rates, indicating an inverse relationship between these legal statutes.

Area of Science:

  • Forensic Psychiatry
  • Mental Health Law
  • Criminal Justice

Background:

  • The number of individuals undergoing competency to stand trial (CST) evaluations and restoration has significantly increased in Oregon.
  • Oregon State Hospital has experienced a notable rise in CST-related admissions.

Purpose of the Study:

  • To analyze the growth in CST evaluations and restoration services in Oregon from 2000 to 2020.
  • To investigate the relationship between CST statutes and civil commitment laws in Oregon.

Main Methods:

  • Longitudinal data analysis of CST referrals and admissions.
  • Comparative analysis of CST and civil commitment rates over two decades.

Main Results:

  • A substantial increase in individuals referred for CST services was observed in Oregon.
Keywords:
civil commitmentcompetency to stand trialstate psychiatric hospitals

Related Experiment Videos

  • A concurrent decrease in annual civil commitment rates was documented.
  • An inverse correlation between rising CST commitments and declining civil commitments suggests a potential shift in legal and mental health system interactions.

    • Conclusions:

    • The findings highlight a significant shift in the utilization of mental health services within the legal system.
    • The interplay between CST and civil commitment statutes requires careful consideration for effective system functioning.
    • Ensuring harmonious operation of both statutes is crucial for individuals navigating the criminal justice and mental health systems.