A judge stopped your son’s case and ordered a competency evaluation, and the word everyone keeps using is “suspended.” You went home and searched competency evaluation Nevada criminal case and found statute text nobody translated. The question underneath your search is simple: does this mean the charges go away?
They do not. A competency finding presses pause on a criminal case rather than ending it, and understanding that one fact changes how you plan the next several months. We at The Defense Firm walk families through this process, and this guide covers who can raise the issue, what the mental health evaluation looks at, where competency restoration happens, and the two ways a suspended case can end. Your relative is not the first person this has happened to, and the process has a shape you can follow.
What a Finding of Incompetency Means in a Nevada Criminal Case
Being found not competent to stand trial says nothing about guilt or innocence. The question is narrow and it is about right now: can this person understand what the charges are and what is happening in the courtroom, and can they work with their lawyer to defend the case. Someone can be seriously ill and still be competent to stand trial. Someone else can be found incompetent and later be tried on the same charges.
The case does not disappear when the judge suspends it. The criminal complaint stays on file, the charges stay pending, and the case number stays open. What stops is forward motion, which means no preliminary hearing, no motion practice, and no plea negotiation while the competency proceedings run. Prosecutors are not required to give anything up during the pause.
Competency also gets confused with an insanity defense, and they are separate things. Competency looks at your relative’s mind today, while an insanity claim looks backward at their state at the time of the alleged offense. A defense attorney can pursue one, both, or neither, and our overview of criminal defense in Las Vegas explains how those strategies sit alongside each other.

How Competency Is Raised and What the Court Does Next
Three people can raise doubt about competency. The defense attorney raises it most often, because the lawyer is the one who cannot get straight answers or cannot explain a plea offer in a way the client absorbs. A prosecutor can raise it. So can the judge, based on behavior in the courtroom or on records already in the file. Family members cannot file the motion, though what you tell the attorney frequently starts it.
Raising the issue is not an accusation and it is not a tactic against your relative. A lawyer who proceeds with a client who cannot assist in the criminal defense risks a conviction that should never have happened. If you have watched confusion, paranoia, or memory loss up close, tell the attorney what you saw, in dates and specifics, and read our guide on questions to ask your lawyer about your case before that conversation.
Once the court finds enough doubt, the judge suspends the proceedings and orders a court-ordered evaluation by qualified examiners. Custody status does not change on its own at this moment. Someone held on a bail amount they cannot post stays in jail through the competency evaluation unless the attorney gets the release terms revisited, which our guide to felony bail in Nevada covers.
What Happens During a Competency Evaluation
A forensic examiner, meaning a psychiatrist or psychologist the court appoints, handles the competency assessment rather than a treating doctor your family chose. The examiner interviews your relative, reviews the police reports and the charging documents, and looks at whatever medical records and treatment history are available. Then the examiner writes a report to the judge.
Two questions drive the whole thing. The first asks whether your relative understands the nature of the charges and the roles of the judge, the prosecutor, and the defense lawyer. The second asks whether they can assist in their own defense, which means following the discussion, recalling relevant events, and making decisions about a plea.
Your records help more than your opinion does. Hospital discharge summaries, a psychiatric diagnosis, a medication list, prior evaluations, school records, and documentation of a traumatic brain injury all give the examiner something concrete to work with. Get them to the defense attorney rather than mailing them to the court. Where an evaluation happens depends on custody: an in-custody interview takes place at the jail, while someone released beforehand attends an appointment in the community. Nothing about the setting changes the charge itself, whether the case involves drug crimes or something as serious as a homicide charge.
The Competency Hearing and the Three Possible Findings
The examiner’s report goes to the judge, and the judge holds a competency hearing rather than rubber-stamping the conclusion. Both sides can contest the findings, and either side can ask for a second opinion. Your relative has the right to counsel at this hearing, described further in our guide to legal representation in Las Vegas criminal cases.
Three outcomes are possible. A finding of competent to proceed lifts the suspension, and the case restarts where it stopped, with the same charges and the next hearing on the calendar. A finding of not competent but restorable sends your relative into competency restoration treatment, which is where most cases go. A finding of not competent and not restorable in the foreseeable future puts the case on a different track described further below.
Nothing about a not competent finding functions as a win. Families sometimes hear “the case is suspended” and relax, then get blindsided months later when the same felony charges return with a trial date. Treat the pause as time your attorney can use, which is one reason early legal representation matters more in these cases rather than less.

Competency Restoration Treatment and the Return to Court
Treatment aimed at getting someone to the point where they can follow the proceedings and work with counsel is what competency restoration looks like in practice. It combines psychiatric care, medication management, and structured instruction about how a courtroom works. Nevada delivers this through its state forensic mental health system rather than through a private hospital your family selects.
The wait for a bed is the part that hurts families most. A person found incompetent to stand trial frequently remains in the Clark County Detention Center while waiting for admission, sometimes for a long stretch, which is difficult to accept when a judge has already said they are too ill to face the case. Ask the defense attorney about the current waitlist and about whether release on conditions during the wait is realistic.
Involuntary medication comes up in some cases, and courts can authorize it only under narrow standards. There are also limits on how long restoration efforts can continue, generally tied to the seriousness of the charge.
When the treating facility reports that your relative has been restored to competency, the case returns to court and the suspension lifts. The charges are unchanged. The court where it resumes depends on how the charge was filed, and our guide to which Las Vegas court hears your case explains the routing. From there the case follows the ordinary path through the criminal process from charging forward.
What Happens When a Defendant Cannot Be Restored to Competency
Some people cannot be restored. Advanced dementia, severe intellectual disability, and certain brain injuries produce conditions treatment cannot reverse, and when a court finds that restoration to competency is not likely in the foreseeable future, the criminal case cannot continue indefinitely.
One result is a dismissal of the charges, which is not an acquittal. The court can end the criminal case while civil commitment proceedings begin, which means your relative may move from jail into a secure treatment setting rather than going home. Families expecting a release date are often unprepared for this, and it helps to hear it early.
Charges also come back in some cases. A dismissal without prejudice lets a prosecutor refile the charges if your relative’s condition improves later, subject to the deadlines that govern the offense. Ask the defense attorney whether the dismissal in your case closes the door or leaves it open, because the two produce different plans for the next year.
Where treatment rather than punishment is the real need, a defense attorney may look at alternatives such as Nevada’s specialty court programs, and at how the charge classification affects eligibility, which our guide to felony and misdemeanor classifications explains.
Allegations of violence narrow those diversion options sharply. A felony charge built on physical harm, of the kind covered on our battery and assault defense page, tends to close the treatment court door that a lower-level case would have kept open. Ask the attorney which program eligibility rules apply to your relative’s specific charge rather than to the diagnosis.

Frequently Asked Questions
Is It Normal for Nothing to Happen for Months After a Defendant Is Found Incompetent?
Long gaps are common, and they usually reflect a wait for an inpatient bed rather than a lost file. Ask the defense attorney to check the admission status and to calendar a status hearing so the delay stays in front of a judge. Documented delay is also something an attorney can raise when arguing about custody status.
Can My Family Choose the Doctor Who Performs the Competency Evaluation?
The court appoints the examiner, so your family does not choose that person. You can give the defense attorney records from your relative’s own treating providers, and the attorney can retain an independent expert to review or challenge the court-ordered report. Those private records frequently carry real weight at the competency hearing.
Does Time Spent in Competency Restoration Count Toward a Later Sentence?
Credit for time in restoration treatment depends on the statute and on how the court characterizes the custody, and it is not automatic. Ask the defense attorney to raise presentence credit in writing rather than assuming it applies.
Conclusion
A suspended criminal case is still an active case. The months spent on competency evaluation and restoration treatment can determine whether the defendant is eventually able to proceed, but they can also give the defense time to examine the police reports, preserve witness evidence, gather medical history, and understand how the mental health issues intersect with the allegations. Families should not treat the pause as the end of the case or wait until competency is restored to begin preparing for what comes next.
At The Defense Firm, we help families understand the competency process, coordinate records and evaluations, protect the underlying criminal defense, and prepare for the case to resume if restoration occurs. If your family member has been found incompetent to stand trial in Nevada or has been ordered to undergo a competency evaluation, Contact The Defense Firm for a free confidential consultation and bring any court orders, medical records, evaluation paperwork, and charging documents you have.