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 an episodic 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 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.
Psychiatric hospitals, also known as mental health hospitals or behavioral health hospitals, are hospitals or wards specializing in the treatment of severe mental disorders, such as schizophrenia, bipolar disorder, eating disorders, dissociative identity disorder, major depressive disorder and many others. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialize only in short-term or outpatient therapy for low-risk patients. Others may specialize in the temporary or permanent containment of patients who need routine assistance, treatment, or a specialized and controlled environment due to a psychiatric disorder. Patients often choose voluntary commitment, but those whom psychiatrists believe to pose significant danger to themselves or others may be subject to involuntary commitment and involuntary treatment. Psychiatric hospitals may also be called psychiatric wards/units when they are a subunit of a regular hospital.
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.
The Kings Park Psychiatric Center, known by Kings Park locals as "The Psych Center", is a former state-run psychiatric hospital located in Kings Park, New York. It operated from 1885 until 1996, when the State of New York closed the facility, releasing its few remaining patients or transferring them to the still-operational Pilgrim Psychiatric Center.
Randalls Island and Wards Island are conjoined islands, collectively called Randalls and Wards Islands, in New York County, New York City, separated from Manhattan Island by the Harlem River, from Queens by the East River and Hell Gate, and from the Bronx by the Bronx Kill. The two islands were formerly separated, with Randalls Island to the north of Wards Island. The channel between them, Little Hell Gate, was infilled by the early 1960s. A third, smaller island, Sunken Meadow Island, was located east of Randalls Island and was connected to it in 1955.
The Manhattan Psychiatric Center is a New York-state run psychiatric hospital on Wards Island in New York City. As of 2009, it was licensed for 509 beds, but holds only around 200 patients. The current building is 17 stories tall. The building strongly resembles the main building of the Creedmoor Psychiatric Center in Queens. It is adjacent to Kirby Forensic Psychiatric Center, a specialized facility for patients with criminal convictions.
Pilgrim Psychiatric Center, formerly known as Pilgrim State Hospital, is a state-run psychiatric hospital located in Brentwood, New York. Nine months after its official opening in 1931,the hospital's patient population was 2,018, as compared with more than 5,000 at the Georgia State Sanitarium in Milledgeville, Ga. At its peak in 1954, Pilgrim State Hospital could claim to be the largest mental hospital in the U.S., with 13,875 patients. Its size has never been exceeded by any other facility, though it is now far smaller than it once was.
The Utica Psychiatric Center, also known as Utica State Hospital, opened in Utica on January 16, 1843. It was New York's first state-run facility designed to care for the mentally ill, and one of the first such institutions in the United States. It was originally called the New York State Lunatic Asylum at Utica. The Greek Revival structure was designed by Captain William Clarke and its construction was funded by the state and by contributions from Utica residents.
Oregon State Hospital is a public psychiatric hospital in the U.S. state of Oregon, located in the state's capital city of Salem with a smaller satellite campus in Junction City opened in 2014. Founded in 1862 and constructed in the Kirkbride Plan design in 1883, it is the oldest operating psychiatric hospital in the state of Oregon, and one of the oldest continuously operated hospitals on the West Coast.
Atascadero State Hospital, formally known as California Department of State Hospitals- Atascadero (DSHA), is located on the Central Coast of California, in San Luis Obispo County, halfway between Los Angeles and San Francisco. DSHA is an all-male, maximum-security facility, forensic institution that houses mentally ill convicts who have been committed to psychiatric facilities by California's courts. Located on a 700+ acre grounds in the city of Atascadero, California, it is the largest employer in that town. DSHA is not a general purpose public hospital, and the only patients admitted are those that are referred to the hospital by the Superior Court, Board of Prison Terms, or the Department of Corrections.
Florida State Hospital (FSH) is a hospital and psychiatric hospital in Chattahoochee, Florida. Established in 1876, it was Florida's only state mental institution until 1947. It currently has a capacity of 1,042 patients. The hospital's current Administration Building is on the National Register of Historic Places.
Norristown State Hospital, originally known as the State Lunatic Hospital at Norristown, is an active state-funded psychiatric hospital located outside the city of Philadelphia in suburban Norristown, Pennsylvania. It was originally designed between 1878 and 1880, by the local firm of Wilson Brothers & Company; of which, the original structure was set in a red brick Victorian High Gothic motif. It remains active for its originally clinical intention, and currently serving Bucks County, Chester County, Delaware County, Montgomery County and Philadelphia County, providing clinical services in General Psychiatry and Forensic Psychiatry. Additionally, there are various agencies that sublet state hospital buildings for a variety of psychiatric, residential and social services. These agencies currently make up the majority of services that are offered on the grounds of the hospital.
Matteawan State Hospital for the Criminally Insane, established in 1892 as the Matteawan State Hospital by an 1892 law, functioned as a hospital for insane criminals. It was located in the town of Fishkill just outside the city of Beacon, New York; today its buildings form part of Fishkill Correctional Facility.
Eastern State Hospital is a psychiatric hospital established in 1891 in Medical Lake, a small community 20 miles (32 km) southwest of Spokane, Washington. The original building was a Kirkbride Plan and the current building has a similar floor plan with male and female wings extending out from the main building.
The Chester Mental Health Center is the only State of Illinois' maximum security forensic mental health facility for those committed via a court order or deemed an escape risk. The facility is operated by the State of Illinois in Chester, Illinois and is a part of the Illinois Department of Human Services, formerly the Illinois Department of Mental Health and Developmental Disabilities. It is adjacent to the Menard Correctional Center. The other secure mental health center in Illinois is Elgin Mental Health Center, which houses women as well as men. Chester Mental Health Center is a men's facility. Recently they have shut down the COVID unit which was put in place to keep patients and staff safe from Covid by segregating new patients from patients already there by quarantining them for 2 weeks. They were able to leave their rooms, play cards, watch tv, and lead as normal a life as they could whilst being quarantined in a maximum security mental institution.
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.
Niuvanniemi hospital is a state mental 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, and also receives difficult-to-treat or dangerous mental patients from other hospitals. Niuvanniemi is active in forensic psychiatry research, as a clinic of University of Eastern Finland.
Middletown State Homeopathic Hospital was a hospital for the treatment of mental disorders located in Middletown, New York. It opened on April 20, 1874, and was the first purely homeopathic hospital for mental disorders in the United States. The hospital, which served "mentally ill patients from Orange, Sullivan and Ulster Counties". employed a number of new techniques for the treatment of mental disorders, most notably the use of baseball as a therapy.
Thomas Embling Hospital is a high-security forensic mental health hospital located in Fairfield, an inner Melbourne suburb in Victoria, Australia. The facility is operated by the Victorian Institute of Forensic Mental Health, known as Forensicare, who are responsible for providing adult forensic mental health services in Victoria.
George Hughes Kirby (1875–1935) was an American physician and psychiatrist, administrator, and educator, who contributed to the advancement of psychiatry in the United States.
