Conditional Release

Adults

While under the Board’s jurisdiction, an adult can be committed to the Oregon State Hospital or conditionally released to a lower level of care, ranging from secure residential treatment facilities to independent living. The Board determines what type of facility is appropriate based on both a clinical and risk assessment, including the level of treatment, care and supervision required by the client. Conditional release is conferred on a client once the Board determines that he or she can be adequately controlled with supervision and treatment in the community and that the supervision and treatment necessary are available.

The Board assesses readiness for conditional release planning by:

Reviewing the exhibit files that contain the reports and evaluations by the client’s providers of various disciplines;

Listening to the testimony of all witnesses;

Cross examining witnesses to obtain additional information; and

Considering the risk to society that the client may pose if returned to the community, using:

Clinical judgment of professional staff;

Results of psychological testing and risk assessments performed on the client;

Recommendations of the Oregon State Hospital’s Risk Review Panel; and

The availability of resources in the community to compensate for any residual risk.

When release is appropriate and a verified plan is approved by the Board, the person is ordered released from the state hospital subject to the Board's specific conditions.

These conditions include:

An appropriate housing situation

Mental health treatment and supervision

The designation of a person who agrees to report monthly to the Board concerning the released person's progress and who also agrees to notify the Board's director immediately of any violations of the release conditions

Any other special conditions deemed appropriate and/or necessary such as abstaining from alcohol and drugs or submitting to random drug screen tests.

Revocation of Conditional Release

A change in mental status that causes a client to pose a risk of substantial danger to others or a violation of the terms of conditional release may result in immediate revocation of the release and return to Oregon State Hospital pending a hearing. Staff typically intervenes before the client becomes a serious risk to the community.

The grounds for revocation include:

Violation of the terms of the conditional release plan
A change in mental health status
Absconding from supervision
The appropriate community resources are no longer available

The efficacy of the Board’s decision-making and the ability of those treated and supervised persons to succeed on conditional release is evidenced by the fact that in 2012, 99.08% remained in the community on a monthly basis.

For more information about GEI Hearings, please visit our GEI/REI Hearings page here.

For information regarding the expungement of GEI, please click here.

PSRB Conditional Housing Options

Oregon State Hospital (Commitment)

Locked 24/7 for secure perimeter patients

24-hour supervision

Off-site privileges based on public safety and level of care needed

Secured Residential Treatment Facility

Locked 24/7

Egress controlled by staff

Off-site privileges based on public safety and level of care needed

6-16 individuals per facility

Residential Treatment Facility/Home

Unlocked

24-hour awake supervision

Up to 16 individuals per facility

Adult Foster Home

Unlocked

24-hour staff

Up to 5 individuals

Some clients with state variance allow for four hours home alone

Semi-Independent/Supported Housing

Varies from individual apartments to shared housing

Staff part time at the site

Intensive Case Management

Independent living situation

Staff contacts at least 2X per day with at least one at residence

Case management team approach

Independent Living (Self/with Family)

In regular apartment or houses

Frequent home visits by case manager

Other (Department of Corrections/Prison)