title: The involvement of schizophrenic insanity acquittees in the mental health and criminal justice systems.
abstract: This article described the mental health and criminal justice involvement of a large group of schizophrenic insanity acquittees and the program designed to manage and treat these individuals. Most insanity acquittees in our system are chronically mentally ill individuals who fit well into the psychosocial rehabilitation models that have developed over the past 15 years. In addition, the use of conditional release and monitored care in the community appears to be the most realistic approach to this group of individuals who show a high degree of involvement with the mental health and criminal justice service systems. This research has continued implications for the development of outpatient civil commitment and for the attempt to give people as much liberty as they are capable of handling while being realistic about their capacities to survive in the community.
authors.affiliation: Department of Psychiatry, School of Medicine, Oregon Health Sciences University, Portland.
authors.forename: J D
authors.initials: JD
authors.lastname: Bloom
authors.forename: M H
authors.initials: MH
authors.lastname: Williams
authors.forename: D A
authors.initials: DA
authors.lastname: Bigelow
mesh_terms: D000293:Adolescent; D000328:Adult; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D003416:Criminal Law; D003688:Deinstitutionalization; D005260:Female; D005555:Forensic Psychiatry; D006801:Humans; D007298:Insanity Defense; D008297:Male; D008875:Middle Aged; D009922:Oregon; D012559:Schizophrenia / Q000175:diagnosis*; D012565:Schizophrenic Psychology