Forensic nursing Flashcards
Define Forensic Nursing
a specialized field of nursing that combines traditional nursing expertise with legal knowledge to serve victims of violence and individuals who have committed acts that have brought them into contact with the legal system
What is a Court Order Assessment (COA)?
-an order by a judge to evaluate a persons mental state at the time of offense or competency to stand trial
-completed by an expert in the field
-can be fitness assessment or responsibility assessment
-focuses on Mens Rea
What is Fitness to Stand Trial?
-the person on trial cannot be tried to a criminal offense if, because of Mental Health Disorder, they are unable to provide a defense
They must be able to:
-understand the nature or object of the proceedings
-understand the possible consequences of the proceedings
-communicate with their counsel
Define Not Criminally Responsible
when an individual is found not responsible for the crime they committed because of their mental disorder/state that they were in at the time of the crime
What are the challenges in forensic nursing?
-balancing of roles (nursing and legal)
-look beyond the index offense
-applying clinical skills to legal concerns
What does a community forensic specialist do?
-work with persons in the community declared NCR under the criminal review board
-help support and work with their supports to address their psychosocial needs
-completion of annual reviews
-make recommendations for change in their annual disposition order (list of conditions to live in the community)
-assist with social history interviews for court ordered assessments with people in custody on PX3
What makes up an Annual Review?
updating their risk summary and report areas of concerns, interventions, daily living, mental status assessments
What is the Historical Clinical Risk Management HCR-20V3?
a structured professional judgement risk assessment tool
-assesses future risk of violence and support risk management decisions for persons involved with the Criminal Justice System
What are the 3 domains of the HCR?
Historical factors: past Hx of violence, criminality, nonadherence with care
Clinical factors: individuals current Mental Health status, current symptoms, diagnosis
Risk Management: housing situation, relationships, looking at protective or supportive measures to mitigate risk
What does FACT stand for?
Forensic Assertive Community Treatment
Describe FACT
-works within the Winnipeg Mental Health Court
-people diagnosed with a severe and persistent mental illness can apply to this court docket
-serious violent offences (sexual, against children, motivated by profit) exclude eligibility
-eligibility and acceptance determined by the Crown
What does it look like when someone is accepted into FACT?
-participants are in the program for 18-24 months
-weekly court meetings in front of the crown for the first 6 months
-conditions for participants to meet while in the program
What is the role of a FACT worker?
-regular, weekly meetings with participants
-supporting and ensuring participants are attending addiction resources
-weekly drug screens
-supporting participants finding housing, employment, education, finances
-medication adherence
-reporting to MHC and updating them on participants progress
-working with healthcare team
What is correctional nursing?
-working within correctional facilities
-higher degree of autonomy with assessment and triage
-providing medical care (wound care, chronic conditions, STIs)
-emergency response
-addressing addictions
-health educations
-rehabilitation and re-entry into society
