Either due to a protracted civil commitment and subsequent court ruling by Med Court requiring meds as a condition of being released from the hospital, as a requirement for preparation for dealng with potential criminal charges, so called aid and assist people, or if one has pled insanity to something, in which case an entity called the Psychiatric Secuirty Review Board is in charge of their lives for a fixed period of time. But if you do great off meds, that all goes away. And of course, the only place they will permit you to stop your meds is in the hospital. Crazy system. Just nuts.