I don't believe you can blame a schizophrenic for their actions while ill anymore than an epileptic for having seizure.
He knows he's ill now - he knows he needs to be on meds to control his illness. If the doctors monitoring him for the rest of his life believe the meds are working then I think he should get a chance to start over.
That being said - while he's medicated and lucid he should know that if he ever goes off his meds for any reason that his freedom is gone. To stop taking his meds would be a choice made by him while cognizant and aware and that should never be excused.
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