Changing the Landscape of an Urban Public Mental Health System: The 2008 New York State/New York City Mental Health-Criminal Justice Review Panel
Changing the Landscape of an Urban Public Mental Health System: The 2008 New York State/New York City Mental Health-Criminal Justice Review Panel
复制标题
改变城市公共心理健康系统的面貌:2008 年纽约州/纽约市心理健康-刑事司法审查小组
DOI:
10.1007/s11524-009-9407-y
复制
发表时间:
2009
期刊:
影响因子:
--
通讯作者:
L. Sederer
中科院分区:
文献类型:
--
作者:
Thomas E. Smith;L. Sederer
In 2007 to 2008, there were several incidents of violence in New York City (NYC) involving individuals with serious mental illness. Some were dramatic and shocking; all were life-threatening or fatal, and subsequent media coverage and public outcry escalated with calls for a return to greater coercion and institutionalization of people with mental illness. Then New York State (NYS) Governor Eliot Spitzer informed the press there would be an investigation of these events.
Governor Spitzer and NYC Mayor Michael Bloomberg called for relevant state and city agency heads and experts to review the incidents of violence and provide recommendations about what might limit future similar incidents. In all, a dozen agencies were convened with a 90-day time frame to produce their report. A list of the members of the panel is included in its report1 (available at: http://www.omh.state.ny.us/omhweb/justice_panel_report/). The panel was chaired by Michael F. Hogan, PhD (Commissioner, NYS Office of Mental Health), Linda I. Gibbs (NYC Deputy Mayor for Health and Human Services), Denise E. O’Donnell (NYS Commissioner for Criminal Justice), and John Feinblatt (NYC Criminal Justice Coordinator).
Circumstances like these place enormous demand on public health and safety officials. Diverse stakeholders insist upon immediate action and often have conflicting agendas. Elected officials may support needed action but may lack the resources to realize their aims. Public health and mental health leadership need to represent scientific evidence in the face of emotionally charged claims. Criminal justice leadership needs to ensure the public safety. Critical decisions with far-reaching implications can be made on short notice, with limited time for consultation and deliberation before issuing a public document with meaningful and actionable recommendations.
These situations represent unique, if tragic, opportunities for significant social service system improvement and reform.2 The following “case history” describes how NYS and NYC public mental health leaders organized information, experts, and resources to create panel recommendations specific to mental health that established new policies, avoided ineffective escalations in coercive interventions, clarified longstanding regulations, and created a new service to enhance accountability and coordination of services for NYC’s most vulnerable mentally ill individuals.
DOI:
10.1176/ajp.2007.164.3.402
发表时间:
2007
期刊:
The American journal of psychiatry
影响因子:
--
作者:
Green,AlanI;Drake,RobertE;Brunette,MaryF;Noordsy,DouglasL
通讯作者:
Noordsy,DouglasL
DOI:
10.1176/ps.41.7.761
发表时间:
1990
期刊:
Hospital & community psychiatry
影响因子:
--
作者:
Swanson,JW;Holzer3rd,CE;Ganju,VK;Jono,RT
通讯作者:
Jono,RT
影响因子:
12.7
作者:
Wang, PS;Demler, O;Kessler, RC
通讯作者:
Kessler, RC