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Prosecuting assaultive psychiatric patients.

M A Norko¹, H V Zonana, R T Phillips

¹Whiting Forensic Institute, Middletown, CT 06457.

Journal of Forensic Sciences

|May 1, 1992

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Prosecuting violent patients in psychiatric units is a complex institutional response. This paper reviews the literature, presents a case study, and outlines guidelines for legal action against patients.

Area of Science:

Forensic Psychiatry
Mental Health Law
Healthcare Management

Background:

Inpatient psychiatric units increasingly manage violent patients.
This necessitates evaluating institutional responses to patient violence.
Prosecution is one such response requiring careful consideration.

Observation:

A case history of a challenging yet successful prosecution of an assaultive patient is detailed.
This case illustrated the need for clear guidelines in legal decision-making.
Literature on prosecuting psychiatric patients was reviewed.

Findings:

Guidelines for determining the appropriateness of legal action against patients were developed.
The review and case study provide insights into the process of patient prosecution.

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Key factors influencing the decision to prosecute were identified.

Implications:

The paper assesses the benefits and risks associated with prosecuting psychiatric patients.
It offers a framework for healthcare institutions considering legal action.
Understanding these implications is crucial for patient care and institutional policy.