• Bloom, Joseph (PI)

Project: Research project

Project Details


The management, care and treatment of insanity acquittees
presents difficult legal, medical and moral concerns. In 1978 the
State of Oregon established the Psychiatric Security Review
Board with a mandate to ensure appropriate care and control of
individuals who have successfully asserted insanity defenses and
are considered to present substantial danger to others. The
Oregon system provides an opportunity to study the operation of
the PSRB and the hospital and community psychiatric services
designed to gurad public safety while ameliorating the mental and
social disabilities of the insanity acquittee. The study is organized into three components. The first will focus
on a descriptive study of the subject characteristics of the PSRB
population (n=710) to date and on the decisions made by the PSRB.
More variables, as well as more subjects, will be included in this
data set than in our previous studies. The second component will
focus on a subsample of psychotic subjects assigned to PSRB after
felony crimes (n=110) who were released to the three major
community treatment programs in the PSRB system. We will
collect data on the kinds and amount of treatment received by
these clients. The third component involves inteviewing
conditionally released PSRB clients, again those with a psychotic
diagnosis and a felony range crime in the same three major
community treatment programs. They will be interviewed in
order to assess their quality of life, social adjustment and mental
status. They and their case managers or therapists will be
interviewed while they are in the community and for those
revoked, at the time of revocation. The results will have policy implications for the development of
effective systems for managing insanity acquittees in other
Effective start/end date3/1/8712/31/90


  • National Institutes of Health


  • Medicine(all)


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