Background

• Psychosis is common in patients found incompetent to stand trial.
• Competency restoration programs in forensic state hospitals include the use of group and individual therapies as well as pharmacologic interventions to manage symptoms.
• The Department of Mental Health allows psychiatrists to petition for an involuntary medication order if a patient poses a danger to themselves or others.
• Psychiatric medication adherence through an involuntary order has been shown to improve a patient’s contact with reality, and safety for themselves and others.
• Refusal of medications leads to serious health risks, social consequences and longer hospital stays.

• To identify if involuntary medication orders reduce length of stay (LOS) compared to patients without involuntary medication orders.
• To identify if the length of time to obtain involuntary medication orders reduces the LOS in patients with involuntary orders.

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