Topic B - Forensic Psychiatry > Section B.4.0. Forensic Practice/Prevention > Unit.B.4.2. Forensic Psychiatric Assessment/Treatment

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Focus Points | Forensic Presentations | Forensic Case Study | Forensic Experts

 


Unit.B.4.2. Forensic Psychiatric Assessment/Treatment

Australia
focus points

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Canada
focus points

"The Criminal Code of Canada provides for court ordered psychiatric remands if there is a question that the accused may be mentally ill. The essential goal of the court ordered psychiatric assessments in the Canadian judicial system involves determination of fitness. Diagnosis and treatment are also considered but secondary to fitness" (Arboleda-Florez et al, 1994, p. 161).

"The criteria for fitness to stand trial which has been incorporated into the 1992 Criminal Code includes whether or not the individual can understand: (1) the nature or object of the proceedings; (2) the possible consequences of the proceedings; and, (3) communicate with counsel" (Law Reform Commission of Canada, 1976) (Arboleda-Florez et al, 1994, p. 161).

"The brief assessment unit of the Metropolitan Forensic Toronto Forensic Service (METFOR) is an assessment unit unique in Canada. Two types of forensic assessments are offered at METFOR in Toronto: a brief outpatient assessment at the BAU, and an extended inpatient"(Pepper, 1982, p. 50).

France
focus points

"The intervention of psychiatry in the field of law, according to Foucault (1978) occurred in the beginning of the 19th century, in a series of cases whose pattern was about the same and which took place between 1800-1835 throughout Europe. From these cases that inserted psychiatry into the domain of law achieved what he called the "zero degree of insanity". Prior to these trials insanity could be seen by what it produced, those of passion, fury, anger etc. In these six cases there was an absence of emotion, no rage no agitation, no passion. In the Foucault cases there appeared no apparent reason for the acts: no gain, no motive, no profit, no signs of insanity A second feature of these cases which made them stand out in history argued Foucault was that they were almost all carried out across a generation divide, child adult or adolescent-adult, an that they were each enacted in a domestic or neighborhood setting" (Mason & Mercer, 1998, p. 17).

International
focus points

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United Kingdom
focus points

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United States
focus points

"Forensic psychiatric nursing in the USA is, largely concerned with pre-trial evaluation, an assessment of clinical and legal sanity; to establish diminished capacity, or offer therapy to regain competency for the courtroom. By contrast forensic correctional nursing is seen as providing for the physical health care needs of convicted, incarcerated, criminal populations" (Coram, 1993; cited in Mason & Mercer, 1999, p. 243).

"1978 - Diminished capacity defense - Following the assassinations of San Francisco Mayor George Moscone and Councilman Harvey Milk by Dan White in 1978, White successfully used the 'diminished capacity defense' and was found guilty of manslaughter, not of murder, with which he was originally charged" (Quen, 1994, p. 1008-9).

Focus Points Reference

Arboleda-Florez, J., Holley. H.L., Williams, J. & Crisanti, A. (1994). An evaluation of legal outcome following pretrial Forensic Assessment. Canadian Journal of Psychiatry, 39 (4), 161-167.

Mason, T., & Mercer, D. (1998). Critical perspectives in forensic care: Inside out. London: Macmillan.

Pepper, J. (1982). Psychiatric assessment on a forensic unit. Canadian Nurse, 78 (7), 50-51.


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.B.4.2. Forensic Psychiatric Assessment/Treatment

Australia
Presentation(s)

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Canada
Presentation(s)

Court Letter

  • written by the psychiatrist with input from all of the multidisciplinary team

content

  • charges
  • list of professionals involved
    in the assessment of the patient

summary of findings

  • fitness
  • mental state -personality - problems
  • summary of the patient's behavior, participation,
    and motivation while on the unit.
  • testing results
  • physical examination

formulation

  • influence of environment and background
conclusions and recommendations

Court Letter:
A court letter is written on the findings of each patient sent to the unit for a pre-trial assessment and a pre-sentence assessment. The court letter for pre-sentence are usually in more detail about the offense. The letter to the judge is very short - usually just states the name of the patient, the charge and if the patient has been found fit or not. The letters to the crown prosecutor and the defense lawyers are more detailed and, both lawyers receive the same court letter.
Information Required by the Judge Pre-Trial ranking

1. Fitness to Stand Trial
2. Dangerousness
3. Diagnosis
4. History
5. Treatment Needed
6. Treatment Potential

Dr. Thomas Dalby
Forensic Psychologist Calgary, Alberta.


Pre-Trial / Pre-Sentence Ranking
- After reflecting on the "Information Required by the Judge for Pre-Sentence and Pre-Trail", comment on the Group Discussion List why Treatment Potential and Treatment Needed is number 5 and 6 as a requirement of Information required by the judge for Pre-Trial Assessments yet number 1 and 2 for the Pre-sentence assessments.

Members - Multidisciplinary Forensic Psychiatric Assessment Team

1. Psychiatrist
2. Nurses
3. Psychologist
4. Psychometrists
5. Social Workers
6. Recreational Therapist
7. Occupational Therapist
8. Pastoral care
9. Security 10 Unit Clerk

 

International
Presentation(s)

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United Kingdom
Presentation(s)

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United States
Presentation(s)

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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit

Unit.B.4.2. Forensic Psychiatric Assessment/Treatment

Australia
case study

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Canada
case study

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International
case study

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United Kingdom
case study

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United States
case study

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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.B.4.2. Forensic Psychiatric Assessment/Treatment

forensic panels of experts

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Australia
authors/experts

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Canada
authors/experts

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International
authors/experts

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United Kingdom
authors/experts

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United States
authors/experts

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