Forensics Flashcards
Assault in ward (history)
History of assault (trigger, planning, weapons, consequences, remorse)
Mental state (PC, mood, hallucinations, delusions, passivity)
Risk (self, others, previous assaults, forensic history)
Assault in ward (d/w CCN)
Summary of mental state and risk
Discuss pharmacological treatment (regular, prn, monitoring)
Discuss other management (familiar staff, seclusion, activities)
Fitness to plead (forensic Ax, Police i/v)
Fire-setting (history)
History of event (trigger, planning, consequences, remorse)
Mental state (mood, hallucinations, delusions, passivity)
Risk (self, others, forensic history, ongoing intent)
Underlying triggers/childhood
Substance use
Morbid jealousy (history)
HPC (onset, duration, triggers, evidence, stalking, future plans)
Risk (self, others, children, weapons, forensic Hx)
Mental state (mood, hallucinations, delusions, passivity)
Substance use
Past relationships
Morbid jealousy (explanation)
Clarify diagnosis
Clarify risk (to her, forensic Hx, use of MHA)
Explain pharmacological treatment (antipsychotics)
Explain alternative management (psychology)
Long term management (passes, CMHT)
Erotomania and stalking (history)
Explore relationship to victim (contact details, feelings, empathy)
Risk (victim, self, others, weapon, forensic Hx)
Past relationships
Mental state (mood, hallucinations, delusions, passivity)
Substance use
Erotomania and stalking (d/w victim)
Summarise assessment
Explain risk (knowledge of address, fantasies etc)
Risk management (alternative accommodation, leave from work, Police)
Patient management (located and detained for assessment)
Other concerns
Violence risk assessment (history)
HPC (event, plans, intent, intoxication)
Explore delusions
Hallucinations (quality, content, number, 2nd/3rd person, commentary, commands, insight)
Thought interference and passivity experiences
Risk (self, others, weapons, forensic Hx)
History (psych, medications, FHx)
Substance use
Violence risk assessment (d/w consultant)
Summarise history and mental state
Risk assessment
Management (admission, medication, CPN)
Sexual offence (history)
Circumstances of arrest
Explore patient’s view (arousal, remorse)
Psychosexual history (current and past relationships, pornography, attraction to children)
Psychiatric history (inc meds and FHx)
Risk assessment (self, others, contact with children, forensic history)
Substances
Fitness to plead (assessment)
Understanding of charges
Possible consequences of charges
Difference between guilty/not guilty plea
Ability to instruct counsel
Ability to challenge a juror or witness
Basic understanding of court process
Exhibitionism (history)
HPC (event, plans, intent, intoxication)
Patient’s attitude (arousal, remorse)
Psychosexual history (current and past relationships, pornography, attraction to children)
Forensic history
Psychiatric history and current mental state
Explore DDX (memory, personality change, physical Sx)
Exhibitionism (collateral history/management)
HPC (witnessed, mood/personality changes)
Risk assessment (previous events, Police involvement)
Management (bloods, CT, cognitive testing, psychology)
Other concerns
Psycho-Sexual Hx
Before / During / After - History
Before / During / After - Feelings and motivations
Paedophilia:
What is their fantasy - could tell me if you have any specific sexual interests or fantasies? Are there any that other people may find unusual?
Have they acted on it - have you taken any steps
Girls vs Boys
Fetishes - do you have any sexual interests that might be seen as unusual by other people?
Indecent Exposure: Before / During / After
Motive - can I ask what you feel when you get these urges?
Level of arousal
Masturbation
Broader: ‘I ask some questions to try and understand your relationships with sex’
Sexual orientation / preferences
Current sex life
Previous partners -
Masturbation habits - do you masturbate and how frequently / in what situations
Pornography use - do you watch pornography and what is the content, any content illegal
Moral understanding
