State Profiles Report on Competency Evaluations
June 2026
Decades of data about State Mental Health Agencies at your fingertips!
Through our State Profiling System, NRI tracks State Mental Health Agency initiatives in prevention and treatment of mental disorders.
Dating back to 1996, our State Profiling System database provides detailed descriptions about each State Mental Health Agency’s:
Organization and structure
Service systems
Eligible populations
Emerging policy issues
Number of consumers served
Fiscal resources
Consumer issues
Information management structures, and
Research and evaluation initiatives.
This page shows the Public Reports. Access to the restricted (more detailed) reports is limited to registered users from State Mental Health Agencies.
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OUR PUBLIC REPORTS
2024 - 2025
2024 - 2025
Forensics
Nearly half of CST evaluations end in an incompetency finding
Findings from 40 states on where CST evaluations happen, who conducts them, and why waitlists keep growing — including how consent decrees and new statutes are pushing evaluations out of state hospitals. June 2026.
Forensics
How 40 states restore competency — and where the system backs up
A state-by-state look at adult competency restoration — where services are delivered, who provides them, and which policy changes are reshaping the pipeline. June 2026.
The State Profiles System (SPS) components were developed with guidance from an advisory group comprised of State Mental Health Agency (SMHA) Commissioners, Planners, and program staff, as well as staff from NASMHPD and NRI.
For additional information about the State Profiles Project, please contact: [email protected]