In 1986, the Missouri legislature enacted a statutory provision that requires the MDMH to have at least monthly contact with each NGRI acquittee residing in a community setting on conditional release.
Missouri statutes that created the monitor requirement stipulated only that the MDMH must have at least monthly contact with the conditionally released NGRI clients.
* MDMH attorneys who represent the department at the revocation hearing (two FCMs)
Resolution of a grievance begins at the level it originated, which usually is the clinical program; if unresolved it can proceed to the hospital superintendent, the MDMH client rights coordinator, and the MDMH director, who has final authority.
The other three means, which were identified more in client focus groups than staff focus groups, were clients filing a lawsuit, clients contacting their treatment team if they disagreed with hospital policy, and clients writing or calling an upper-level MDMH administrator.
Staff also indicated that many important policies that affected clients were made by MDMH or were established in Missouri law.
In addition to participation from the patient, the treatment team, and community providers supporting the discharge, representatives from the criminal justice system and others in the MDMH review the discharge application to ensure a high level of public safety, as required by Missouri statute (Linhorst, 1997b).
To address these questions, the study first reviewed the characteristics of the 188 patients who were residing in the MDMH psychiatric hospital on July 1, 1995.
This study included 188 of the 200 patients hospitalized in one of four MDMH long-term psychiatric hospitals on July 1, 1995.
The first group is defendants ordered by state circuit court judges to receive a pretrial psychiatric evaluation from an MDMH Certified Forensic Examiner.
The second group of forensic patients is made up of defendants whom the courts have committed to MDMH as incompetent to stand trial.
The third group of forensic patients defined by Missouri statute is made up of defendants committed to MDMH after a finding by the criminal court that they are not guilty by reason of mental insanity (mental disease or defect) (NGRI).