DRAFT Phase 1 Report: Forensic Psychiatric Hospital Feasibility Study 1
Table of Contents
Table of Figures ........................................................................................................................................ 2
1. Executive Summary .............................................................................................................. 4
Background ................................................................................................................................................ 4
Key Findings .............................................................................................................................................. 6
Summary of Recommendations ............................................................................................................. 9
2. Defining the Project ............................................................................................................ 11
Scope of Work .............................................................................................................................................. 11
Data Sources ................................................................................................................................................. 11
Alaska Psychiatric Institute ......................................................................................................................... 12
Target Population ......................................................................................................................................... 14
3. Backlog in the Competency Process ................................................................................... 15
Overview of the Competency Process ...................................................................................................... 15
Existing Backlog ........................................................................................................................................... 16
Characteristics of Individuals in Competency Process .......................................................................... 18
4. Competency to Stand Trial Evaluations ............................................................................. 21
Current Competency Evaluation Process ................................................................................................ 21
Number of Evaluations Ordered ............................................................................................................... 22
Wait Times for Evaluations ........................................................................................................................ 23
Court Disposition ......................................................................................................................................... 24
Recommendations ........................................................................................................................................ 27
Facility....................................................................................................................................................... 27
Staffing ..................................................................................................................................................... 28
Process ...................................................................................................................................................... 29
Statute ....................................................................................................................................................... 30
5. Competency Restoration ..................................................................................................... 32
Current Process ............................................................................................................................................ 32
Alaska Statute .......................................................................................................................................... 33
Wait Times for Restoration ........................................................................................................................ 34
Restoration Patients + Outcomes ............................................................................................................. 34
Recommendations ........................................................................................................................................ 38
Facility and Program .............................................................................................................................. 39
Staffing ..................................................................................................................................................... 42
DRAFT Phase 1 Report: Forensic Psychiatric Hospital Feasibility Study 2
Statute ....................................................................................................................................................... 42
6. Non-Restorable After Treatment ........................................................................................ 44
Current Process ............................................................................................................................................ 44
Alaska Statute ................................................................................................................................................ 44
Recommendations ........................................................................................................................................ 44
Facility....................................................................................................................................................... 44
Statute ....................................................................................................................................................... 44
7. Not Guilty by Reason of Insanity ....................................................................................... 46
Statute ............................................................................................................................................................. 46
Current Process ............................................................................................................................................ 47
Recommendations ........................................................................................................................................ 48
Facility....................................................................................................................................................... 48
Statute ....................................................................................................................................................... 48
8. Interview Themes ............................................................................................................... 50
Department of Law, Criminal Division .............................................................................................. 50
Department of Corrections ................................................................................................................... 50
Alaska Court System .............................................................................................................................. 51
Alaska Mental Health Trust Authority ................................................................................................ 52
Alaska Mental Health Board ................................................................................................................. 53
Municipality of Anchorage .................................................................................................................... 53
Department of Health and Social Services ......................................................................................... 53
9. Appendices ............................................................................................................................ 0
Table of Figures
Figure 1: Continuum of Forensic Psychiatric Process in Alaska.................................................................. 5
Figure 2: Delays in the Competency Evaluation and Restoration Process ................................................ 5
Figure 3: Demand for Forensic Restoration Beds .......................................................................................... 7
Figure 4: New Restoration Beds Needed ......................................................................................................... 7
Figure 5: Data Sources .........................................................................................................
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