Dr. Stankowski is Clinical Assistant Professor of Psychiatry, Case Western Reserve University, and Lead Chief Clinical Officer and Director of the Center for Forensic Excellence, Northcoast Behavioral Healthcare, OH, Department of Mental Health and Addiction Services, 1756 Sagamore Road, Northfield, OH 44067.
J Am Acad Psychiatry Law. 2020 Jun;48(2):244-250. doi: 10.29158/JAAPL.200002-20. Epub 2020 Apr 22.
Bloom and Kirkorsky discuss three models of special commitment procedures in use today in California, Oregon, and Ohio, regarding the management of individuals found incompetent to stand trial, not restorable (IST/NR) and considered dangerous. They suggest that a fourth model, one merging the population of dangerous IST/NR individuals into the system of insanity acquittees, would offer this group the advantages of a definitive legal disposition, more equal treatment, and improved chance of recovery. This commentary explores their proposal by reviewing recovery outcomes for forensic patients and insanity acquittees and discusses possible improvements such as intensive community monitoring and large-scale data collection. Although both groups face obstacles to recovery and release, the population of dangerous IST/NR individuals would benefit from the more conclusive forensic legal status and pathway to recovery offered insanity acquittees.
布鲁姆和柯克尔斯基讨论了当今加利福尼亚州、俄勒冈州和俄亥俄州在管理被认定无能力接受审判、不可恢复（IST/NR）和被认为危险的个人时使用的三种特殊承诺程序模型。他们建议采用第四种模式，即将危险的 IST/NR 个人纳入精神错乱无罪释放者的系统中，这将为该群体提供明确的法律处置、更平等的待遇和更好的康复机会。通过审查法医患者和精神错乱无罪释放者的康复结果，本评论探讨了他们的建议，并讨论了可能的改进措施，如强化社区监测和大规模数据收集。尽管这两个群体在康复和释放方面都面临障碍，但危险的 IST/NR 个人将从精神错乱无罪释放者提供的更明确的法医法律地位和康复途径中受益。
