Restoration
Competency restoration treatment and programs.
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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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Vermont bill would create a prison-based forensic facility for people found unfit for trial or legally insane Statewide
Source: Seven Days, by Colin Flanders
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Ohio extends maximum competency-restoration commitment to five years Statewide
Source: Cleveland 19 News, by Julia Thyret and Brian Koster
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Missouri proposes budget expansion for outpatient competency beds amid growing backlog Statewide
Source: Missouri Independent, by Steph Quinn
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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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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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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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North Carolina defendants wait about six months in jail for hospital beds as capacity-to-proceed demand climbs Statewide
Source: North Carolina Health News, by Rachel Crumpler
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Mississippi doubles forensic hospital capacity with new 83-bed unit
Source: Mississippi Today, by Gwen Dilworth
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Federal judge preliminarily approves Oklahoma competency consent decree despite state objections Statewide
Source: KOSU, by Sierra Pfeifer
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Iowa launches statewide outpatient competency restoration program Statewide
Source: Iowa Public Radio, by Meghan McKinney
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Rhode Island Supreme Court rules a defendant on outpatient competency commitment must be discharged within 30 days of being found nonrestorable Statewide
Source: Rhode Island Supreme Court, by Rhode Island Supreme Court (Justice Long, for the Court)
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Oklahoma attorney general files proposed consent decree in competency restoration class action Statewide
Source: Oklahoma Attorney General's Office
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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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DeWine forms work group on competency restoration and diversion as forensic patients fill 93 percent of state hospital beds Statewide
Source: Office of Gov. Mike DeWine, by Office of the Governor of Ohio
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Kansas county launches outpatient competency restoration as inmates wait a year or more for Larned or Osawatomie
Source: KCUR, by Dylan Lysen
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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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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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Vermont House weighs bills on care and oversight for defendants found incompetent, after a Bennington killing Statewide
Source: VTDigger, by Kristen Fountain
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CalMatters traces a man jailed nearly nine years in Sacramento without trial as California's IST waitlist hits 1,446
Source: CalMatters, by Jocelyn Wiener
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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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Virginia legislative commission finds competency restoration is crowding civil patients out of state hospitals Statewide
Source: Virginia Behavioral Health Commission
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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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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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Reporting finds people released after incompetency dismissals often get no follow-up treatment National
Source: KFF Health News, by Katheryn Houghton
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Colorado overhauls competency process, funds new hospital beds Statewide
Source: Colorado General Assembly
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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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Virginia lets courts divert incompetent misdemeanor defendants to civil evaluation instead of restoration Statewide
Source: Virginia Legislative Information System, by Virginia General Assembly (introduced by Sen. T. Montgomery "Monty" Mason)
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Washington enacts law to speed transfers from outpatient restoration and tighten competency service deadlines Statewide
Source: Washington State Legislature, by Washington State Senate (Office of Senate Bill Reports)
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Vermont state working group recommends forensic facility and restoration program for defendants found incompetent Statewide
Source: Vermont Department of Mental Health (posted by the Vermont General Assembly), by Vermont Department of Mental Health
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Federal grant funds jail-based competency restoration program in Bexar County
Source: Bureau of Justice Assistance
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UVA study finds misdemeanor defendants crowd Virginia's state hospitals for competency restoration Statewide
Source: Virginia Mercury, by Kate Masters
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50-state survey compares competency-restoration approaches nationwide National
Source: NRI, by National Association of State Mental Health Program Directors Research Institute (NRI)
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Texas judicial and health commissions publish a toolkit to shrink the jail wait for competency restoration beds Statewide
Source: Texas Judicial Commission on Mental Health, by Texas Judicial Commission on Mental Health and Texas Health and Human Services Commission
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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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New York counties' association proposes overhaul of competency restoration after state shifts full cost to counties Statewide
Source: New York State Association of Counties
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Washington reports Phase 1 gains in the Trueblood settlement and files its Phase 2 plan for King County Statewide
Source: U.S. District Court, W.D. Wash. (court filing hosted by Disability Rights Washington), by U.S. District Court, W.D. Wash. (filing in Trueblood v. DSHS, No. C14-1178 MJP)
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Ohio governor signs Senate Bill 2, allowing outpatient competency restoration for nonviolent misdemeanor cases Statewide
Source: Ohio Senate (Office of Sen. Theresa Gavarone), by Theresa Gavarone
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West Virginia enacts competency law with 90-day restoration check and 180/240-day caps Statewide
Source: West Virginia Legislature
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Follow-up study of Washington, DC's outpatient competence restoration program covers 345 referrals
Source: Journal of Forensic Science and Research, by Reston N Bell, Phillip J Candilis, Nicole R Johnson
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Ohio Senate bill would send low-level defendants to outpatient competency evaluation and free hospital beds Statewide
Source: Spectrum News 1 Ohio, by Josh Rultenberg
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State task force urges planning a replacement for Whiting Forensic Hospital, citing competency patients housed in maximum security
Source: CT Mirror, by Kelan Lyons
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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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Kentucky health department briefing puts forensic evaluation wait at six to eight weeks, with restoration unfunded Statewide
Source: Kentucky Legislative Research Commission (Jail and Corrections Reform Task Force), by Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities
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Illinois opens $1 million grant round for outpatient restoration of defendants found unfit Statewide
Source: Illinois Department of Human Services, by Illinois Department of Human Services, Division of Mental Health
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Alaska appeals court says nearly a year in jail awaiting competency treatment was unconstitutional and orders dismissal Statewide
Source: Anchorage Daily News, by James Brooks
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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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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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Chippewa County sheriff's public appeal exposes months-long waits for state psychiatric placement in Michigan Statewide
Source: Bridge Michigan, by Ted Roelofs
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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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Klamath County builds a local alternative as Oregon's SB 24 restricts state hospital referrals
Source: KOBI-TV NBC5 / KOTI-TV NBC2, by Newsroom Staff
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Ohio mental health department reports jail-transfer admissions to state hospitals more than doubled in three years Statewide
Source: Ohio Department of Mental Health and Addiction Services
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Minnesota convenes a statewide task force on community competency restoration under a 2019 law Statewide
Source: Minnesota Department of Human Services
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After Dayton shooting, Ohio governor floats shifting low-level defendants out of state psychiatric hospitals Statewide
Source: The Appeal, by Kira Lerner
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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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Washington's court-approved plan for phase one of the Trueblood settlement sets hiring, bed and diversion targets Statewide
Source: U.S. District Court, W.D. Wash. (court filing hosted by Disability Rights Washington), by U.S. District Court, W.D. Wash. (filing in Trueblood v. DSHS, No. C14-1178 MJP)
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Wisconsin Supreme Court limits forced medication to restore trial competency Statewide
Source: Wisconsin Supreme Court, by Wisconsin Supreme Court (opinion by Justice Rebecca Grassl Bradley)
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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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ABA Journal feature examines how routine forced medication has become in competency restoration National
Source: ABA Journal, by Lee Nacozy
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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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Idaho's state hospitals see patient numbers climb more than 250 percent in five years, driven by court-committed defendants Statewide
Source: Idaho State Journal (Idaho Press), by Tommy Simmons
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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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NASMHPD research arm reviews community-based outpatient competency restoration programs across the states National
Source: NRI (NASMHPD Research Institute), by Amanda Wik
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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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North Carolina health department recommends ending local evaluators and piloting jail-based capacity restoration Statewide
Source: North Carolina General Assembly (report to Joint Legislative Oversight Committees), by North Carolina Department of Health and Human Services
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Study of admission screening at a state hospital finds value in checking response style among patients committed as incompetent to stand trial National
Source: International Journal of Forensic Mental Health, by Barbara E. McDermott, William J. Newman, Jonathan Meyer, Charles L. Scott, Katherine Warburton
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Texas Senate staff analysis: bill would steer misdemeanor defendants away from state hospital restoration to cut jail waits Statewide
Source: Texas Legislature Online, by Texas Senate Research Center
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Florida spends at least $50 million a year restoring competency for defendants, mostly on minor charges, investigation finds Statewide
Source: Tampa Bay Times and Sarasota Herald-Tribune, by Michael Braga, Anthony Cormier and Leonora LaPeter Anton
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South Carolina audit finds the state hospital agency has too little time to restore defendants to competency Statewide
Source: South Carolina Legislative Audit Council
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Study describes Washington, DC's court-linked outpatient competence restoration program and its first outcomes
Source: World Journal of Psychiatry, by Nicole R Johnson and Philip J Candilis