Jail-Based
Restoration or evaluation happening inside jails.
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Virginia Beach opens jail-based restoration pod to cut waits for state hospital beds
Source: WTKR News 3, by John Hood
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Post and Courier investigation finds South Carolina defendants wait about eight months for competency restoration Statewide
Source: The Post and Courier (Aiken Standard copy), by Glenn Smith, Jocelyn Grzeszczak and Alan Hovorka
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Arizona's competency system often leaves jail as the only treatment defendants get Statewide
Source: AZ Luminaria, by John Washington
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Woman dies in Illinois jail after 67 days awaiting a state hospital bed
Source: Capitol News Illinois, by Illinois Answers Project
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Utah funds jail-based competency restoration unit to cut wait times
Source: Davis Journal, by Becky Ginos
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Disability Rights California finds jail-based IST program offers little treatment and frequent isolation Statewide
Source: Disability Rights California
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Nevada pays fines and a judge seeks dismissal as Clark County competency waits pass 90 days
Source: FOX5 Vegas, by Victoria Saha
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Texas auditor examines jail-based competency restoration program Statewide
Source: Texas State Auditor's Office
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North Carolina expands jail-based competency restoration to Wake County Statewide
Source: NCDHHS, by North Carolina Department of Health and Human Services
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Three North Carolina sheriffs launch jail-based capacity restoration units for defendants too ill for trial Statewide
Source: North Carolina Health News, by Rachel Crumpler
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Oklahoma mental health commissioner fires attorney general as board rejects competency decree Statewide
Source: FOX 25 (KOKH), Oklahoma City, by Colleen Wilson
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Maryland judge fines health department $608,000 over delays moving jailed defendants to psychiatric hospitals
Source: The Baltimore Banner, by Ben Conarck, Meredith Cohn and Dylan Segelbaum
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Aiken County jail runs competency restoration locally under a recent state law change
Source: Aiken Standard (Post and Courier), by Bianca Moorman
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Disability Rights NC sues state health department over months-long jail waits for capacity evaluations and treatment Statewide
Source: Carolina Journal, by CJ Staff
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Alaska Psychiatric Institute doubles restoration capacity with jail-based beds and an outpatient program
Source: Anchorage Daily News, by Tess Williams
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Nevada approves $27 million for jail-based competency program and bed capacity Statewide
Source: The Nevada Independent, by Eric Neugeboren
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Washington adds jail-based specialists and new diversion options Statewide
Source: Washington State Governor's Office (Medium), by Governor Jay Inslee
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San Diego grand jury finds most jailed defendants get no restoration treatment while waiting
Source: San Diego County Grand Jury, by 2022/2023 San Diego County Grand Jury
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Half of North Carolina defendants found incapable to proceed waited 313+ days for a hospital bed, WFAE finds Statewide
Source: WFAE (Charlotte), by Dana Miller Ervin
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Pennsylvania's competency system leaves people waiting in jail without treatment Statewide
Source: Spotlight PA, by Danielle Ohl and Brittany Hailer
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Illinois law lengthens the jail-transfer deadline for defendants found unfit from 20 to 60 days after officials concede the old limit was routinely missed Statewide
Source: NPR Illinois (Capitol News Illinois), by Peter Hancock
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North Carolina opens its first jail-based capacity restoration program in Mecklenburg County
Source: North Carolina Department of Health and Human Services
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Kentucky public defenders say defendants wait up to 18 months for state competency evaluations, often longer than any likely sentence Statewide
Source: WKYT, by Kelsey Souto
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Kansas inmates wait months for mental health beds as Sedgwick and Finney counties describe jail costs Statewide
Source: Kansas Reflector, by Rachel Mipro
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Arizona Rule 11 Task Force interim report finds competency evaluations concentrated in superior court and misdemeanor cases dropped without restoration Statewide
Source: Arizona Supreme Court, by Arizona Supreme Court Task Force on Rule 11
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Los Angeles Times documents long jail waits for incompetent defendants as California's wait averages 141 days Statewide
Source: Los Angeles Times, by Kevin Rector
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California details $535 million IST solutions plan, including jail stabilization and diversion Statewide
Source: California Department of State Hospitals
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Alabama mental health department outlines plan to add jail-based and community competency restoration Statewide
Source: Alabama Department of Mental Health, by Virginia Scott-Adams, Psy.D.
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Five more Illinois sheriffs join suit over delayed transfers of inmates found unfit for trial
Source: Illinois Times, by Dean Olsen
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Illinois judge holds state human services agency in contempt, fines it $100 a day over unfit inmate's wait
Source: Illinois Times, by Dean Olsen
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Illinois prosecutor asks court to hold state human services agency in contempt over jail transfer delays
Source: Illinois Times, by Dean Olsen
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Georgia judge holds state in contempt as competency jail backlog grows Statewide
Source: KFF Health News (with Georgia Health News), by Andy Miller and Rebecca Grapevine
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Marion County sheriff says jails are a dumping ground as incompetent defendants wait four months for Logansport beds
Source: WRTV (Indianapolis), by WRTV Staff
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ACLU sues Indiana over competency restoration delays Statewide
Source: ACLU of Indiana
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With only 39 staffed forensic beds, Mississippi defendants wait up to a year in jail for restoration treatment Statewide
Source: Mississippi Free Press (with Mississippi Center for Investigative Reporting), by Julie Whitehead
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South Carolina law lets the mental health department provide competency restoration in jails and outpatient settings Statewide
Source: South Carolina Legislature Online, by South Carolina General Assembly
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Montana jails hold people for months awaiting state hospital forensic evaluations and beds Statewide
Source: Montana Free Press (KFF Health News), by Katheryn Houghton, KFF Health News
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Arkansas jails hold well over a hundred people waiting a year or more for state hospital beds Statewide
Source: KTLO
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Kansas House committee hears bill to open new competency evaluation and restoration pathways beyond Larned Statewide
Source: Kansas Legislature, by Kansas House Judiciary Committee
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Florida House committee backs allowing restoration treatment in county jails as 548 defendants wait for state beds Statewide
Source: The Florida Bar News, by Jim Ash
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Federal grant funds jail-based competency restoration program in Bexar County
Source: Bureau of Justice Assistance
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East Texas man spends two years in jail before and while waiting for competency restoration
Source: Dallas Observer, by Michael Murney
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Oklahoma senator files bill to allow jail-based restoration when forensic beds are not available Statewide
Source: Oklahoma State Senate
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Texas's competency restoration waitlist reaches a record 1,813, nearly double the year before Statewide
Source: Dallas Observer, by Michael Murney
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KUTV investigation explains how Utah finds defendants incompetent and restores them, and how long it can take Statewide
Source: KUTV 2News Investigates (via KJZZ), by MacKenzie Ryan & Wendy Halloran, KUTV
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Woman with schizophrenia spends six months in a county jail waiting for an Oklahoma forensic bed Statewide
Source: The Frontier, by Brianna Bailey
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Excess days for restored California defendants soar to 3,653 in 2020 as COVID-19 halted transfers Statewide
Source: California Department of State Hospitals
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Indiana launches jail-based and community restoration pilots for defendants waiting on state hospital beds Statewide
Source: News and Tribune (New Albany, IN), via TheStatehouseFile.com, by TheStatehouseFile.com
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Pandemic deepens Washington's jail backlog of defendants found unfit to stand trial Statewide
Source: Crosscut (now Cascade PBS), by David Kroman
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KXAN 'Locked in Limbo' finds Texas's $1 billion hospital rebuild would still leave the competency waitlist 555 beds short Statewide
Source: KXAN (Austin), by David Barer
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New York City's jail system counts 123 people awaiting state transfer after being found unfit during early 2020, with some waiting two months
Source: New York City Department of Correction
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Psychiatrist argues a full continuum of restoration services makes jail-based restoration unnecessary National
Source: Journal of the American Academy of Psychiatry and the Law, by Reena Kapoor
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Legislative Analyst: California's IST waitlist leveled off near 800 after years of growth, but referrals keep rising Statewide
Source: California Legislative Analyst's Office
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Hawaii lawmakers weigh bills to divert people with mental illness from jail and speed fitness evaluations Statewide
Source: Honolulu Civil Beat, by Brittany Lyte
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Arizona publishes statewide best-practices guide for competency restoration programs Statewide
Source: Arizona Supreme Court, by Arizona Supreme Court Committee on Mental Health and the Justice System
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Reporting finds Colorado still under fines and short of competency beds a year after consent decree Statewide
Source: Rocky Mountain PBS, by John Ferrugia
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Prison Legal News tallies state and federal contempt fights over Oregon's jailed aid-and-assist defendants Statewide
Source: Prison Legal News, by Mark Wilson
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Idaho hospitals urge fast trial dates for restored defendants, who can slip back into incompetence while waiting in jail Statewide
Source: Idaho Press, by Tommy Simmons
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Oregon advocates ask a federal judge to force hospital admissions for jailed defendants Statewide
Source: Northwest Public Broadcasting, by Conrad Wilson
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Study documents Arizona's shift from hospital to jail-based competency restoration Statewide
Source: Journal of the American Academy of Psychiatry and the Law, by Joseph D. Bloom and Scott E. Kirkorsky
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Georgia advocates sue Fulton County over women's jail confinement, citing exclusion from competency restoration and long hospital waits
Source: U.S. District Court, N.D. Ga. (complaint as hosted by Courthouse News Service), by Georgia Advocacy Office and Southern Center for Human Rights (plaintiffs' counsel)
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Literature review weighs hospital, jail and outpatient settings for restoring competency National
Source: Journal of the American Academy of Psychiatry and the Law, by Graham S. Danzer, Elizabeth M.A. Wheeler, Apryl A. Alexander and Tobias D. Wasser
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Pennsylvania human services department issues statewide procedures for competency evaluation and restoration Statewide
Source: Pennsylvania Department of Human Services, by Pennsylvania Department of Human Services, Office of Mental Health and Substance Abuse Services
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Utah State Hospital reports forensic admission wait down to 11 days, citing settlement-driven changes Statewide
Source: Utah Legislature (interim committee materials), by Utah State Hospital and Utah Department of Human Services
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NASMHPD research arm catalogs jail-based competency restoration programs and their results National
Source: NRI (NASMHPD Research Institute), by Amanda Wik
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Relatives of Mississippi man jailed 11 years after being found incompetent file $11 million federal suit
Source: WREG (Memphis)
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Journal commentary argues jail-based restoration and forced medication are poor substitutes for timely hospital care National
Source: Journal of the American Academy of Psychiatry and the Law, by Alan R. Felthous and Joseph D. Bloom
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Allegheny County plans an in-jail restoration program because state hospital waits are too long
Source: Pittsburgh Post-Gazette, by Shelly Bradbury
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Utah State Hospital cuts forensic wait to 60 days, meeting first settlement target Statewide
Source: Deseret News, by McKenzie Romero
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ProPublica traces a Mississippi teenager's nearly four-year jail wait for a psychiatric evaluation and finds 102 others waiting Statewide
Source: ProPublica, by Sarah Smith
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Arkansas State Hospital is full and understaffed while 79 Pulaski County inmates wait on forensic evaluations
Source: KARK (Little Rock)
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Fox San Antonio investigation finds incompetent Bexar County inmates waiting months or years for state hospital beds
Source: Fox San Antonio (KABB), by Yami Virgin, Fox San Antonio
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Lincoln Journal Star reports nine mentally ill defendants in Lancaster County jail awaiting regional center beds
Source: Lincoln Journal Star, by Nancy Hicks
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Mississippi's forensic unit has 35 beds and a nine-to-eleven-month wait, leaving mentally ill defendants in jail
Source: Jackson Free Press, by Arielle Dreher
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Illinois law sets 20-day deadline for state to place jail inmates found unfit for trial Statewide
Source: Cook County Sheriff's Office
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Judge approves Utah settlement setting wait-time limits for competency treatment Statewide
Source: KSL.com, by McKenzie Romero
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Inmate dies in San Luis Obispo jail while waiting for a bed; local reporting shows long jail waits for incompetent defendants
Source: Santa Maria Sun, by Chris McGuinness
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ACLU moves to reopen Pennsylvania's competency-treatment settlement, saying more than 260 defendants are stuck in jails Statewide
Source: WHYY
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Legislative Analyst warns California's IST waitlist has grown to 601 and weighs Kern County jail treatment proposal Statewide
Source: California Legislative Analyst's Office
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Pulaski County inmate ordered to the Arkansas State Hospital waits weeks as evaluation backlog grows
Source: KARK (Little Rock)
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Illinois jails hold defendants found unfit for trial while state hospitals report no open beds
Source: WTTW News, by Paris Schutz
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Three Alabama men found incompetent to stand trial sue the state over months-long waits for treatment in county jails Statewide
Source: Civil Rights Litigation Clearinghouse (University of Michigan Law School), by Plaintiffs in Hunter v. Beshear (U.S. District Court, M.D. Ala.)
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Texas jails hold a record number of accused violent offenders waiting for maximum-security hospital beds
Source: The Dallas Morning News, by Terri Langford, Naomi Martin
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Mississippi man jailed nearly 11 years without trial after being found incompetent is approved for transfer to a state hospital
Source: Mississippi Free Press (AP, originally Jackson Free Press), by Associated Press
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Maryland psychiatric hospitals are full, leaving dozens of court-ordered defendants stuck in jail Statewide
Source: The Baltimore Sun, by Michael Dresser
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Virginia inspector general's review of an inmate's death flags missing records and a lost hospital transfer order
Source: Associated Press (via KSL.com), by Associated Press
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Houston misdemeanor defendants wait in jail for mental hospital transfer as forensic beds crowd out civil care
Source: Houston Press, by Meagan Flynn
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Death of a jailed man awaiting a hospital bed puts Virginia's forensic waits in focus
Source: The Virginian-Pilot, by Gary Harki
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Advocacy groups file new federal suit saying Louisiana again leaves incompetent defendants waiting in parish jails Statewide
Source: The Advocate (Baton Rouge), by Joe Gyan Jr.
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ACLU sues Pennsylvania over months-long jail waits for court-ordered competency treatment Statewide
Source: WHYY, by Bobby Allyn
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Oklahoma's forensic hospital is full as judges press the state over inmates awaiting competency treatment
Source: Oklahoma Watch