When ‘Not Guilty’ Is a Life Sentence

What happens after a defendant is found not guilty by reason of insanity? Often the answer is involuntary confinement in a state psychiatric hospital — with no end in sight.

Despite Ann’s determination to betray no emotion, a drop of sweat rolled down her temple as a guard painstakingly examined her lunch items. That Sunday morning, she had taken two buses, two trains and a shuttle to get from her home to the New York state psychiatric facility where her son is confined. Frustrated, she pushed back a little, but just a little, when the guard took away two sealed bottles of fruit-flavored water, a special treat that Ann had made an extra stop to buy. She watched as he held them up to examine them and concluded that they must contain caffeine — which is not allowed — because they did not read, “Does not contain caffeine.”  more

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