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Special Populations in Psychiatric Emergency Care: Forensic Patients

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Models of Emergency Psychiatric Services That Work

Part of the book series: Integrating Psychiatry and Primary Care ((IPPC))

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Abstract

This chapter discusses the challenges posed by forensic patients who present to the emergency room for psychiatric care, and practices designed to improve psychiatric care for these patients. The term “forensic patients” refers to prisoners, jail inmates, probationers, parolees, petitioned patients, patients who have been arrested but not yet undergone the booking process, convicts, and suspects. This chapter also discusses precautions that emergency room personnel should follow when evaluating or prescribing treatment for potentially suicidal forensic patients.

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References

  1. Carson EA. Prisoners in 2016. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2018, 36 p. https://www.bjs.gov/content/pub/pdf/p16.pdf. Accessed 3 Feb 2019.

    Google Scholar 

  2. Zeng Z. Prisoners in 2016. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2018, 13 p. https://www.bjs.gov/content/pub/pdf/ji16.pdf. Accessed 3 Feb 2019.

  3. Lamb HR, Weinberger LE. Some perspectives on criminalization. J Am Acad Psychiatry Law. 2013;41(2):287–93.

    Google Scholar 

  4. Baillargeon J, et al. Psychiatric disorders and repeat incarcerations: the revolving prison door. Am J Psychiatry. 2009;166:103–9.

    Article  Google Scholar 

  5. Lamb HR, Weinberger LE. Decarceration of U.S. jails and prisons: where will persons with serious mental illness go? J Am Acad Psychiatry Law. 2014;42(4):489–94.

    Google Scholar 

  6. Simon RI, Goetz S. Forensic issues in the psychiatric emergency department. Psychiatr Clin North Am. 1999;22(4):851–64.

    Article  CAS  Google Scholar 

  7. Cloyes KG, Wong B, Latimer S, Abarca J. Time to prison return for offenders with serious mental illness released from prison: a survival analysis. Crim Justice Behav. 2010;37(2):175–87.

    Article  Google Scholar 

  8. Scott CL. Correctional psychiatry—part I. Lecture presented at: American Academy of Psychiatry and the Law Forensic Psychiatry Review Course; 2018 Oct 22-24; Austin, TX.

    Google Scholar 

  9. Clear TR, Reisig MD, Cole GF. American corrections. 12th ed. Boston: Cengage Learning, Inc.; 2017.

    Google Scholar 

  10. Bureau of Justice Statistics. Key statistic: prisoners. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2019. https://www.bjs.gov/index.cfm?ty=kfdetail&iid=488. Accessed 3 Feb 2019.

  11. Bureau of Justice Statistics. Key statistic: jail inmates. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2019. https://www.bjs.gov/index.cfm?ty=kfdetail&iid=489. Accessed 3 Feb 2019.

  12. Bureau of Justice Statistics. Key statistic: probationers. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2019. https://www.bjs.gov/index.cfm?ty=kfdetail&iid=490. Accessed 3 Feb 2019.

  13. Bureau of Justice Statistics. Key statistic: parolees. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2019. https://www.bjs.gov/index.cfm?ty=kfdetail&iid=491. Accessed 3 Feb 2019.

  14. Hedman LC, et al. State laws on emergency holds for mental health stabilization. Psychiatr Serv. 2016;67(5):529–35.

    Article  Google Scholar 

  15. Baker EF, et al. Law enforcement and emergency medicine: an ethical analysis. Ann Emerg Med. 2016;68(5):599–607.

    Article  Google Scholar 

  16. Bronson J, Berzofsky M. Indicators of mental health problems reported by prisoners and jail inmates, 2011-12. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2017, 17 p. https://www.bjs.gov/content/pub/pdf/imhprpji1112.pdf. Accessed 3 Feb 2019.

  17. Foote A, Ostermeyer B. Legal and ethical challenges in emergency psychiatry, part 2: management of inmates. Psychiatr Clin N Am. 2017;40:55–564.

    Article  Google Scholar 

  18. Kennedy DB, Savard DM. Delayed in-custody death involving excited delirium. J Correct Health Care. 2018;24(1):43–51.

    Article  Google Scholar 

  19. Fiscella K, et al. Alcohol and opiate withdrawal in US jails. Am J Public Health. 2004;94(9):1522–4.

    Article  Google Scholar 

  20. Maruschak LM, Berzofsky M, Unangst J. Medical problems of state and federal prisoners and jail inmates, 2011-12. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2015, 23 p. https://www.bjs.gov/content/pub/pdf/mpsfpji1112.pdf. Accessed 19 Mar 2019.

  21. Karberg JC, James DJ. Substance dependence, abuse, and treatment of jail inmates, 2002. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2005. https://www.bjs.gov/content/pub/pdf/sdatji02.pdf. Accessed 7 Feb 2019.

  22. Noonan ME, Rohloff H, Ginder S. Mortality in local jails and state prisons, 2000-2013: statistical tables. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics; 2015. https://www.bjs.gov/content/pub/pdf/mljsp0013st.pdf. Accessed 5 Feb 2019.

  23. Del Paggio D. Psychotropic medication abuse by inmates in correctional facilities. Mental Health Clinician. 2012;1(8):187–8.

    Article  Google Scholar 

  24. Pilkinton PD, Pilkinton JC. Prescribing in prison: minimizing psychotropic drug diversion in correctional practice. J Correct Health Care. 2014;20(2):95–104.

    Article  Google Scholar 

  25. Fazel S, et al. Mental health of prisoners: prevalence, adverse outcomes, and interventions. Lancet Psychiatry. 2016;3(9):871–81.

    Article  Google Scholar 

  26. Hayes LM. National study of jail suicide: 20 years later. J Correct Health Care. 2012;18(3):233–45.

    Article  Google Scholar 

  27. Vadini F, et al. Neurocognitive impairment and suicide risk among prison inmates. J Affect Disord. 2018;225:273–7.

    Article  Google Scholar 

  28. Hayes LM. Guiding principles to suicide prevention in correctional facilities. National Center on Institutions and Alternatives; 2011. http://www.ncianet.org/wp-content/uploads/2015/05/Guiding-Principles-to-Suicide-Prevention-in-Correctional-Facilities-2011.pdf. Accessed 5 Feb 2019.

  29. Boren EA, et al. The suicidal inmate: a comparison of inmates who attempt versus complete suicide. Suicide Life Threat Behav. 2018;48(5):570–9.

    Article  Google Scholar 

  30. Allen P. Violence in the emergency department: tools & strategies to create a violence-free ED. New York: Springer Publishing Company; 2009, 384 p.

    Google Scholar 

  31. Beauchamp T, Childress JF. Principles of biomedical ethics. 6th ed. New York: Oxford University Press; 2009.

    Google Scholar 

  32. American College of Emergency Physicians. Law enforcement information gathering in the emergency department. Ann Emerg Med. 2010;56:80.

    Article  Google Scholar 

  33. Lamb HR, Weinberger LE, DeCuir WJ Jr. The police and mental health. Psychiatr Serv. 2002;53(10):1266–71.

    Article  Google Scholar 

  34. Strauss G, et al. Psychiatric disposition of patients brought in by crisis intervention team police officials. Community Ment Health J. 2005;41(2):223–8.

    Article  Google Scholar 

  35. Dupont R, Cochren S. Police response to mental health emergencies—barriers to change. J Am Acad Psychiatry Law. 2000;28(3):338–44.

    CAS  Google Scholar 

  36. Zeller SL, Rieger SM. Models of psychiatric emergency care. Curr Emerg Hosp Med Rep. 2015;3:169–75.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychiatry and Behavioral Medicine, Louisiana State University Health Shreveport, Shreveport, LA, USA

    Marc Andrew Colon & Anand Natwarlal Bosmia

Authors
  1. Marc Andrew Colon
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  2. Anand Natwarlal Bosmia
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Corresponding author

Correspondence to Marc Andrew Colon .

Editor information

Editors and Affiliations

  1. Department of Psychiatry, Louisiana State University, Health Shreveport, Shreveport, LA, USA

    Mary Jo Fitz-Gerald

  2. Department of Psychiatry, University of Hawai’i, Honolulu, HI, USA

    Junji Takeshita

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Colon, M.A., Bosmia, A.N. (2020). Special Populations in Psychiatric Emergency Care: Forensic Patients. In: Fitz-Gerald, M.J., Takeshita, J. (eds) Models of Emergency Psychiatric Services That Work. Integrating Psychiatry and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-030-50808-1_19

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  • DOI: https://doi.org/10.1007/978-3-030-50808-1_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50807-4

  • Online ISBN: 978-3-030-50808-1

  • eBook Packages: MedicineMedicine (R0)

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