Guilty but mentally ill – does not relieve of criminal responsibility – sent to a prison where they will get adequate psychiatric care Guilty but insane Not Guilty by reason of insanity Some jurisdictions have a mandatory commitment to a mental institution – if dangerous to himself or others Maryland – up to the court according to Maryland Civil Commitment Standards Is he dangerous to himself, others, or the prop of others Does not mean that the defendant stay forever Standards for release into the general population If no longer insane If not dangerous Does lack of mental competency effect his sentence – not unless it is in regards to the death penalty – cannot be executed as long as he suffers from a mental defect that prevents him from understanding his punishment (what was going to happen to him)