A retired Massachusetts judge has outlined the potential legal pathway for Lindsay Clancy should a jury accept her insanity defense in the case of her three children's deaths. If jurors find Clancy not criminally responsible for strangling her children, Cora, Dawson, and Callan, she would not face a traditional prison sentence. Instead, her commitment to a mental institution would be subject to annual reviews.

Retired Worcester Judge Carol Erskine explained that Clancy would likely undergo an initial 40-day evaluation in a locked facility, ordered by the trial judge. Following this, a hearing would determine if she meets the criteria for civil commitment due to a likelihood of serious harm. If committed, the initial period would be six months, also in a locked unit.

Beyond this initial period, Clancy's commitment would be reviewed annually. "She could remain hospitalized for many years — even indefinitely — but only as long as the legal criteria for civil commitment continue to be met," Erskine stated. The superintendent of the facility could recommend discharge, and any such petition would involve input from both the district attorney's office and Clancy's defense attorney.

Clancy is charged with three counts of murder. The prosecution contends that she strangled her children, aged 5 years, 3 years, and 8 months, with exercise bands before attempting suicide by cutting herself and jumping from a second-story window. Her actions left her paralyzed.

Erskine noted that Clancy's current limited mobility is unlikely to significantly influence evaluations regarding her future potential for harm. The evaluations would consider the risk of serious harm to herself as well as others. The case is currently before a jury that began deliberations on Thursday. Jurors can find Clancy guilty of first- or second-degree murder, manslaughter, or not guilty by reason of insanity. The outcome hinges on their assessment of her mental state at the time of the events. In January 2023, the three young children were found dead at their Duxbury, Massachusetts, home.