Taking the Suspected Mentally Ill Off the Streets to Public General Hospitals
Marcos, Luis R.
Cohen, Neal L.
New England Journal of Medicine. 1986 Oct 30; 315(18): 1158-1161.
Since 1976, New York City, under the state's mental hygiene law, has pursued a policy of empowering the police involuntarily to transport persons displaying dangerous behavior to public general hospitals for psychiatric evaluation. From 1976 through 1980, 18,988 persons were so detained; from 1981 through 1985, 62,712 persons. The authors pinpoint three trends that may have contributed to this increase: deinstitutionalization, government initiatives to improve care of the homeless mentally ill, and a shift of many persons from the criminal justice system to the mental health system. They view with alarm the policy's effect on the hospitals' legal and political vulnerability and on the evolution of dual systems of care for public and private patients. They urge closer collaboration of medical staff with law enforcement offcials, social service agencies, and other mental health personnel, plus further investigation of the effect of public policies on psychiatric care. (KIE abstract)
Chronically Ill; Dangerousness; Deinstitutionalized Persons; Diagnosis; Emergency Care; Evaluation; Evolution; Government; Health; Health Care; Health Care Delivery; Health Personnel; Hospitals; Institutional Policies; Involuntary Commitment; Justice; Law; Law Enforcement; Mental Health; Mental Health Personnel; Patient Admission; Patients; Proprietary Hospitals; Psychiatric Diagnosis; Public Hospitals; Public Policy; Social Impact; Standards; Statistics; Trends;
Showing items related by title, author, creator and subject.