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Journal of the American Academy of Psychiatry and the Law

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https://www.readbyqxmd.com/read/30026404/the-american-academy-of-psychiatry-and-the-law-practice-resource-for-prescribing-in-corrections
#1
Anthony Tamburello, Jeffrey Metzner, Elizabeth Fergusen, Michael Champion, Elizabeth Ford, Graham Glancy, Kenneth Appelbaum, Joseph Penn, Kathryn Burns, Jason Ourada
The practice of prescribing in jails and prisons is often different from that in the community. Serious mental illness is common among inmates, and so are co-morbidities such as substance use, impulse-control, attention-deficit/hyperactivity, and personality disorders. Operational requirements, staffing, and the physical plant of the institution may complicate the provision of treatment according to community standards. Problems related to medication nonadherence, as well as the pursuit of medications for nonmedical reasons, are often seen in these settings and may be managed differently than they are elsewhere...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026403/the-transgender-bathroom-debate-at-the-intersection-of-politics-law-ethics-and-science
#2
Brian S Barnett, Ariana E Nesbit, Renée M Sorrentino
The debate over whether transgender individuals should be allowed to use the public restrooms (including locker rooms and changing rooms) that correspond to their currently expressed gender rather than their biological sex has been of recent interest nationally. The first state law addressing transgender access to restrooms was in North Carolina in 2016. This law prohibited transgender individuals from using the restroom that corresponded to their gender. The terms used in the bill and other legal documents caused it to be referred to as the "bathroom bill...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026402/internet-access-for-patients-on-psychiatric-units
#3
Nathaniel P Morris
Millions of Americans rely on Internet access to fulfill everyday needs, yet psychiatric units frequently restrict patients from going online. This article reviews the evolution of legal rights for hospitalized psychiatric patients in the United States over the past 50 years and argues that legal oversight of psychiatric hospitalization has not kept pace with the rise of digital technology. As a result of this discrepancy, Internet access on inpatient psychiatry remains controversial and often varies by institution...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026401/involuntary-treatment-of-psychosis-in-pregnancy
#4
Susan Hatters Friedman, Ryan C W Hall, Renée M Sorrentino
When a patient with acute psychosis refuses antipsychotic medication despite a clear need for treatment, involuntary medication is often considered. When the patient is both pregnant and acutely unwell, an additional layer of analysis enters the picture. This analysis then also includes the health of the mother and fetus, rights of the mother and fetus, and whose rights take precedence when choosing treatment options in event of a conflict. Antipsychotic agents are frequently the medications prescribed as involuntary treatment...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026400/the-journey-to-find-my-grandfather
#5
J Richard Ciccone
No abstract text is available yet for this article.
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026399/current-regulation-of-mobile-mental-health-applications
#6
James A Armontrout, John Torous, Marsha Cohen, Dale E McNiel, Renée Binder
In recent years, the availability of software that is targeted toward the general public and designed to assist in the diagnosis and treatment of mental illness or to promote general mental health has expanded greatly. Regulation of more traditional health care providers and health care-associated devices is well established by statute, regulatory guidelines, and common law precedents. Applications (apps), in contrast, pose a novel regulatory challenge. This review examines the current regulatory guidelines for psychiatric mobile mental health apps, as well as the current state of case law in the psychiatric mobile mental health realm...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026398/response-to-disclosure-as-an-indicator-of-competence-to-stand-trial
#7
Douglas Mossman, Rebecca M Brown, Bridget A Casey-Leavell, Christopher P Marett, Elliot R Lee
Ethics guidelines recommend that forensic mental health professionals begin in-person assessments by explaining the nature and purpose of the examination. To learn whether evaluees have understood and can give consent, forensic practitioners may ask evaluees to paraphrase the explanation. This article explores how a forensic evaluee's disclosure response (DR) reveals substantive information relevant to the purposes of a forensic examination. We examined archival data from 255 reports on competence to stand trial (CST) that a Midwest public sector hospital had previously submitted to courts...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026397/evaluation-of-outcomes-for-a-skilled-nursing-facility-for-persons-who-are-difficult-to-place
#8
Lisa C Barry, Julie Robison, Dorothy Wakefield, Jennifer Glick
Individuals with serious mental illness, prisoners, and ex-offenders needing skilled nursing facility (SNF)-level care are difficult to place in traditional SNFs. SNFs accepting these historically marginalized individuals may offer them a more appropriate level of care. We compared health services use (emergency room (ER) visits, acute hospitalizations), total number of antipsychotic medications prescribed, and quality-of-life indicators (depressive symptoms, cognition, resident behaviors), before and after admission, among 86 individuals admitted to a Connecticut SNF for persons difficult to place...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026396/clinical-social-and-neuropsychological-dimensions-of-the-intersection-of-addiction-and-criminality
#9
Paul G Nestor, Ashley Woodhull, Dominick Newell, Keira O'Donovan, Mayte Forte, Sean Harding, Marc Pomplun
To examine the social cognitive processes underlying the relationship of addiction and criminality, we administered the Addiction Severity Index-CF (ASI-CF) and the Iowa Gambling Task (IGT) to 35 participants (11 women) who had been released recently from jail or prison. ASI-CF revealed highest lifetime drug use for alcohol, followed by cannabis, cocaine, and heroin, with an average of 42 lifetime arrests in this ex-offender sample. The men and the women showed similar psychiatric histories marked by depression and anxiety, but the women had more lifetime problems with thinking than did the men, who had higher lifetime problems with hallucinations...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026395/female-residents-with-psychopathy-in-a-high-security-italian-hospital
#10
Felice Carabellese, Alan R Felthous, Ilaria Rossetto, Donatella La Tegola, Filippo Franconi, Roberto Catanesi
Before its closure on April 1, 2015, the Castiglione delle Stiviere was the only maximum-security hospital in Italy that admitted women. In this context, the investigators examined factors related to psychopathy that were thought to be gender specific. Several prior investigations have reported a significant correlation between psychopathy and borderline personality disorder, a disorder thought to represent the phenotypical expression of psychopathy in women. The purpose of this research was to identify psychopathological and phenotypical gender-specific factors that are associated with psychopathy in women...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026394/sovereign-citizens-and-competency-to-stand-trial
#11
George F Parker
Urban and African-American sovereign citizens represent an underappreciated population of the sovereign citizen movement, who have adapted sovereign citizen beliefs to their own circumstances, overlooking the white supremacist origins of the sovereign citizen movement. The number of African-American sovereign citizens is not known, but though they appear to represent a very small percentage of criminal defendants referred for evaluation of competence to stand trial, they have a disproportionate impact on the court system because of their efforts to stymie the proceedings by asserting sovereign citizen beliefs...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026393/evaluations-of-urban-sovereign-citizens-competency-to-stand-trial
#12
Cheryl M Paradis, Elizabeth Owen, Gene McCullough
There are few studies of sovereign citizens undergoing competency-to-stand-trial evaluations and little has been written about African-American or urban sovereign citizens. In this study, we examined competency-to-stand-trial reports of 36 New York City defendants who declared themselves to be sovereign citizens during their evaluations. All were men and 33 were African American. The majority denied recent or remote histories of psychiatric hospitalizations or substance use. Sixty-nine percent were deemed competent...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026392/role-of-forensic-psychiatry-in-legislative-advocacy
#13
Chinmoy Gulrajani, George M Realmuto
Dr. Piel presents a model curriculum for elective legislative advocacy training of general psychiatry residents at the University of Washington. In this commentary, we discuss the role of the physician as a leader in legislative advocacy and emphasize the need for training in this neglected arena. We highlight the common ground between legislative advocacy and forensic psychiatry and make a case for increased involvement of forensic psychiatrists.
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026391/legislative-advocacy-and-forensic-psychiatry-training
#14
Jennifer Piel
Very few residency and fellowship programs offer mandatory or elective rotations in health advocacy. Where there are formal training opportunities, they are commonly didactic or clinical community rotations, where trainees participate in a clinically oriented project with a local community organization. Fewer programs offer specific training opportunities in legislative advocacy and the legislative process. The University of Washington assembled two task forces to advise the general psychiatry residency program on training needs in the areas of (1) Forensic Psychiatry and (2) Advocacy and Public Policy...
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/30026390/our-part-in-the-evolution-of-correctional-mental-health-care
#15
EDITORIAL
Raymond F Patterson
No abstract text is available yet for this article.
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29884616/aapl-practice-resource-for-prescribing-in-corrections
#16
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29752290/aapl-practice-resource-for-the-forensic-evaluation-of-psychiatric-disability
#17
Stuart A Anfang, Liza H Gold, Donald J Meyer
No abstract text is available yet for this article.
March 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29618542/aapl-practice-resource-for-the-forensic-evaluation-of-psychiatric-disability
#18
Stuart A Anfang, Liza H Gold, Donald J Meyer
Full Document: Anfang SA, Gold LH, Meyer DJ: AAPL practice resource for the forensic evaluation of psychiatric disability. Journal of the American Academy of Psychiatry and the Law Online Supplement 2018, 46 (1). Available at: http://www.jaapl.org/content/46/1_Supplement.
March 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29618541/understanding-tattoos-in-medicolegal-assessments
#19
Carolina A Klein, Christopher Kenedi
Tattoos have held different meanings throughout history, with particular significance in cultural, social, and clinical contexts. Psychiatrists have long been interested in understanding the relevance of the tattooed body in a clinical or forensic evaluation and in settling on interpretive models that hold reliable value. Some studies have indicated that tattoos may be associated with markers of high-risk behaviors, mental illness diagnosis, and personality disorders. We attempt to provide an updated and comprehensive guide for forensic evaluators, so they can incorporate the observation of tattoos into their assessments with a review of the scientific literature that supports the interpretations and places them in context...
March 2018: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29618540/mental-condition-requirement-in-competency-to-stand-trial-assessments
#20
Andrew D Reisner, Jennifer L Piel
In Ohio, a criminal defendant is incompetent to stand trial only if "a present mental condition" renders him unable to understand the nature and objectives of the proceedings against him or to assist in his defense. Some forensic mental health evaluators have treated the mental-condition requirement as synonymous with, or similar to, the psychiatric condition required in the state's insanity criteria, which requires a "severe mental disease or defect." Yet the term mental condition does not appear in other areas of the state's criminal code or in the state's definition of a mental illness for purposes of civil commitment...
March 2018: Journal of the American Academy of Psychiatry and the Law
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