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When the tests set out by the Rules are satisfied, the accused may be adjudged "not guilty by reason of insanity" or "guilty but insane" and the sentence may be a mandatory or discretionary (but usually indeterminate) period of treatment in a secure hospital facility, or otherwise at the discretion of the court (depending on the country and the offence charged) instead of a punitive disposal.

The insanity defence is recognized in Australia, Canada, England and Wales, Hong Kong, India, the Republic of Ireland, New Zealand, Norway and most U. states with the exception of Idaho, Kansas, Montana, Utah, and Vermont An 18 year-old girl with agitated depression successively had her upper and lower molars extracted, a tonsillectomy, sinus drainage, treatment for an infected cervix, removal of intestinal adhesions—all without effecting improvement in her psychiatric condition.

Ravenstahl is the eldest of three brothers including Adam Ravenstahl, a member of the Pennsylvania House of Representatives.

Ravenstahl graduated from North Catholic High School in 1998, where he was class president and played baseball and football.

However, it is unethical for a psychiatrist to offer a professional opinion unless he or she has conducted an examination and has been granted proper authorization for such a statement.

He later won a special election in 2007, and a regular election in 2009.A Democrat, he became the youngest mayor in Pittsburgh's history in September 2006 at the age of 26.A graduate of North Catholic High School, Ravenstahl attended the University of Pittsburgh before graduating from Washington & Jefferson College.This includes the release of the individual to the community (or other community placement), a petition for involuntary inpatient placement (what some call civil commitment), involuntary outpatient placement (what some call outpatient commitment or assisted treatment orders), or voluntary treatment (if the person is competent to consent to voluntary treatment and consents to voluntary treatment).The involuntary outpatient placement language in the Baker Act took effect as part of the Baker Act reform in 2005.

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