State Hospital Review Panel
The five-member State Hospital Review Panel (SHRP) is responsible for determining if and when a tier two patient is able to live successfully in the community under a conditional release plan. The panel consists of a psychiatrist, a psychologist, a probation officer, an attorney and a member of the general public. Panel members are appointed by the director of the Oregon Health Authority based on their qualifications and objectivity.
The structure and processes of SHRP and the Psychiatric Security Review Board are similar, and both entities work closely together toward the common goal of ensuring public safety. SHRP conducts hearings twice a month. Panel members base their decisions on factors such as:
- Clinical judgment of OSH staff;
- Results of patient’s psychological testing, risk assessments and risk mitigation.
- Recommendation of the OSH Risk Review Panel; and
- Availability of community resources.
For information on Oregon Administrative Rules related to SHRP, please visit the state archive page at
If SHRP finds that a tier two patient is still affected by a mental illness, presents a substantial danger to others and cannot be adequately treated in the community, the patient will continue receiving treatment at OSH. Tier two patients who do not meet all three of these criteria will either be granted a conditional release or discharged from the hospital.
- Conditional release: Tier two patients may be conditionally released if SHRP finds that their mental illness can be adequately treated and monitored in the community. When a tier two patient is conditionally released, PSRB assumes jurisdiction over the individual and will continue to monitor and supervise the person for the remainder of his or her term of commitment.
Before their conditional release, tier two patients agree to follow the requirements of a SHRP-approved conditional release plan. Requirements may include actions such as attending individual or group counseling, taking prescribed medication, submitting to drug screenings or attending work or school. If at any time individuals violate the conditions of their release plan, PSRB may return them to the hospital where SHRP will conduct a revocation hearing.
- Discharge: If SHRP finds that the patient is no longer affected by mental illness, no longer presents a substantial danger to others when his or her mental illness is active, or the patient’s term of commitment has ended, the patient will be discharged from the hospital and returned to the community.