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Flashcards in Forensics Deck (13)
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1

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)

2

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)

3

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

4

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

5

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)

6

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

7

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

8

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

9

Violence risk assessment (d/w consultant)

- Summarise history and mental state
- Risk assessment
- Management (admission, medication, CPN)

10

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

11

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

12

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)

13

Exhibitionism (collateral history/management)

- HPC (witnessed, mood/personality changes)
- Risk assessment (previous events, Police involvement)
- Management (bloods, CT, cognitive testing, psychology)
- Other concerns