The Conditional Release of Insanity Acquittees: Three Decades of Decision-Making

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Figure 1.
Z-score differences in indicators between decades.

Table 1

Items by Category

Summary Area	Included Items
Treatment compliance	Follows rules
	Willing to work with CONREP
	Accepts need for medications
	Medication compliant
Treatment responsiveness	Participates in treatment groups
	Free of symptoms
	Accepts treatment plan
	Has received maximum benefit
	Met discharge goals
	Illness responds to medications
Insight	Insight regarding instant offense
	Insight regarding mental illness
	Insight regarding reason for admission
	Shows remorse for victim
Substance-related problems	Negative drug screens
	Takes responsibility for drug use
	Understands connection between drug use and crime/admission
	Has a relapse prevention plan
Aggressive behavior	Statement by treatment team
	Statement by patient
	Statement of assault-free time period
Structured risk assessments	PCL-R
	HCR-20
	VRAG
	Other structured risk assessment

Table 2

Demographic/Clinical Characteristics of the Sample

Table 3

Differences in Unstandardized Scores on Release Decision Documentation and Admissions Between Decades

	Decade 1 (n = 19)	Decade 2 (n = 35)	Decade 3 (n = 26)	Total (n = 80)	p
Indicators^*
Compliance	0.32 (0.30)	0.33 (0.27)	0.63 (0.26)	0.42 (0.30)	<.01
Aggression	0.25 (0.24)	0.20 (0.25)	0.35 (0.23)	0.26 (0.24)	<.10
Treatment response	0.38 (0.18)	0.40 (0.19)	0.52 (0.20)	0.43 (0.20)	<.05
Insight	0.12 (0.23)	0.20 (0.27)	0.32 (0.32)	0.22 (0.29)	<.10
Substance use	0.08 (0.19)	0.20 (0.24)	0.37 (0.24)	0.22 (0.25)	<.01
Formal risk	0.00 (0.00)	0.00 (0.00)	0.10 (0.29)	0.03 (0.17)	<.05
Admission details
Number of admissions	4.11 (2.47)	2.83 (1.65)	2.96 (1.75)	3.16 (1.94)	<.10
Length of first admission	7.07 (3.20)	3.96 (3.25)	5.39 (3.92)	5.14 (3.65)	<.01
Total length of stay	15.24 (8.46)	9.25 (6.70)	9.18 (5.01)	10.59 (7.05)	<.01
Length of studied admission	4.82 (2.25)	2.95 (2.08)	4.39 (2.63)	3.86 (2.41)	<.01

Data are expressed as the mean (SD).
* Range is 0 to 1, with 1 indicating all records contained documentation of all relevant indicators, 0 indicating no records contained documentation.