Characteristics of persons served by private psychiatric hospitals, United States: 1986.

Koslowe, Patricia; Rosenstein, Marilyn J.; Milazzo-Sayre, Laura J.; Manderscheid, R W

doi:10.1037/e477372004-001

Cited by 4 publications

(3 citation statements)

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“…For example, according to recent data, 56 percent of blacks and Hispanics in inpatient psychiatric treatment are in state and county facilities, compared to 47 percent of whites (Milazzo et al, 2001). Of those treated in private psychiatric hospitals, over 85 percent are white, are admitted voluntarily (86 percent), and have private insurance (68 percent) (Koslowe et al, 1991). Moreover, 64 percent of inpatients in public hospitals have a principal diagnosis of schizophrenia, compared to only 19 percent of patients in private hospitals (Koslowe et al, 1991).…”

Section: Analysis Strategymentioning

confidence: 99%

“…Of those treated in private psychiatric hospitals, over 85 percent are white, are admitted voluntarily (86 percent), and have private insurance (68 percent) (Koslowe et al, 1991). Moreover, 64 percent of inpatients in public hospitals have a principal diagnosis of schizophrenia, compared to only 19 percent of patients in private hospitals (Koslowe et al, 1991). The correlations are also examined separately for violent and property offenses in order to see whether the relationships between hospital capacity and crime and arrest rates differ depending on type of crimes considered.…”

Section: Analysis Strategymentioning

confidence: 99%

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Psychiatric Hospital Capacity, Homelessness, and Crime and Arrest Rates*

Markowitz

2006

Criminology

133

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As a result of developments in pharmacology, stricter standards for involuntary commitment, and changes in public expenditures, there has been a dramatic decline in the capacity of public psychiatric hospitals to maintain America's most severely mentally ill. Psychiatric deinstitutionalization has led to an increased presence of persons with mental illness in urban areas, many “falling through the cracks” of community‐based services. This is hypothesized to have contributed to homelessness, crime, and arrests. Individual‐level research has documented disproportionate and increasing numbers of mentally ill persons in jails and prisons. It has also found higher rates of violence and arrest among persons with mental illness compared to the general population. This study takes a macro‐level social control approach and examines the relationships between psychiatric hospital capacity, homelessness, and crime and arrest rates using a sample of eighty‐one U.S. cities. I find that public psychiatric hospital capacity has a statistically significant negative effect on crime and arrest rates, and that hospital capacity affects crime and arrest rates in part, through its impact on homelessness. In addition, I find no crime‐reducing effect of private and general psychiatric hospital capacity.

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Section: Analysis Strategymentioning

confidence: 99%

Section: Analysis Strategymentioning

confidence: 99%

Psychiatric Hospital Capacity, Homelessness, and Crime and Arrest Rates*

Markowitz

2006

Criminology

133

View full text Add to dashboard Cite

show abstract

“…20,21 This overreliance on lengthy (and profitable) inpatient treatment resulted in sharply rising costs. Alternative approaches and incentives were needed to counterbalance a rapid escalation in the costs of mental health services.…”

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confidence: 99%