This should not be a hard call at all for the judge. The Psychiatric Security Review Board, under whose control she would be if sent to the Oregon State Hospital, has already determined that it would be better for her to be in the community.  So, if the judge sends her off, the Board will undoubtedly immediately put her right back home as a community placement. There is no point in going through the exercise. It is really only a matter of who is going to supervise her. There is nothing to be gained by sending her to the hospital.