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Factors Affecting Length of Stay on Maximum Security in a Forensic Psychiatric Hospital

Clifton T. Perkins Hospital Center, 8450 Dorsey Run Road, Jessup, Maryland 20794-1000, USA; University of Maryland–Baltimore County

M. Richard Fragala

Clifton T. Perkins Hospital Center, 8450 Dorsey Run Road, Jessup, Maryland 20794-1000, USA; Uniformed Armed Services School of Medicine; University of Maryland School of Medicine; Washington Psychoanalytic Institute

Beverly F. Wise

St. Elizabeths Hospital, Forensic Services Administration; St. Elizabeths Campus, 2700 Martin Luther King Blvd. SE, Washington, DC 20032, USA

Tammy Lynn Novak

Johns Hopkins University Hospital, 600 N. Wolfe Street, Meyer 3, Baltimore, Maryland 21287, USA

Forensic hospitals are responsible for both the custody and treatment of patients, including treatment that will minimize the risk of future violence to the community. This study examined factors that affected length of stay (LOS) in Maryland’s only maximum-security forensic hospital for mentally ill patients who were adjudicated not criminally responsible (NCR) for serious violent crimes. The current study focused on the combined effects of demo-graphic, legal, and clinical variables on LOS in NCR patients who had been approved for transfer to a less restrictive environment to determine what, if any, variables should be targeted for services during hospitalization. The results of the study indicated that, in addition to gender, history of employment prior to the offense was the strongest predictor of LOS. Three other variables contributed less significantly to the prediction model. These findings have pro-grammatic implications for forensic psychiatric facilities treating the seriously mentally ill.

International Journal of Offender Therapy and Comparative Criminology, Vol. 43, No. 3, 262-274 (1999)
DOI: 10.1177/0306624X99433002


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