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Dissertation

Life After Adjudication: A Comparison of Three Forensic Inpatient Treatment Modalities as a Predictor of Community Reintegration Success

16 April 2009

Abstract

Oregon’s Psychiatric Security Review Board (PSRB) was created in 1978 for the purpose of providing post-adjudication management to Oregon’s insanity acquittees, supplying both community protection and individual treatment (Bloom, Rogers, & Manson, 1986). Most of these individuals (approximately 75%) are initially placed at the Oregon State Hospital (OSH). This study compared the effectiveness of three different treatment groups (i.e., milieu therapy, 41A Community Re-Entry and the Transitional Living Center) within OSH in an effort to determine the individuals’ level of success within the community, after hospital release. The variables evaluated in determining their success within the community included length of time in the community, number of revocations (i.e., hospital readmissions), and recidivism. The findings suggest that those subjects who participated in the TLC treatment program resided in the community for a significantly longer period of time and had a reduced rate of hospital revocation than did those who participated in the Milieu or 41A program. There was no significant difference between those who participated in the Milieu program and those who participated in the 41A program. Implications and limitations are discussed.


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