Administration and Management of an Urban Forensic Psychiatry Clinic
In the criminal justice system, the small provider of technical services is often at a political disadvantage in relating to court and correctional agencies, which have their own needs and agendas. Their survival may depend on the maintenance of a sufficient base of power and influence. The small forensic facility must relate to the larger actors in the system in much the same way that a private company relates to its consumers: advertising its services, creating its own market niche, keeping track of market sensitivity through research, and striving to deliver a consistently competent service. Using the example of the Forensic Psychiatry Clinic for the Criminal and Supreme Courts of New York, this chapter will illustrate several administrative and managerial methods for accomplishing these strategies. These methods include assessing the needs of the client base, establishing well-defined limits, developing effective interdepartmental liaisons, and maintaining high standards of technical competence and professional skills.
KeywordsCriminal Justice System Probation Officer Acad Psychiatry Forensic Psychiatry Supreme Court
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- 1.In fiscal year 1985, the City of New York committed approximately $2.3 million to the creation of a new program for prison mental health services. In fiscal 1988, the total budget for prison mental health services was over $10.5 million dollars. Most of this funding has gone to provide enhanced staffing for the direct programs (administered by the Department of Health) and the contract services operated by Montefiore Hospital.Google Scholar
- 2.Rivers v Katz, 67 N.Y.2d 485 (N.Y. Ct. App. June 10, 1986).Google Scholar
- 3.“NIMBY”: Public opposition to the development of new residential facilities, whether for the prison inmate or the mentally disabled, often takes this form. Outraged citizens express sympathy and recognition of the need for such facilities, but are not willing to consider that they be located in their neighborhood. It thus becomes very difficult to establish facilities in any neighborhood at all.Google Scholar
- 4.On February 1, 1971, then Commissioner J. Herbert Fill, M.D., of the New York City Department of Mental Health and Mental Retardation Services, formally designated, pursuant to Section 659 of the Code of Criminal Procedure, “any two of the Qualified Psychiatrists of the Supreme Court and Criminal Court Psychiatric Clinic to make evaluations at the Clinic into an individual’s competency as ordered by the Supreme and Criminal Courts, New York County.”.Google Scholar
- 6.Owens H, Rosner R, Harmon R: The judge’s view of competency evaluations: Part 2. Bull Am Acad Psychiatry Law 1987; 15. Google Scholar
- 7.Simon I: Clinical Psychiatry and the Law. Washington, DC, American Psychiatric Press, 1987.Google Scholar
- 8.See, in this volume, Ingo Keilitz: Mental health services to the courts: A system isolated from judicial administration, chapter 3.Google Scholar
- 9.Harmon R : Mental health and corrections: Towards a working partnership./Forensic Sci 1987; 32:233–241. Google Scholar
- 10.Rosner R: Accreditation of fellowship programs in forensic psychiatry: A preliminary report. Bull Am Acad Psychiatry Law 1980; 8:4.Google Scholar
- 11.Rosner R: Standards for fellowship programs in forensic psychiatry. Bull Am Acad Psychiatry Law 1982; 10:4.Google Scholar
- 12.Rosner R :Committee on accreditation of fellowships in forensic psychiatry. J Forensic Sci 1983; pp 8–14. Google Scholar