Forensic Psychiatry Flashcards

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1
Q

Clinical vs. forensic

A

Forensice - goal is to assess for a sepcific purpose…verify as much as possibly…opinions speak for themselves…assess reasonableness of current tx…opine on causation

Clinical - goal is to treat…advocate for patient

Btoh - diagnose and give prognosis

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2
Q

Criminal evals

A

Compency to stand trial
Resotration of competency
Insantiy
Post-conviction snetencing hearings

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3
Q

TBI
Workers comp
Occupational law
Malpractice

A

Mental status exam
Psych symptoms following work related
Hiring and firing
Prosecution and defence

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4
Q

Malingering

A

Separates forensic from clinical exam

Deliberate and conscious simulation of symptoms, idsorders, and incapacities that are not authenrtic

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5
Q

How to detect malingering

A

Corrodorating evidence
Bizarre recollections
Verbal description of sx w/out even subtle physical indications
Inconsistent reuslts

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6
Q

When to diagnose as malingering

A

Reported sx do not match activity
Absurd sx
Flucutations in sx
Unexpected med rxns

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7
Q

4 Ds of malpractice

A

Dereliction of duty (standard of care)
Direct causation between physician action and injury
Existaence of damages

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8
Q

Harming selves
Sexual activity
Abandonment

A

Currently civil commitment is SOC for suicidal patients

Even former patients

Even if patient threatens you, must give opportunity (3 months of meds) to find another

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9
Q

To prove malpractice

A

Pt must demonstrate hamr AND that a reasonable person with all information would have refused

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10
Q

Exceptions to involuntary commitment

A

Mentally ill
who is Threat to self or others as result of mentally ill
Who could benefit from tx
For whom hospitalization is least restrictive mode of tx available

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11
Q

Dangerousness

A

Cliniicians have duty to protect pts and others

Must warn individuals who have been threatened

Last resort is to call police

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