Since the shutdown of our public psychiatry system, the seriously mentally ill are now mostly managed by public safety officers, school officials, emergency first responders and social workers with little experience in recognizing symptoms, triggers and issues. This book addresses the need to recognize the psychiatric component of criminological issues and the methodology of dealing with it on a practical as well as academic basis. It provides a roadmap for training in rapid assessment built on evidence-based emergency psychiatry protocols.
- Recognizes and identifies the major issues in law enforcement and emergency personnel encounters with the seriously mentally ill
- Provides a set of best-practice remedies for all areas of first responder communities and for emergency rooms and health-care treatment centers in dealing with mentally ill suspects or detainees
- Presentsspecific case studies
- Examines the problem within various cohorts, stretching from school-aged and college students to military veterans to the surging population of the homeless
- Sets forth policies for local, state and federal agencies to remedy the problem on a long-term basis
Through a lens darkly. A brief history of managing the mentally ill. The misleading statistics of violence and crime. The drivers of violence-related crime statistics. The Tarasoff Decision. The importance of informed consent. Police and psychiatric patient encounters. Protecting our greatest natural resource: Our youth in schools. Special problems of our veterans. Corrections psychiatry. Special problems of the homeless. Role of occupational psychiatry for frontline public safety and health officers. Innovations in psychiatric criminology. Special forensic issues. Suicidal pilots in the aviation industry. Prevention in the era of optimized patient flow, criminalization of serious neuropsychiatric disease and anemic occupational and student health services. The terrorist and thesuicide cult.