Psychiatric Quarterly

, Volume 61, Issue 3, pp 197–204

Law, policy, and involuntary emergency room visits


  • Neal L. Cohen
    • Department of PsychiatryThe Mount Sinai Hospital
    • Mount Sinai School of Medicine
  • Luis R. Marcos
    • New York City Health and Hospitals Corporation
    • New York University School of Medicine

DOI: 10.1007/BF01064969

Cite this article as:
Cohen, N.L. & Marcos, L.R. Psych Quart (1990) 61: 197. doi:10.1007/BF01064969


The authors present data showing that the number of mentally ill individuals brought by police officers to psychiatric emergency rooms in New York City increased by 69 percent from 1983 to 1989. They conclude that while the statutory criteria for the involuntary removal of mentally ill persons to hospitals have not changed, case law decisions and public policies that facilitate the involuntary treatment of patients who neglect their essential needs have contributed to this trend. The impact of these visits on hospital based psychiatric emergency rooms is discussed in terms of increased clinical and legal responsibility for the disposition of persons who are considered dangerous including those who are self-neglectful of their own essential needs.

Copyright information

© Human Sciences Press, Inc 1990