Attributes of State Hospital, Jail and Outpatient Restoration Programs
Treatment Setting | State Hospitals* | Jails† | Outpatient‡ |
---|---|---|---|
Costs | $300–$1,000 per day | $42–$222 per day | $100–$500 per day |
Rates of restoration | 80–90% | 55–86% | 54–70% |
Mean LOSR (per research) | 73 days | 57.4 days, usually followed by transfer to state hospitals | 149–207 days |
Patients served | High % of defendants with psychotic disorders | Moderate % of defendants with psychotic disorders | Moderate to low % of defendants with psychotic disorders |
Crime type/risk | Moderate to high level of dangerousness | Moderate to high level of dangerousness | Moderate to low level of dangerousness |
Medication considerations | High % of adherence, largely due to greater resources to administer involuntary medications | Limited resources for involuntary medication administration | High % of adherence, largely based on screening |
Malingering considerations | May teach defendants how to malinger more convincingly | Theoretically ideal for malingerers | Setting less likely to affect malingering either way |
↵* Data on hospital-based restoration obtained from References 2, 3, 5, 8, 13, 16, 19, 23, 29.
↵† Data on jail-based restoration obtained from References 1, 16, 17, 36, 37, 38.
↵‡ Data on outpatient-based restoration obtained from References 2, 8, 16, 17, 29, 39, 40.
LOSR = length of stay necessary to achieve restoration.