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Research ArticleRegular Article

Jail Hospitalization of Prearraignment Patient Arrestees with Mental Illness

Susan M. Gray, Christopher W. Racine, Christopher W. Smith and Elizabeth B. Ford
Journal of the American Academy of Psychiatry and the Law Online March 2014, 42 (1) 75-80;
Susan M. Gray
Dr. Gray is Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Attending Psychiatrist, Division of Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Dr. Racine is Chief Resident in General Psychiatry, Department of Psychiatry, NYU School of Medicine, New York, NY. Dr. Smith is Director of Adult Services, NYC Field Office, NYS Office of Mental Health, New York, NY. Dr. Ford is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, and Director, Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Presented under the title, “When rights collide: the right to a speedy arraignment vs. right to psychiatric care,” as an oral presentation at the Annual Meeting of the American Academy of Forensic Sciences, Chicago, IL, February 25, 2011, and again as a poster at the 42nd Annual Meeting of the American Academy of Psychiatry and the Law, Boston, MA, October 29, 2011. The views expressed in this article do not necessarily reflect the official views of the New York University Department of Psychiatry, Bellevue Hospital Center, or the New York City Health and Hospitals Corporation.
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Christopher W. Racine
Dr. Gray is Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Attending Psychiatrist, Division of Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Dr. Racine is Chief Resident in General Psychiatry, Department of Psychiatry, NYU School of Medicine, New York, NY. Dr. Smith is Director of Adult Services, NYC Field Office, NYS Office of Mental Health, New York, NY. Dr. Ford is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, and Director, Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Presented under the title, “When rights collide: the right to a speedy arraignment vs. right to psychiatric care,” as an oral presentation at the Annual Meeting of the American Academy of Forensic Sciences, Chicago, IL, February 25, 2011, and again as a poster at the 42nd Annual Meeting of the American Academy of Psychiatry and the Law, Boston, MA, October 29, 2011. The views expressed in this article do not necessarily reflect the official views of the New York University Department of Psychiatry, Bellevue Hospital Center, or the New York City Health and Hospitals Corporation.
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Christopher W. Smith
Dr. Gray is Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Attending Psychiatrist, Division of Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Dr. Racine is Chief Resident in General Psychiatry, Department of Psychiatry, NYU School of Medicine, New York, NY. Dr. Smith is Director of Adult Services, NYC Field Office, NYS Office of Mental Health, New York, NY. Dr. Ford is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, and Director, Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Presented under the title, “When rights collide: the right to a speedy arraignment vs. right to psychiatric care,” as an oral presentation at the Annual Meeting of the American Academy of Forensic Sciences, Chicago, IL, February 25, 2011, and again as a poster at the 42nd Annual Meeting of the American Academy of Psychiatry and the Law, Boston, MA, October 29, 2011. The views expressed in this article do not necessarily reflect the official views of the New York University Department of Psychiatry, Bellevue Hospital Center, or the New York City Health and Hospitals Corporation.
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Elizabeth B. Ford
Dr. Gray is Clinical Instructor, Department of Psychiatry, NYU School of Medicine, and Attending Psychiatrist, Division of Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Dr. Racine is Chief Resident in General Psychiatry, Department of Psychiatry, NYU School of Medicine, New York, NY. Dr. Smith is Director of Adult Services, NYC Field Office, NYS Office of Mental Health, New York, NY. Dr. Ford is Clinical Associate Professor, Department of Psychiatry, NYU School of Medicine, and Director, Forensic Psychiatry, Bellevue Hospital Center, New York, NY. Presented under the title, “When rights collide: the right to a speedy arraignment vs. right to psychiatric care,” as an oral presentation at the Annual Meeting of the American Academy of Forensic Sciences, Chicago, IL, February 25, 2011, and again as a poster at the 42nd Annual Meeting of the American Academy of Psychiatry and the Law, Boston, MA, October 29, 2011. The views expressed in this article do not necessarily reflect the official views of the New York University Department of Psychiatry, Bellevue Hospital Center, or the New York City Health and Hospitals Corporation.
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    Figure 1. CPEP (Comprehensive Psychiatric Emergency Program); ER (Emergency Room); BJPS (Bellevue Jail Psychiatry Service); NYPD (New York City Police Department); DOC (New York Department of Correction).

    Pathway of arrest to arraignment for the general population versus hospitalized arrestees in New York City.

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    Figure 2.

    Kaplan-Meier survival curve: days to arraignment for Manhattan versus other boroughs.

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    Table 1.

    Demographic Characteristics of Patient-Arrestees

    n%Time to Arraignment (days)Statisticp
    AgeF = 1.327.262
        18–3064357.59
        31–4042239.55
        41–505228.47.77
        51–601910.46.58
        61+63.39.00
    Race/ethnicityF = 0.331.857
        Black8445.97.76
        Hispanic4323.57.92
        White4122.48.20
        Asian1169.27
        Other42.210.0
    Discharge diagnosist = 1.842<.0004 (psychotic vs. not)
        Psychosis1098.6
            Schizophrenia4725.7
            Schizoaffective2413.1
            Psychosis NOS2614.2
        Bipolar I with psychosis1910.4
        No psychosis747.19
            Affective2513.7
            Substance2312.6
            Adjustment disorder2413.1
            Malingering21.1
        Top criminal charget = 2.170<.022
            Misdemeanor10758.57.28
            Felony75419.18
    Borough of arrestt = −4.610<.000 Manhattan vs. all others
        Manhattan97536.4
        Brooklyn4122.410.66
        Queens2010.911.05
        Bronx168.78.30
        Staten Island73.87.0
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Journal of the American Academy of Psychiatry and the Law Online: 42 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 42, Issue 1
1 Mar 2014
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Jail Hospitalization of Prearraignment Patient Arrestees with Mental Illness
Susan M. Gray, Christopher W. Racine, Christopher W. Smith, Elizabeth B. Ford
Journal of the American Academy of Psychiatry and the Law Online Mar 2014, 42 (1) 75-80;

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Jail Hospitalization of Prearraignment Patient Arrestees with Mental Illness
Susan M. Gray, Christopher W. Racine, Christopher W. Smith, Elizabeth B. Ford
Journal of the American Academy of Psychiatry and the Law Online Mar 2014, 42 (1) 75-80;
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