1. Outpatient Competency Restoration (OCR)
Courtney Heard, Ph.D., LPC
HB3793 Advisory Committee Meeting
February 20, 2014

3. OCR: Program Description
Outpatient Competency Restoration involves outpatient treatment to restore competency
Services provided:
Competency Education Training
Medication
Supportive Employment
Housing
Counseling
Substance Use Treatment
Intensive Case-Management Services
Average length of stay ( ): 128 days

4. OCR: Eligibility Eligibility Ineligibility
Deemed incompetent to stand trial
Misdemeanor or felony Offenses
Ineligibility
Deemed a danger to self or others
Refusal of medication
Brain damage or cognitive deficits that contribute to non-restorability
Intellectual and Developmental Disabilities that contribute to non-restorability

5. Participant Characteristics

6. OCR Outcomes (2013) Other outcomes include: Absconded Reoffended
Admitted to state hospital
Other

7. OCR: Barriers to Higher Utilization
Lack of clarity regarding Code of Criminal Procedure
Ability to modify initial orders for 46B commitment from inpatient to outpatient
Outpatient programming as an option for competency restoration treatment
Timeframes for holding hearings post-competency restoration
Lack of trust for outpatient mental health services
Refusal of medications while in jail
Lack of clinically appropriate justification for admission
Extended lengths of stay
Lack of resolution for participants deemed not restorable

8. OCR: Addressing Underutilization
Providing education to defense and assistant district attorneys, judges, and law enforcement agencies:
The competency restoration process
Wraparound services provided by the LMHAs
Encouraging the use of court-ordered medications while in jail
Providing additional funding for outpatient step-down programs
Utilization of peer supports
Utilization of housing supports
Statutory modifications