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==Psychiatric treatment== {{See also|Involuntary commitment}} In the United States, those found to have been not guilty by reason of mental disorder or insanity are generally then required to undergo [[psychiatry|psychiatric]] treatment in a [[Psychiatric hospital|mental institution]],<ref>{{Cite web |date=2018-04-25 |title=The Insanity Defense in Criminal Law Cases |url=https://www.justia.com/criminal/defenses/insanity/ |access-date=2024-01-28 |website=Justia |language=en}}</ref> except in the case of temporary insanity.{{Citation needed|date=December 2011}} In England and Wales, under the Criminal Procedure (Insanity and Unfitness to Plead) Act of 1991 (amended by the Domestic Violence, Crime and Victims Act, 2004 to remove the option of a guardianship order), the court can mandate a hospital order, a restriction order (where release from hospital requires the permission of the Home Secretary), a "supervision and treatment" order, or an absolute discharge.<ref>{{cite web|title=Criminal Procedure (Insanity and Unfitness to Plead) Act 1991, Chapter 25|url=http://www.legislation.gov.uk/ukpga/1991/25/introduction|publisher=UK National Archives|author=legislation.gov.uk|date=27 June 1991|url-status=live|archive-url=https://web.archive.org/web/20120113024929/http://www.legislation.gov.uk/ukpga/1991/25/introduction|archive-date=13 January 2012}}</ref><ref>{{cite web|title=Procedure|url=http://www.cps.gov.uk/legal/l_to_o/mentally_disordered_offenders/|work=Mentally Disordered Offenders|author=Crown Prosecution Service|year=2011|url-status=dead|archive-url=https://web.archive.org/web/20171115112901/http://www.cps.gov.uk/legal/l_to_o/mentally_disordered_offenders/|archive-date=2017-11-15|access-date=2011-11-21}}</ref> Unlike defendants who are found guilty of a crime, they are not institutionalized for a fixed period, but rather held in the institution until they are determined not to be a threat. Authorities making this decision tend to be cautious, and as a result, defendants can often be institutionalized for longer than they would have been incarcerated in prison.<ref>{{cite journal | last1 = Rodriguez | first1 = J. | last2 = LeWinn | first2 = L. | last3 = Perlin | first3 = M. | year = 1983 | title = The insanity defense under siege: Legislative assaults and legal rejoinders | journal = Rutgers Law Journal | volume = 14 | pages = 397β430 }}</ref><ref>Kenber, Billy (4 June 2015) [http://times-deck.s3-eu-west-1.amazonaws.com/projects/2715518c875999308842e3455eda2fe3.html A plea for sanity] {{webarchive|url=https://web.archive.org/web/20150605004201/http://times-deck.s3-eu-west-1.amazonaws.com/projects/2715518c875999308842e3455eda2fe3.html |date=2015-06-05 }} The Times, (Raymond Gregory, on the advice of his lawyer, pleaded insanity in 1971 to being asleep drunk on a building site in Washington DC, USA with a pen knife in his pocket. He was kept locked up for 39 years), Retrieved 4 June 2015</ref>
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