| Alaska Psychiatric Institute | |
|---|---|
 | |
| Geography | |
| Location | Anchorage, Alaska, United States |
| Coordinates | 61°11′08″N149°49′44″W / 61.185511°N 149.828968°W |
| Organization | |
| Type | Specialist |
| Services | |
| Beds | 72 |
| Speciality | Psychiatric hospital |
| History | |
| Opened | 1962 |
| Links | |
| Lists | Hospitals in Alaska |
The Alaska Psychiatric Institute is a psychiatric hospital in Anchorage, Alaska that provides inpatient and outpatient mental health services for the state. [1]
The institute has a normal capacity of 72 beds with a stretch capacity of 80. There have been concerns that this is not enough to meet demand. [2]
The beds are organized into three units: medium to long term, adolescent, and secure forensic. [3]
The Joint Commission recognized the institute in 2012 for being in the top third of its national performance rankings for psychiatric hospitals. [4]
The Institute opened in 1962. [5] It was commissioned in 1956 as part of the Alaska Mental Health Enabling Act which allotted 6.5 million dollars for its construction. [6]
In 1992 the institute employed 282 staff. [7]
In 1982, while on limited release from the institute, Charles L. Meach, who had previously beaten a man to death and been found not guilty by reason of insanity in 1973, committed four murders. [8]
In 1985 the director of the institute was taken hostage at gunpoint by a patient. The situation was resolved the following day without injuries. [9]
In 2003 Faith Myers was involuntarily committed to the institute by her family for refusing medication. The institute petitioned the Anchorage Superior Court and was authorized to compel her to take antipsychotics. Meyers challenged the ruling based on Alaska's constitutional guarantees of liberty and privacy. In 2006 the Alaska Supreme Court ruled in her favor and placed greater restrictions on non-emergency involuntary psychotropic medication in the state. [10]
The insanity defense, also known as the mental disorder defense, is an affirmative defense by excuse in a criminal case, arguing that the defendant is not responsible for their actions due to a psychiatric disease at the time of the criminal act. This is contrasted with an excuse of provocation, in which the defendant is responsible, but the responsibility is lessened due to a temporary mental state. It is also contrasted with the justification of self defense or with the mitigation of imperfect self-defense. The insanity defense is also contrasted with a finding that a defendant cannot stand trial in a criminal case because a mental disease prevents them from effectively assisting counsel, from a civil finding in trusts and estates where a will is nullified because it was made when a mental disorder prevented a testator from recognizing the natural objects of their bounty, and from involuntary civil commitment to a mental institution, when anyone is found to be gravely disabled or to be a danger to themself or to others.
Involuntary commitment, civil commitment, or involuntary hospitalization/hospitalisation is a legal process through which an individual who is deemed by a qualified person to have symptoms of severe mental disorder is detained in a psychiatric hospital (inpatient) where they can be treated involuntarily. This treatment may involve the administration of psychoactive drugs, including involuntary administration. In many jurisdictions, people diagnosed with mental health disorders can also be forced to undergo treatment while in the community; this is sometimes referred to as outpatient commitment and shares legal processes with commitment.
Outpatient commitment—also called assisted outpatient treatment (AOT) or community treatment orders (CTO)—refers to a civil court procedure wherein a legal process orders an individual diagnosed with a severe mental disorder to adhere to an outpatient treatment plan designed to prevent further deterioration or recurrence that is harmful to themselves or others.
A psychiatric hospital, also known as a mental health hospital, a behavioral health hospital, or an asylum is a specialized medical facility that focuses on the treatment of severe mental disorders. These institutions cater to patients with conditions such as schizophrenia, bipolar disorder, major depressive disorder, and eating disorders, among others.
Edwin Fuller Torrey, is an American psychiatrist and schizophrenia researcher. He is associate director of research at the Stanley Medical Research Institute (SMRI) and founder of the Treatment Advocacy Center (TAC), a nonprofit organization whose principal activity is promoting the passage and implementation of outpatient commitment laws and civil commitment laws and standards in individual states that allow people diagnosed with severe mental illness to be involuntarily hospitalized and treated throughout the United States.
Forensic psychiatry is a subspeciality of psychiatry and is related to criminology. It encompasses the interface between law and psychiatry. According to the American Academy of Psychiatry and the Law, it is defined as "a subspecialty of psychiatry in which scientific and clinical expertise is applied in legal contexts involving civil, criminal, correctional, regulatory, or legislative matters, and in specialized clinical consultations in areas such as risk assessment or employment." A forensic psychiatrist provides services – such as determination of competency to stand trial – to a court of law to facilitate the adjudicative process and provide treatment, such as medications and psychotherapy, to criminals.
Involuntary treatment or mandatory treatment refers to medical treatment undertaken without the consent of the person being treated. Involuntary treatment is permitted by law in some countries when overseen by the judiciary through court orders; other countries defer directly to the medical opinions of doctors.
Kendra's Law, effective since November 1999, is a New York State law concerning involuntary outpatient commitment also known as assisted outpatient treatment. It grants judges the authority to issue orders that require people who meet certain criteria to regularly undergo psychiatric treatment. Failure to comply could result in commitment for up to 72 hours. Kendra's Law does not mandate that patients be forced to take medication.
Creedmoor Psychiatric Center is a psychiatric hospital at 79-26 Winchester Boulevard in Queens Village, Queens, New York, United States. It provides inpatient, outpatient and residential services for severely mentally ill patients. The hospital occupies more than 300 acres (121 ha) and includes more than 50 buildings.
The Institute of Living is a comprehensive psychiatric facility in Hartford, Connecticut, that offers care across the spectrum of psychiatric services, including crisis evaluation, inpatient psychiatric care, group homes, specialized educational programs, outpatient programs, and addiction recovery services.
James Barry "Jim" Gottstein is a mostly retired Alaska based lawyer who practiced business law and public land law, and is well known as an attorney advocate for people diagnosed with serious mental illness. Gottstein has sought to check the growth in the administration of psychotropics, particularly to children.
Joyce Patricia Brown, also known as Billie Boggs, was a homeless woman who was forcibly hospitalized in New York City in 1987. She was the first person hospitalized under a Mayor Ed Koch administration program which expanded the city's ability to forcibly commit homeless New Yorkers to psychiatric hospitals. Between 1987 and 1988, Brown worked with the New York Civil Liberties Union to challenge her hospitalization in a case which attracted significant media attention. During the ensuing trial, her lawyers argued that her behaviors were not in line with social expectations but did not rise to the level of posing a danger to herself or others. Brown took the stand, and her clarity while testifying became part of the public conversation. The trial ended in her favor, and while the city won on appeal she was ultimately released after a subsequent case determined that the city could not forcibly medicate her. Following her release, she made several television appearances and spoke about homelessness at Harvard Law School, but came to avoid the press. Her case sparked national conversations about how best to care for the people with mental illnesses.
Rennie v. Klein, 462 F. Supp. 1131, was a case heard in the United States District Court for the District of New Jersey in 1978 to decide whether an involuntarily committed mental patient has a constitutional right to refuse psychiatric medication. It was the first case to establish that such a patient has the right to refuse medication in the United States.
Rogers v. Okin was a landmark case in which the United States Court of Appeals for the First Circuit considered whether a person diagnosed with mental illness committed to a state psychiatric facility and assumed to be competent, has the right to make treatment decisions in non-emergency conditions.
The Citizens Commission on Human Rights International (CCHR) is an anti-psychiatry lobbying organization established in 1969 by the Church of Scientology and psychiatrist Thomas Szasz. Headquartered in Los Angeles, California, its stated mission is to "eradicate abuses committed under the guise of mental health and enact patient and consumer protections." It is regarded by most non-Scientologists as a Scientology front group whose purpose is to push the organization's anti-psychiatry agenda.
Riverview Psychiatric Center, also known as Riverview Psychiatric Recovery Center, is a psychiatric hospital in Augusta, Maine, operated by the Maine Department of Health and Human Services. The center recruits for volunteers from the United Way for certain services.
The following outline is provided as an overview of and topical guide to psychiatry:
Mental health in Russia is covered by a law, known under its official name—the Law of the Russian Federation "On Psychiatric Care and Guarantees of Citizens' Rights during Its Provision", which is the basic legal act that regulates psychiatric care in the Russian Federation and applies not only to persons with mental disorders but all citizens. A notable exception of this rule is those vested with parliamentary or judicial immunity. Providing psychiatric care is regulated by a special law regarding guarantees of citizens' rights.
Niuvanniemi hospital is a state psychiatric hospital in the Niuva district of Kuopio, Finland. Along with the other state mental hospital, Vanha Vaasa hospital, it provides forensic psychiatric services for the entire country. Niuvanniemi is the main location for secure housing and involuntary commitment of criminal patients, i.e. individuals that a court has found criminally insane, the hospital also receiving difficult-to-treat or dangerous mental health patients from the other Finnish hospitals. Niuvanniemi hospital is active in forensic psychiatry research, functioning as the Department of Forensic Psychiatry of University of Eastern Finland.
Involuntary commitment or civil commitment is a legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is detained in a psychiatric hospital (inpatient) where they can be treated involuntarily.