Salem, OR – September 30, 2026 – In March of this year, Marion County District Attorney Paige
Clarkson convened a grand jury inquiry into the conditions and management of Oregon State
Hospital located in Salem, Oregon (see below for original release). This inquiry is authorized
pursuant to Oregon Revised Statute 132.440.
At the time, District Attorney Clarkson stated: “I have become increasingly concerned that the
Oregon State Hospital cannot meet the challenges of the moment: appropriately responding to
the growing need for intensive, hospital level of care for individuals whose diagnoses require
civil commitment, restoration services, or secure levels of treatment for the safety of
themselves and the public. We have an obligation to inquire into what is being done with an
eye toward what more is needed.”
Today, the grand jury released its findings, substantiating the need for the inquiry and
highlighting capacity issues and conflicts of purpose within the institution.
During the approximately six-month inquiry, the grand jury: held 13 sessions where they
inquired into the conditions and management of the Oregon State Hospital, Salem campus;
heard over 47 hours of testimony from approximately 40 witnesses, which included
current and former OSH employees, medical providers, OSH management, union
representatives, forensic evaluators, a former patient, a patient’s mother, witnesses
from Marion County Sheriff’s Office, a Circuit Court judge, community partners, and
other witnesses. The grand jury toured the grounds of the OSH Salem campus.
The inquiry revealed several issues highlighting that OSH lacks sufficient bed capacity to
simultaneously meet the needs of Oregonians in need of hospitalization at OSH for aid and
assist restoration, commitment after being adjudicated guilty except for insanity, or in need of
commitment under Oregon’s civil commitment laws.
The grand jury made 19 findings many relating to the patient’s path through the system, such
as during admission and their time as a patient, as well as broader concerns at the hospital
including patient experience, safety, staffing and leadership. Additional findings address the
population at OSH, an overall conflict of purpose, the use of seclusion, and the Grand Jury’s
experience during the facility tour.
District Attorney Clarkson stated:
“While this inquiry and the resulting report could never encompass all the multifaceted issues
faced by the Oregon State Hospital, it serves as confirmation that the hospital continues to fall
short in its crucial obligation to our communities and our most vulnerable Oregonians. Our
communities should expect better from the state’s behavioral health system and that must
start with increased capacity at all levels, improved staff safety, an up-stream focus on civil
commitment rather than reliance on the criminal justice system, and—perhaps most important
of all—dependable leadership that creates a culture where this is all possible.”
DA Clarkson continued, “I would like to thank the dedicated Marion County grand jurors, who
were chosen from our community by the court, and who devoted significant time and
thoughtful consideration to these complex issues. This was not an easy task, but I share in the
hope that their effort will be illustrative to our state leaders and lawmakers as they shape
policy to keep all Oregonians safe and healthy.”
The Marion County Grand Jury’s 2026 report regarding the Oregon State Hospital can be
accessed here.
