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The Washington State Institute for Public Policy (Institute) was directed by the 2012 Legislature to “study and report to the legislature the benefit of standardizing treatment protocols used for restoring competency to stand trial in Washington, and during what clinically appropriate time period said treatment might be expected to be effective.”
To conduct this work, the Institute contracted with a national expert in the field, Dr. Patricia Zapf. This report provides background on the types of interventions (treatments) used throughout the United States for the restoration of competency to stand trial, and research regarding the timelines for restoration. In addition, data on length of stay at Eastern State Hospital and Western State Hospital for incompetent defendants remanded for competence restoration are summarized.