Most of the subjects were referred to METFORS during the pretrial stage in their court proceedings, and 75 percent were judged fit to stand trial. In the course of the 6-year period following their 1979 assessment, 98 percent of the 195 subjects had some further contact with the criminal justice system and/or mental health system. This percentage includes inpatient assessments arising from charges which prompted the original evaluation. It also reflects a variety of institutional contacts ranging from a brief drop-in at a psychiatric hospital to an extended period of incarceration at a Federal penitentiary. A sizeable majority of the cohort experienced repetitive cycles of institutionalization. The authors call for a coordinated plan for the followup treatment of forensic clients. 2 figures, 25 references.