RT Journal Article SR Electronic T1 Competency to Stand Trial, Civil Commitment, and Oregon State Hospital JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP JAAPL.210055-21 DO 10.29158/JAAPL.210055-21 A1 Joseph D. Bloom A1 Thomas E. Hansen A1 Amela Blekic YR 2021 UL http://jaapl.org/content/early/2021/12/08/JAAPL.210055-21.abstract AB This article examines the explosive growth of individuals referred for competency to stand trial evaluation and restoration services in the state of Oregon and at Oregon State Hospital between the years 2000 and 2020. This paper also examines the links between competency to stand trial and civil commitment statutes. As yearly civil commitments rates have decreased in Oregon, competency to stand trial commitments to Oregon State Hospital have increased, suggesting an inverse relationship between these two important statutes. There is an overlap in the jurisdiction of these statutes, with both needing to function harmoniously for the civil and the criminal justice processes to each work for the benefit of the individuals involved in the criminal justice and mental health systems.