That’s one aspect of psychiatry that isn’t well understood—the psychotic potential of anti-psychotics.
What I’m saying, is that psychiatrists who recommend criminal release are like banks playing with taxpayer money. They have no skin in the game. For example, if a jail shrink recommends release of a Level 3 sex offender because he seems rehabilitated, it’s on the public next time he goes off. There’s no downside to the psychiatrist. In fact, he might be marked on how many patients he “cures.”
It’s a tougher issue with people who are free and might be loony. It’s more difficult (and should be, to prevent political abuses) to commit them because they MIGHT go off. But cons are proven bad actors.
Part of the problem is that today’s model for medicine does not allow the close monitoring or supervision of patients like this. Very few inpatient beds and even less help from the doctor’s office. If you call in to tell your doctor you are having violent thoughts they tell you to hang up and dial 911.