Abstract
Files on all 48 Alberta patients under Warrants of the Lieutenant Governor were reviewed in late 1984, early 1985. Few were on Warrant as a result of unfitness to stand trial and all carried a primary diagnosis involving major mental disorder. More than half were considered paranoidal. Two-thirds of the population had killed someone or attempted to do so. Only eight had not previously been inpatients in psychiatric hospitals. Nearly half of the patients offended against relatives. Close to two-thirds had a previous criminal record. The Alberta Hospital's Forensic Service is described as is the province's Board of Review. Two brief case studies help portray the system of gradual release. The authors comment on the design of services for this group of patients known to be hard to treat and administer.
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