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
Dr. Harwell Smith
Comprehend, Inc. -
Dr. Barbara Jefferson
Cumberland River Comprehensive
Green River Comprehensive
Dr. James Hallman
Northern Kentucky Comprehensive
Dr. Michael Crane
Pathways, Inc. - Dr.
Pennyroyal Regional Comprehensive
Dr. Robert Sivley
Seven Counties Services
Dr. J. Robert Noonan
Adanta Group - Dr.
Care Ctr. - Dr. Pam Guthrie
Kentucky River Comprehensive
Dr. Vincent Dummer
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,
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.
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Kentucky Dept. of Public Advocacy