Jails have a much higher percentage of homeless mentally ill than does the general community, and those with psychiatric disorders (eg, schizophrenia) must often fend for themselves. Here are some solutions.
Currently, 1 in 15 youths undergoing psychiatric evaluation in the emergency department is restrained. This article covers diagnostic and therapeutic interventions that can reduce fear and put the young patient on a path to recovery.
Acute intoxication is the most likely culprit for an increased risk of violence or agitation, but personality, psychosis, and cognitive problems can all play a role. A skilled clinician can glean a great deal of information in a short period of time.
Addiction and mental health treatment has fallen increasingly into the justice system for underserved and indigent patients. How do we bring state-of-the art treatment to this population in desperate need?