McGreevy M A, Steadman H J, Dvoskin J A, Dollard N
Policy Research Associates, Delmar, New York 12054.
Hosp Community Psychiatry. 1991 May;42(5):512-7. doi: 10.1176/ps.42.5.512.
New York State's Insanity Defense Reform Act of 1980 outlined specific procedures for conditional release to the community of persons found not guilty of a criminal offense by reason of insanity. To assess how well the procedures were working, the authors examined data on all clients placed on conditional release in the state between 1980 and 1987. The majority of the 331 clients so identified had been found to be dangerously mentally ill and were subsequently released to the community after extensive periods of involuntary inpatient treatment. The most common condition for community release was participation in a treatment program. While in the community, 22 percent of the clients were arrested, and 5 percent had their conditional releases revoked and were recommitted. The authors compare the New York program with similar programs elsewhere. They believe the key features of a successful program include centralized responsibility, a uniform system of treatment and supervision, and a network of community services.
1980年纽约州的《精神错乱辩护改革法案》概述了将因精神错乱而被判定无罪的人有条件释放到社区的具体程序。为评估这些程序的实施效果，作者研究了1980年至1987年间该州所有被有条件释放的客户的数据。在确定的331名客户中，大多数被认定患有严重精神疾病，在经过长时间的非自愿住院治疗后被释放到社区。社区释放最常见的条件是参加治疗项目。在社区期间，22%的客户被捕，5%的客户被撤销有条件释放并被重新收押。作者将纽约的项目与其他地方的类似项目进行了比较。他们认为一个成功项目的关键特征包括集中责任、统一的治疗和监督系统以及社区服务网络。
