Cost savings associated with fitness-to-stand-trial assessments in detention centres: a pilot program

Can J Psychiatry. 1999 Oct;44(8):808-10. doi: 10.1177/070674379904400809.


Objective: To determine whether fitness-to-stand-trial assessments "in detention" offer cost benefit over inpatient assessments.

Method: The development of a pilot "fitness clinic" in a detention centre is described, and the results of 1 year of assessments are presented. The cost benefit of fitness assessments conducted in detention centres is outlined.

Results: Significant cost savings were realized by operating fitness clinics in detention centres.

Conclusion: Fitness clinics in detention centres offer important benefits and are recommended as an adjunct to forensic programs.

MeSH terms

  • Adult
  • Cost Savings
  • Expert Testimony / economics*
  • Female
  • Humans
  • Insanity Defense*
  • Length of Stay / economics
  • Male
  • Mental Competency / legislation & jurisprudence*
  • Mental Disorders / diagnosis
  • Mental Disorders / economics*
  • Middle Aged
  • Ontario
  • Patient Admission / economics
  • Pilot Projects
  • Prisons / economics*