Marshall Daniel J, Vitacco Michael J, Read Joan B, Harway Michele
Department of Counseling and Human Services, Johns Hopkins University.
Behav Sci Law. 2014 Sep;32(5):627-40. doi: 10.1002/bsl.2136.
The current study investigated factors associated with voluntary and involuntary readmissions to forensic hospitals 356 insanity acquittees on conditional release in the state of Maryland from 2007, 2008, and 2009 and monitored their community progress for a 3-year follow-up period. The results indicated that voluntarily readmitted insanity acquittees had fewer reported arrests on conditional release and fewer reported instances of non-compliance with treatment compared with insanity acquittees who were returned involuntarily to hospital. As expected, arrests and treatment non-compliance predicted involuntary readmission. A third group of insanity acquittees who were not readmitted on conditional release presented with numerous differences compared with voluntarily and involuntarily readmitted acquittees. These included a longer duration in the community prior to any psychiatric readmission and fewer community psychiatric admissions than both the voluntary and involuntary groups. Data from this study provide useful information on where community monitoring resources for insanity acquittees may best be allocated.
本研究调查了2007年、2008年和2009年马里兰州356名有条件释放的精神错乱无罪获释者被自愿和非自愿重新收容到法医医院的相关因素，并在3年的随访期内监测他们在社区中的进展情况。结果表明，与非自愿返回医院的精神错乱无罪获释者相比，自愿重新收容的精神错乱无罪获释者在有条件释放时报告的被捕次数较少，报告的不遵守治疗情况的事例也较少。正如预期的那样，被捕和不遵守治疗情况预示着非自愿重新收容。第三组在有条件释放时未被重新收容的精神错乱无罪获释者与自愿和非自愿重新收容的无罪获释者相比存在许多差异。这些差异包括在任何精神科重新入院之前在社区中的停留时间更长，以及社区精神科入院次数比自愿和非自愿组都少。本研究的数据为精神错乱无罪获释者的社区监测资源最佳分配地点提供了有用信息。
