Stopping (or Slowing) the Revolving Door: Factors Related to NGRI Acquittees' Maintenance of a Conditional Release

The current study sought to extend the knowledge about factors associated with NGRI acquittees' maintenance of a conditional release after hospital discharge. The medical and forensic records of 125 NGRI acquittees were reviewed to collect a variety of demographic, clinical, criminal, and aftercare factors. A hierarchical survival analysis approach to determining success was compared to data analysis strategies typically employed in the area. Survival analysis, which accounts for both conditional release success status and time on conditional release, revealed that minority status, substance abuse diagnosis, and a prior criminal history were the factors that significantly predicted conditional release revocation. Treatment and policy implications of these results are discussed.