The Bronx Psychiatric Center [BPC], a facility of the New York State Office of Mental Health, is a 550-bed psychiatric hospital with associated on-site outpatient clinic, day treatment, vocational rehabilitation, residential, and substance abuse/methadone maintenance programs.

Training
Facilities

In addition to its comprehensive range of inpatient and ambulatory clinical services, BPC offers the latest in psycho pharmacologic research, cutting-edge community interventions, and training programs for psychiatric residents, medical students, and other mental health disciplines (e.g. clinical psychology).

The facility also serves as an integral part of the continuum of care and monitoring for forensic patients who have been transferred from secure facilities, including prisons and jails (e.g. Rikers Island Correctional Facility) and forensic psychiatric units within the system (e.g. Mid-Hudson Psychiatric Center).

BPC, the primary forensic fellowship training site, is located approximately 1 mile from the Albert Einstein College of Medicine academic center.

Westchester Jewish Community Services

Westchester Jewish Community Services (WJCS) is a non-sectarian, not-for-profit agency, serving children, adolescents and adults of all ages.

The Court Assessment Program is a division of WJCS that provides evaluative services for Family, Domestic Violence and Supreme Courts in Westchester and surrounding areas.

The program provides mental health evaluations for parties (adults and children) involved in ongoing custody-visitation proceedings or children and adolescents involved in delinquency proceedings.

Acting in the best interest of the child(ren), evaluations objectively inform the court with regard to the parental capacity of adult parties involved in said proceedings, and the emotional, educational and social adjustment of children who are either subject children in custody proceedings or respondents in delinquency cases. Information provided is intended to assist judges in making dispositions in these cases and expert testimony is provided if deemed necessary by the court.

Bronx Mental Health Court

The Bronx Mental Health Court is an alternative to incarceration program for evaluation, placement and monitoring of defendants who are referred for possible diversion from jail and prison into residential and outpatient mental health settings. The Bronx TASC office is located in the vicinity of the Bronx Criminal Court and Bronx Supreme Court buildings.

The patients evaluated for diversion comprise an ethnically, racially, socioeconomically, culturally and diagnostically diverse population of defendants. They have usually been charged with a felony and are facing prison time if not diverted into treatment under court supervision. Each defendant referred is evaluated comprehensively for history of mental illness, current clinical condition and risk assessment. The majority of cases in which pleas are taken and diversion approved are transferred to a specially-created mental health court for monitoring.

Bronx Forensic Court Service

The Bronx Forensic Court Service is located in the Bronx Criminal Court Building, which is about 4 miles from the primary site of fellowship training.

The Court Clinic provides forensic psychiatric consultations to the Bronx Criminal Court. The patients evaluated comprise a mixed population of criminal defendants ethnically, racially socioeconomically culturally, and diagnostically. They face criminal charges ranging from minor misdemeanors to major felonies, and are at various phases in the legal process, from pre-arraignment to post-acquittal or post-sentencing.

Sing Sing Correctional Facility/Prison-based Mental Health Service

Sing Sing Correctional Facility, located 20 miles from the primary site of training, is a Maximum Security Prison with an Outpatient Satellite Unit consisting of a 21 bed crisis Unit (with six mental observation cells) an Intermediate Care Unit (a Day Hospital model) with 62 beds and a general population census of about 300 active patients, most on psychotropic medication. Their diagnoses include Axis I and Axis II disorders, ranging from active psychosis to persistent character pathology.

North Central Bronx Hospital Assisted Outpatient Treatment [AOT] Program

The North Central Bronx Hospital [NCBH] Assisted Outpatient Treatment[AOT] Program is located at North Central Bronx Hospital, which is about 5 miles from the primary site of fellowship training.

The AOT program a grant-funded program created by Kendra’s Law which provides for court-ordered assisted outpatient treatment for certain people with mental illness who may need supervision to survive safely in the community. The AOT program staff includes psychiatrists, psychologists, social workers, peer specialists, and an attorney trained and well versed in civil forensic issues. They answer inquiries, accept referrals, conduct investigations, help create treatment plans, and initiate or assist in petitioning the Court for mandated mental health services for eligible individuals throughout the Bronx.

The program has an active quality assurance/performance improvement program and participates in ongoing research concerning the process and outcomes resulting from Court-mandated outpatient psychiatric treatment. The AOT staff has ongoing communications with agencies and providers throughout the Bronx to facilitate the full and appropriate implementation of Kendra’s Law.

NYC DOHMH/Correctional Health Services Mental Health Services

The mission of the N.Y.C. DOHMH/Correctional Health Services (CHS), Mental Health Services is to provide quality mental health care to the inmate population of the New York City Department of Correction. Mental health services are provided for the detection, diagnosis and treatment of mental illness. Currently, mental health services are provided at 11 sites, 9 of these programs are provided on Rikers Island.

Rikers Island houses both sentenced and detainee adult /adolescent males and females. Rose M. Singer Center (RMSC) is an 800-bed facility for female detainees and female sentenced inmates, subsequent additional modular housing has brought the total capacity to 1,428. Of the 1,428 beds, 75 have been set aside as mental observation beds, while other individuals receiving mental health care are housed in general population.

Mental health services provide 60% of the RMSC population with some form of mental health treatment. In addition to mental health staff (e.g. Psychiatrists, Nurse Practitioners, Social Workers, Activity Therapist & Mental Health Professionals), the facility is run by a full complement of medical staff including but not limited to Doctors, Nurses, HIV Counselors and Dentists. At any given time mental health services are being provided to one quarter (25%) of all inmates on Rikers Island.