This study reports on restoration outcomes of a sample of pretrial defendants (n = 877, 69% male) who were found incompetent to stand trial and underwent restoration services in a large urban county. Each male defendant was initially assigned to restoration in one of four settings on a continuum of services of varying intensity (ie, outpatient, jail general population, dedicated jail-based restoration unit, or forensic hospital inpatient unit) based on the defendant's assessed clinical need. Of those who received services on the jail-based restoration unit (n = 398), 40 percent were restored to competency, 31 percent were diverted out of the criminal justice system, and 29 percent were referred for more intensive inpatient services, primarily because of refusal of medication (i.e., the jail would not allow involuntary medication, even if court-ordered). Advantages of restoration on the jail unit compared with inpatient hospitalization included more rapid institution of restoration services and higher rates of diversion out of the criminal justice system at one-third of the cost of inpatient restoration services. A continuum of restoration services that allows the type of restoration service to be matched to the needs of the individual incompetent defendant has significant advantages over routine transfer to a forensic hospital for restoration.

中文翻译：

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基于监狱的能力恢复单位，作为恢复服务连续性的组成部分。

这项研究报告了在一个大城市县被发现无能力接受审判并接受恢复服务的样本前被告（n = 877，男性占69％）的恢复结果。最初，根据被告的评估的临床需要，将每名男性被告按四种强度之一连续进行不同强度的服务（即门诊，监狱总人口，专门的监狱为基础的恢复部门或法医医院住院部门）进行恢复。 。在以监狱为基础的恢复机构中接受服务的人（n = 398）中，有40％恢复了能力，有31％从刑事司法系统中转出，有29％的人接受了更密集的住院服务，主要是因为拒绝药物治疗（即监狱不允许非自愿药物治疗，即使法院下令）。与住院治疗相比，监狱单位恢复的优势包括恢复服务的机构更加迅速，转移出刑事司法系统的比率更高，而费用仅为住院恢复服务成本的三分之一。与常规转移到法医医院进行恢复相比，连续的恢复服务可以使恢复服务的类型与各个无能的被告的需求相匹配。