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Research ArticleARTICLES

Predicting Success on Conditional Release for Insanity Acquittees: Regionalized Versus Nonregionalized Hospital Patients

Christiane Tellefsen, Marcia I. Cohen, Stuart B. Silver and Catherine Dougherty
Journal of the American Academy of Psychiatry and the Law Online March 1992, 20 (1) 87-100;
Christiane Tellefsen
MD
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Marcia I. Cohen
MCP
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Stuart B. Silver
MD
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Catherine Dougherty
BS
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Abstract

This research compared the outcomes of two cohorts of insanity acquittees: one group was treated solely in the maximum security state forensic hospital before their release to the community (nonregionalized) and the other group was treated at the state forensic hospital and transferred for further treatment at less secure state regional hospitals (regionalized). This research describes the outcome of a group of insanity acquittees (regionalized patients) never previously studied. The applicability of a prediction model based on earlier research of insanity acquittees was tested on the patients. Findings on four outcome indicators are reported: rearrests within five years after release, overall functioning in the community five years after release, rehospitalizations for mental illness, and successful completion of the terms of the five-year conditional release (nonrevocation). Discriminant analysis was performed on the four outcome variables. The model was found to accurately predict the four types of outcome from 69 percent to 94 percent accurately for the nonregionalized insanity acquittees and from 87.5 percent to 95.8 percent for the regionalized patients. This model is currently being adapted to classify patients into potential high- and low-risk groups at the time of conditional release for the purpose of determining the intensity of outpatient supervision.

  • Copyright © 1991, The American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 20 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 20, Issue 1
1 Mar 1992
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Predicting Success on Conditional Release for Insanity Acquittees: Regionalized Versus Nonregionalized Hospital Patients
Christiane Tellefsen, Marcia I. Cohen, Stuart B. Silver, Catherine Dougherty
Journal of the American Academy of Psychiatry and the Law Online Mar 1992, 20 (1) 87-100;

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Predicting Success on Conditional Release for Insanity Acquittees: Regionalized Versus Nonregionalized Hospital Patients
Christiane Tellefsen, Marcia I. Cohen, Stuart B. Silver, Catherine Dougherty
Journal of the American Academy of Psychiatry and the Law Online Mar 1992, 20 (1) 87-100;
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