A defendant who is found not guilty by reason of insanity is almost always:

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When a defendant is found not guilty by reason of insanity, they are typically committed to a mental institution for treatment, rather than being set free, retried, or reimbursed for trial costs. This is because the verdict acknowledges that the defendant committed the act but was unable to understand the wrongfulness of their actions due to a severe mental disease or defect.

A Defendant Who Is Found Not Guilty by Reason of Insanity