Chapter 12:
Pre Trial Evaluation Program
Kentucky Correctional Psychiatric Center©
BY GREGORY S. TAYLOR

KCPC Purpose. The Kentucky Correctional Psychiatric Center (KCPC) began operations in September 1981. The purpose of the institution is described in the Mission Statement as follows: "As part of the Mental Health and Criminal Justice Systems of the Commonwealth of Kentucky, the Kentucky Correctional Psychiatric Center is responsible for the provision of professional objective and thorough forensic pretrial evaluations for the judicial system and quality inpatient psychiatric services of persons charged with or convicted of felony offenses."

114% Increase in 10 Years. The demands of the pretrial aspect of this mission have grown progressively since its inception. In FY 85/86 there were a total of 352 court orders for competency and/or criminal responsibility evaluations. In FY 94/95 the number of orders had climbed to 754. In the past ten years, a 114% increase in the number of orders has occurred. The flow chart attached describes the various steps by which a court order is processed.

$196 per day, In-Patient. It would be impossible to perform this volume of evaluations solely on an inpatient basis. In a farsighted decision in 1986, KCPC and the Department for Mental Health and Mental Retardation Services staff developed a program to conduct evaluations on an outpatient basis. The goals of this approach were to keep patients in their local communities, spread the increasing workload over a larger number of evaluators, decrease the waiting list of patients to be admitted to KCPC, save the expense of a costly inpatient hospitalization ($196.00 per day), and reduce the amount of time required to produce a completed evaluation. An occasional occurrence which may delay the outpatient evaluation process involves patients placed on bond status. These patients sometimes do not keep their appointment for evaluation and requires evaluation to be rescheduled.

$500 for Out-Patient. Currently, the Department for Mental Health and Mental Retardation Services has agreements with eleven community mental health centers to perform these out-

patient evaluations. The total amount spent last year on outpatient evaluations was approximately $200,000, or $500 per case. Following is a list of the centers, the individuals performing evaluations, and the counties they serve.

Bluegrass Regional Comprehensive Care Center
Dr. Harwell Smith
 
Anderson
Bourbon
Woodford
Harrison
Jessamine 
Fayette
Franklin
Garrard
Nicholas
Powell
Lincoln
Madison
Mercer
Estill
Scott
Boyle
Clark

Comprehend, Inc. - Dr. Barbara Jefferson
 
Bracken
Fleming
Mason
Robertson
Lewis

Cumberland River Comprehensive Care Center
 
Bell
Harlan
Knox
Rockcastle
Clay
Jackson
Laurel
Whitley

Green River Comprehensive Care Center
Dr. James Hallman
 
Allen
Barren
Butler
Daviess
Edmondson
Hancock
Hart
Henderson
Logan
Metcalfe
Monroe
Ohio
Simpson
Warren
Webster
Union
McLean

Northern Kentucky Comprehensive Care Center
Dr. Michael Crane
 
Boone
Carroll
Grant
Pendleton
Campbell
Gallatin
Kenton
Owen

Pathways, Inc. - Dr. Walter Powers
 
Bath
Carter
Montgomery
Lawrence
Rowan
Elliott
Boyd
Greenup
Menifee
Morgan

Pennyroyal Regional Comprehensive Care Center
Dr. Robert Sivley
 
Ballard
Caldwell
Calloway
Hickman
Christian
Crittenden
Fulton
Graves
McCracken
Hopkins
Livingston
Lyon
Carlisle
Marshall
Muhlenberg
Todd
Trigg

Seven Counties Services - Dr. J. Robert Noonan
 
Breckinridge
Larue
Spencer
Henry
Jefferson
Shelby
Hardin
Nelson
Oldham
Grayson
Meade
Washington
Bullitt
Marion
Trimble

Adanta Group - Dr. Horace Stewart
 
Adair
Clinton
Green
McCreary
Russell
Wayne
Casey
Taylor
Pulaski
Cumberland

Mountain Comprehensive Care Ctr. - Dr. Pam Guthrie
 
 
Floyd
Magoffin
Martin Johnson Pike

Kentucky River Comprehensive Care Center
Dr. Vincent Dummer
 
Breathitt
Lee
Letcher
Perry
Knott
Leslie
Owsley
Wolfe

Training & Referrals. In-service training is offered by KCPC to outpatient evaluators on an annual basis. They also have access at any time to hospital staff to consult on a specific patient or address any issue. Patients evaluated as needing longer term observation and/or treatment may be referred as an inpatient to KCPC by the out-patient evaluator. For example, when the evaluator determines that a patient is not currently competent to stand trial but can benefit from treatment, the patient will be admitted.

57% Out-Patient. The number of cases evaluated on an out-patient basis for FY 94/95 was 433. This is out of a total of 754 orders for evaluations.

Increase Expected. This program has proven efficient and effective in addressing the growing volume of court ordered evaluations. It is anticipated that the value of the program will only increase as the demand for such services continues to grow.
 

GREGORY S. TAYLOR, Facility Director
Kentucky Correctional Psychiatric Center
1612 Dawkins Road
LaGrange, Kentucky 40031
Tel: (502) 222-7161

Gregory S. Taylor has a Bachelor's Degree in Business Administration from Hanover College and a Master's in Hospital Administration from the University of Minnesota. He has been Director of KCPC since 1992.
 
 

purple divider

Back to the Table of Contents
 


©2001
Kentucky Dept. of Public Advocacy
http://www.dpa.state.ky.us