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This book explores the response of forensic psychiatry and
psychology to changes over the last several decades. It presents
the disciplines themselves as change agents that have shaped
forensic work, public policy, and law. Topics include selected
developments in forensic practice, the management and treatment of
individuals who have had involvement with law enforcement systems,
and the application of administrative principles to the management
of forensic entities.
This revised and updated edition of Care of the Mentally Disordered
Offender in the Community provides a comprehensive, evidence-based
guide to theory and practice. The social and clinical context
within which mental health care is provided to offenders in
community settings has changed significantly in recent years. An
increasing proportion of all mental health care is provided in the
community and our knowledge of the links between violence and
mental illness has advanced. Existing psychological and
pharmacological treatments have been refined and new treatments
have been introduced. Epidemiological and intervention-based
research has evaluated these changes and suggested new avenues for
clinical development. Over three sections, the second edition of
Care of the Mentally Disordered Offender in the Community explores
the key areas of the field. Part 1 describes the social,
administrative and clinical context within which care is now given.
Part 2 discusses treatment and the evaluation of violence risk when
determining the most appropriate treatment. Part 3 explores
psychiatric services and their relationship with other agencies.
The text has been updated to cover recent developments in theory
and practice. New chapters have been added that cover US provision
for people with mental disorders leaving prison, the community
management of sexual offenders, the relationship between care and
coercion and the treatment of personality disorders. Written by a
global team of experts, the book provides critical insights into
the social, clinical, and institutional aspects of an increasingly
important part of psychiatric community care.
The written report is central to the practice of psychiatry in
legal settings. It is required of mental health professionals
acting as expert witnesses in criminal cases, civil litigation
situations, child custody proceedings and risk assessments. This
book provides a theoretical background to psychiatric writing for
the law and a practical guide to the preparation of the report. The
first section addresses practical and ethical concerns, including
the conduct of the forensic psychiatric evaluation, conflicts of
interest, record keeping and confidentiality. The second section
contains practical and detailed advice on preparing various types
of report, including reports for use in criminal and civil
litigation, civil commitment hearings and child custody
proceedings. A final section covers special issues arising during
report preparation including the use of psychological tests and the
detection of malingering. This is an essential guide for anyone
required to write a psychiatric report.
There is a myth that people with mental disorders comply poorly
with treatment. In fact, psychiatric patients are no more likely
than patients in other medical specialities to go against the
advice of their doctor. That said, it is easy to find instances
where psychotropic medication is refused by the supposed
beneficiary. The value of neuroleptic treatment in schizophrenia is
now widely accepted. Failure to take such treatment is associated
with relapse and relapse may endanger the patient and other people.
Despite this, people with schizophrenia frequently fail to take
their treatment. This study shows that one third can be expected to
be non-compliant within two years of leaving a general adult
psychiatry ward. It also looks at the reasons for this: the
influence of drug side-effects is examined, as well as the impact
of each patient's attitude to treatment and whether or not they
have stopped taking prescribed medication in the past.
Buchanan examines three fundamental precepts in criminal law:
justification, excuse and mitigation. He gives a philosophical
analysis, as well as discussing current legal provision for
mentally disordered offenders in England and America. The author
also combines a jurisprudential analysis of justification, excuse
and mitigation with a discussion of current legal provision for
metnally disordered offenders.
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