A Developmental Perspective 1 5/11/2016 2 5/11/2016 Logical - - PDF document

a developmental perspective
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A Developmental Perspective 1 5/11/2016 2 5/11/2016 Logical - - PDF document

5/11/2016 A Developmental Perspective 1 5/11/2016 2 5/11/2016 Logical reasoning Abstract Thought Ability to analyze situations Ability to think realistically about the future and set goals Ability to consider options Planning


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A Developmental Perspective

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Logical reasoning

  • Ability to analyze situations
  • Ability to consider options
  • Planning
  • Problem Solving

Abstract Thought

  • Ability to think realistically

about the future and set goals

  • Ability to consider

hypothetical situations

Impulse Control

  • Temperance
  • Ability to keep emotions in check
  • Ability to benefit from past

experience/learning

Autonomy

  • Independent decision making (from

peers/parents)

  • Conformity & Compliance
  • Abstract thought
  • Logical reasoning
  • Experience
  • Logical reasoning
  • Impulse control
  • Experience
  • Abstract thought
  • Logical reasoning
  • Impulse control
  • Experience
  • Abstract thought
  • Logic/ Planning
  • Impulse control
  • Experience

Autonomy Perceptions

  • f Risk

Time Perspective Abstract Thinking

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Perceived Autonomy

Perceptions

  • f Risk

Time Perspective Abstract and Concrete Thinking

Ability to understand the nature and object of the proceedings against him, Ability to comprehend his

  • wn situation in reference to

the proceedings, Ability to assist in his defense in a rational or reasonable manner.

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Order for Evaluation: What to Consider

Location (LME, hospital, private) Evaluator Qualifications Time Cost

Order for Evaluation

1.Detailed referral question(s) and expectations 2.Expected timeframe 3.Funding (if private) 4.Access to records

http://www.mentalhealthandlaw.com/evaluationmethods.html

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Translate Legal Criteria to Psychological Constructs

  • Mental health diagnosis
  • Intellectual disability

By reason of mental illness or defect

  • Factual understanding of system and charges
  • Appreciation of system and charges

Understand nature and

  • bject of proceedings
  • Appreciation of legal situation and implications

Comprehend his situation

  • Understand and appreciate role of attorney
  • Decision making capacities
  • Attend and cooperate during hearings

Assist in rational or reasonable manner

Legal Criteria Forensic‐ Psychological Construct Possible Assessment Methods

Mental Illness Mental Illness Interview, mental status exam, psychological testing, mental health records, interview with caregivers & others Mental Defect Developmental disability, intellectual disability, neurological condition IQ testing, records (school, mental health), interviews with caregivers & others Ability to understand nature and object of proceedings Factual understanding of purpose of adjudication and hearings, roles of participants, name/seriousness of charges, possible penalties, possible pleas, adversarial nature, potential consequences/risks Forensic interview and testing (Juvenile Adjudicative Competence Interview) Ability to comprehend his own situation in reference to the proceedings Ability to appreciate role as juvenile (“defendant”), rights as (to plea, to testify, to remain silent), potential consequences and risks, and role as active participant in the context of working with a defense attorney Forensic interview and testing Ability to Assist in his defense in a rational or reasonable manner Ability to attend, maintain self‐control, ability to testify, ability to make decisions in a rational manner and without undue influence Behavioral observation, interview with attorney, and forensic interview and testing Capacity to Learn What degree of remediation would be required if the person is not competent? Forensic interview and testing (and re‐testing for retention and ability to apply concepts)

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  • Factual Understanding
  • Rational Appreciation
  • Ability to Assist Counsel
  • Legal Decision Making
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  • What competency deficits exist?

Functional Question

  • What are the causes of the deficits?

Causal Question

  • How will the deficits impact this examinee in this case?

Contextual Question

  • Are the deficits adequately impairing to meet legal test?

Conclusory Question

  • Can the deficits be remediated within the legal timeframe? How?

Remedial Question

Thomas Grisso’s Forensic Evaluation Model (2003)

A framework for decision making about capacities during the forensic evaluation process

Factual Understanding: Terminology, Roles of Courtroom Personnel: John was aware of the pleas of guilty (“You did it”) and Not Guilty (“You didn’t do it”). He reported that if a person pleads guilty (or admits the

  • ffense), then the person will be given “probation or lock-up.” He

reported that if a person pleads not guilty or does not admit to the offense, then, he stated, “They drop the charges I guess.” John was provided corrective feedback as to the sequence of events that follow a plea of “not guilty.” Specifically, he was told that there is a hearing in which both sides present evidence to the Judge.

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  • Location of treatment
  • Length of treatment
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cindycottle@gmail.com www.mentalhealthandlaw.com