Predictors of Improvement in Maximum Security Forensic Hospital Patients

Document Type


Publication Date

Fall 1988


In a maximum security forensic hospital population (n = 376), relationships between three groups of patient factors (diagnostic data patient histories, and hospital course) and two indicators of treatment effectiveness (length of hospitalization [LOH] and restoration of competency to stand trial) were analyzed. Schizophrenia, previous hospitalizations, felony charges, drug treatment refusal, involuntary medication, physical restraint, and absence of personality disorders were associated with increased LOH. Nonschizophrenic patients without histories of previous incarceration, and, paradoxically, drug treatment refusers were relatively successful with competency restoration. Implications of these findings and questions for future research are discussed.