Lamb H R
Arch Gen Psychiatry. 1987 Aug;44(8):754-8. doi: 10.1001/archpsyc.1987.01800200082012.
Of 85 persons (38% of those found incompetent to stand trial in Los Angeles County in 1983), 92% were currently charged with felonies and 62% with crimes of violence. Eighty-seven percent had a history of serious physical violence against persons and 68% had prior felony arrests. This study indicated that in this jurisdiction, incompetency to stand trial is not being used to divert mentally ill persons, charged with minor offenses, into intermediate or long-term psychiatric hospitalization to circumvent obstacles such as restrictive commitment laws and rapid hospital discharge policies. The lack of adequate postrelease planning and follow-up for most of these chronically and severely mentally ill offenders was clear. Neither the criminal justice nor the mental health system is inclined to take responsibility for their care. Mandatory community treatment on release is recommended.
在85人当中（占1983年洛杉矶县被认定无受审能力者的38%），92%的人目前被控犯有重罪，62%的人被控犯有暴力罪行。87%的人有对他人实施严重身体暴力的历史，68%的人此前曾因重罪被捕。这项研究表明，在该司法辖区，无受审能力并非被用于将被控轻罪的精神疾病患者转移至中级或长期精神病院住院治疗，以规避诸如限制性收容法律和快速出院政策等障碍。这些长期且严重精神疾病罪犯中的大多数缺乏足够的释放后规划和随访，这一点很明显。刑事司法系统和心理健康系统都不愿为他们的照料负责。建议在释放后进行强制性社区治疗。
