True Crime & Unsolved Mysteries · Elena Vasquez · 5 August 2026

What happens to Lindsay Clancy if she's found not guilty

What happens to Lindsay Clancy if she's found not guilty

If jurors find Lindsay Clancy not guilty by reason of insanity for killing her three children, she would not walk free. Under Massachusetts law, what happens Lindsay Clancy next is court-ordered observation for up to 40 days, then possible indefinite commitment in a secure mental health facility, Northeastern law professor Daniel Medwed told PEOPLE.

Key Takeaways

Lindsay Clancy does not deny that she killed her three children—daughter Cora, 5, son Dawson, 3, and 8-month-old son Callan. She has nonetheless pleaded not guilty to murder, saying she was overmedicated and suffering from postpartum psychosis when she fatally strangled them. For more coverage of high-profile cases, see our True Crime & Unsolved Mysteries hub.

According to PEOPLE reporting, that plea changes what a not-guilty outcome would mean in practice. Freedom is not on the table.

What happens to Lindsay Clancy after a not-guilty verdict?

Because of the nature of her defense, a potential not-guilty verdict would not mean she goes free. Instead, Medwed told PEOPLE, she would likely face an indefinite stay in a secure state mental health facility.

“If a defendant is found not guilty by reason of insanity, the court enters an observation order,” Medwed said. “The person is then observed for up to 40 days.”

After that initial period, either the district attorney or the facility’s leadership can petition for an initial commitment order of up to six months. When those six months end, there can be another review and a further order for a year—and the cycle can repeat.

“Then there might be another review and an order for a year, and so on,” Medwed said. “It could go on indefinitely.”

Who decides whether Lindsay Clancy stays committed?

Reviews are typically supervised by the facility’s superintendent or medical director. The district attorney has a right to be notified of upcoming reviews.

A review could recommend that a commitment order be rescinded, but the ultimate decision rests with the court—not with the facility alone.

How does the insanity defense work in her Massachusetts trial?

Medwed explained that Massachusetts’ lack-of-criminal-responsibility rules are complex. The defense must introduce evidence about the defendant’s mental state, but the burden of proof remains on the prosecution.

“It’s on the prosecution to essentially refute [the defense’s evidence] and show that the defendant was criminally responsible,” Medwed told PEOPLE.

The children’s father, Patrick, found them unresponsive after first discovering Clancy in the backyard, where she had jumped from a second-story window. Her trial is expected to last multiple weeks.

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