TY - JOUR
T1 - COVID-19, Mink-Bowman, and Court-Ordered Psychiatric Services in Oregon
AU - Hansen, Thomas E.
AU - Blekic, Amela
AU - Bloom, Joseph D.
N1 - Publisher Copyright:
© 2023, American Academy of Psychiatry and the Law. All rights reserved.
PY - 2023/9
Y1 - 2023/9
N2 - COVID-19 strongly affected referral of individuals from Oregon’s courts and the ability of Oregon State Hospital (OSH) to accept patients. Despite acceleration in the decline in civil commitment, competency to stand trial (CST) admissions increased, causing a bed crisis at OSH, which in turn affected community hospitals and jails. In 1993, the Ninth Circuit Court of Appeals mandated admission of jail detainees to OSH within seven days after a judicial order for CST evaluation or restoration. During COVID, as the number of such patients increased to crisis proportions, average jail detention times exceeded seven days. An inevitable judicial process intensified in the U.S. District Court of Oregon after OSH requested a COVID-related modification of the seven-day limit. This commentary demonstrates more clearly than in the past that there is a negative correlation between civil commitment and competency restoration as components of an interrelated system. After updating the situation in Oregon, this article ends with suggested interventions to improve Oregon’s civil and criminal commitment processes, hoping for better care of patients and improved administration of justice.
AB - COVID-19 strongly affected referral of individuals from Oregon’s courts and the ability of Oregon State Hospital (OSH) to accept patients. Despite acceleration in the decline in civil commitment, competency to stand trial (CST) admissions increased, causing a bed crisis at OSH, which in turn affected community hospitals and jails. In 1993, the Ninth Circuit Court of Appeals mandated admission of jail detainees to OSH within seven days after a judicial order for CST evaluation or restoration. During COVID, as the number of such patients increased to crisis proportions, average jail detention times exceeded seven days. An inevitable judicial process intensified in the U.S. District Court of Oregon after OSH requested a COVID-related modification of the seven-day limit. This commentary demonstrates more clearly than in the past that there is a negative correlation between civil commitment and competency restoration as components of an interrelated system. After updating the situation in Oregon, this article ends with suggested interventions to improve Oregon’s civil and criminal commitment processes, hoping for better care of patients and improved administration of justice.
KW - civil commitment
KW - competency to stand trial
KW - insanity defense
KW - psychiatric hospital beds
KW - state psychiatric hospitals
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U2 - 10.29158/JAAPL.230056-23
DO - 10.29158/JAAPL.230056-23
M3 - Article
C2 - 37550061
AN - SCOPUS:85169624384
SN - 1093-6793
VL - 51
SP - 411
EP - 420
JO - Journal of the American Academy of Psychiatry and the Law
JF - Journal of the American Academy of Psychiatry and the Law
IS - 3
ER -