Competency Restoration Observatory

Oregon: the competency queue under a 7-day admission standard

An independent, reproducible reconstruction of Oregon's aid-and-assist restoration system — rebuilt from the Mink / Bowman federal court-monitor reports, with every number traceable to its source page.

Built and maintained by an independent researcher; not affiliated with any court, agency, plaintiff, or advocacy organization. An independent reproduction from public reports — official figures remain the court monitor's.

Oregon's Mink remedy sets a 7-day standard to admit people for restoration — the same kind of admission clock Washington runs — so the core measure here is the waitlist. Oregon additionally has a statutory limit on how long a person may be held, so its data also shows discharges when that time limit is reached. Oregon's published series is sparser and stock-based, so we present it as a descriptive contrast to Washington rather than a formal head-to-head.

Source Oregon State Hospital Mink/Bowman court-monitor & neutral-expert reports (public) Span Dec 2021 – Mar 2026 · as of the Mar 16 2026 court-monitor report Measure aid-and-assist restoration: intake, waitlist, discharge reason, capacity v1 · July 2026
The system at a glance

The competency queue, end to end

People enter on a court order, wait for a hospital bed, and leave for one of a few reasons. The middle column — how many are waiting, and how long — is where the pressure concentrates.

How to read it. Each column shows its own basis — inflow annualized (~1,200/yr), the waitlist a March 2026 snapshot, outflow the full-year 2025 total. These are different bases, not a steady state: the waitlist swung from 11 to 104 to 60 across the span. In the months reported, OSH admitted a count close to intake (about 69–128 admitted vs ~100 ordered), so throughput roughly tracks demand. Figures are reported as observed, not adjusted.

The record · snapshots, 2022–2026

The waitlist over time

The number of people waiting for admission (top) and the average days they had been waiting (bottom), each shown as a single series on a shared timeline. The report samples these at irregular intervals — points mark the months actually reported; segments spanning long gaps are dashed to show the data is sparse, not interpolated.

People waiting for admission
Average days waiting

The queue peaked near 104 people in late 2022, fell to about 11 by spring 2024, rose again through 2025, and stood at 60 (avg 9.2 days) in the March 2026 report. Bands mark descriptive phases only, not causes.

source: Mink/Bowman monitor & neutral-expert reports · waitlist stock + avg-days tables

Outflow · annual, 2021–2026

How people leave the queue

Each year's discharges from aid-and-assist restoration, split by reason. Oregon's distinctive outflow is the restoration limit — people released because the statutory time cap was reached. The monitor reports this by year; 2022 is split by the Sept 1 2022 federal order that created the restoration-limit and community-restoration categories, and 2026 covers Jan–Feb only.

The share released at the restoration limit was about 27% in 2023 and has eased toward 15% in 2025–26, while community restoration (a less-restrictive placement) grew. This shift largely tracks Oregon's shortened statutory restoration limits, not a clinical improvement — a restoration-limit discharge means a person was timed out of treatment. Described as reported; no causal claim.

source: 2026.03.16 court-monitor report, p.14, Table 5 — hand-transcribed, sum-verified against the printed grid

Enforcement · two readings, Nov 2025 & Mar 2026

Contempt-fine accrual

Under the court's order, fines accrue while the state remains out of compliance. Two readings are on the public record so far; shown as a figure, not interpreted.

Reported as ~$1.4M (Nov 2025) and ~$3.19M (Mar 2026) accrued. The fine accrues while the state is out of compliance — and in the last reported month (Aug 2025) only 7.5% of admissions met the 7-day standard, so the rising total and the low compliance rate belong together. Presented as a recorded figure, not a judgment of the agency.

source: Mink/Bowman court-monitor reports, contempt-accrual notes

Capacity

Hospital capacity & crowding

The hospital runs at its staffed-bed ceiling (top), and those beds serve four populations (bottom). Aid-and-assist restoration competes for beds mainly with the large PSRB (insanity-acquittee) census — not the much smaller civil-commitment group, as is sometimes assumed.

Total census vs. staffed beds — snapshots, 2022–2026
Who occupies the beds — full census composition (latest: Mar 2026)

Total occupancy runs at the hospital's staffed-bed ceiling (~705 active; the ~740 licensed figure is a legal maximum, not usable capacity) — the census axis begins at 600 to show detail. Of ~700 filled beds, PSRB (~280) is the largest non-aid-and-assist population; civil commitment is small (~35) though it rose from 14 (2022) to 37 (2025). Association only.

source: Mink/Bowman reports, census + bed-capacity tables

The 7-day standard · reported months, 2023–2025

Are admissions meeting the deadline?

The decree requires admission within 7 days. The monitor reports the compliance rate and the realized wait only in scattered months, so both are shown as sparse observations, not trends. Even so, the most recent reported month is stark: in August 2025 only 7.5% of admissions met the 7-day standard.

Realized admission wait, reported months (days)

Compliance with the 7-day standard swung from ~91–94% (2023–24) to 7.5% (Aug 2025); realized waits in reported 2025 months ranged 9.7 to 25.4 days. Coverage is sparse and definitions vary by table, so these are observed points only, with no trend implied.

source: Mink/Bowman reports, admission-timeliness tables (sparse; shown as observed)

One method, many states

The same reproducible pipeline rebuilds each state from its own public reports, then shows it on its own terms. Washington runs a bed-wait-compliance clock; Oregon runs a 7-day admission clock plus a statutory discharge-time cap. The portable method is the point — not a forced common metric.

Cite this

Competency Restoration Observatory — Oregon (aid-and-assist). Independent reconstruction from Oregon State Hospital Mink/Bowman court-monitor reports, Dec 2021 – Mar 2026. competencyrestoration.org · DOI: 10.5281/zenodo.21436450 (Zenodo).

A reproducible dataset and methods note accompany the built series. Every figure traces to a named report and page; the annual discharge table is hand-transcribed and sum-verified.

Using this in your work?

Researchers, clinicians, monitors, and reporters are welcome. Tell us how you're using it so we can keep the series useful.

Get in touch

Open dataset + code: Zenodo · GitHub.