Journal of the American Academy of Psychiatry and the Law最新文献

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Forensic Assessments of Hindus with Workplace Discrimination Claims. 对工作场所歧视索赔的印度教徒的法医评估。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-07-24 DOI: 10.29158/JAAPL.250035-25
Neil Krishan Aggarwal
{"title":"Forensic Assessments of Hindus with Workplace Discrimination Claims.","authors":"Neil Krishan Aggarwal","doi":"10.29158/JAAPL.250035-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250035-25","url":null,"abstract":"<p><p>Hinduism is a global religion with over 1.2 billion adherents. Only about one percent of U.S. adults are Hindu, so forensic evaluators may have little experience with this population. Within the United States over the past decade, there has been a trend of Hindus filing workplace discrimination claims with emotional distress but without forensic psychiatric evaluations. Immigration challenges, unique patterns of discrimination, and intersectional identities in diverse Hindu communities may challenge evaluators who do not regularly work with Hindus. Even when Hindu evaluees see Hindu evaluators, they may not share caste, ethnic, racial, or regional affiliations, so evaluators benefit from investigating the evaluee's intersectional identity, the connection between identity and perceived discrimination, patterns of help seeking, and levels of functioning. This article introduces evaluators to diverse U.S. Hindu populations; psychiatric, forensic, and cultural problems in discrimination-based claims; and evaluation strategies based on analyzing recent cases.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Scoping Literature Review of Mental Illness in Decisions Regarding Pretrial Release. 关于审前释放决定中精神疾病的文献综述。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-07-23 DOI: 10.29158/JAAPL.250034-25
Emily Nash, Sela Dragich, Leah Pope, Elizabeth Ford, Paul Appelbaum
{"title":"A Scoping Literature Review of Mental Illness in Decisions Regarding Pretrial Release.","authors":"Emily Nash, Sela Dragich, Leah Pope, Elizabeth Ford, Paul Appelbaum","doi":"10.29158/JAAPL.250034-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250034-25","url":null,"abstract":"<p><p>Judges generally make pretrial release decisions based on the risk that a defendant will miss court appearances or pose a danger to the community; for criminal cases initiated in state courts, this decision-making is guided by state bail statutes, with judicial discretion within statutory limits. Individuals with mental illnesses may be disproportionately exposed to pretrial detention, exposing them to the psychiatric, medical, and legal consequences of incarceration. The purpose of this literature review was to find out if and how mental illness is related to missed court appearances or rearrest while individuals are awaiting trial. This review identified a limited number of empirical studies examining the association between mental illness and these outcomes. The results of the studies were variable. Although some studies found that mental illness variables predicted failure to appear, the relationship was more prominent for women than men. Substance use and criminal history appear to be more consistent predictors than mental illness. The data on the relationship between mental illness-related variables and rearrest are also mixed. Further research is needed to understand if or how mental illness affects decisions on pretrial detention.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the Preference for Incarceration Among Some Forensic Psychiatric Inpatients in Ontario. 了解安大略省一些法医精神科住院病人对监禁的偏好。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-07-17 DOI: 10.29158/JAAPL.250045-25
Alexandra Campbell, Jamie Robertson
{"title":"Understanding the Preference for Incarceration Among Some Forensic Psychiatric Inpatients in Ontario.","authors":"Alexandra Campbell, Jamie Robertson","doi":"10.29158/JAAPL.250045-25","DOIUrl":"10.29158/JAAPL.250045-25","url":null,"abstract":"<p><p>Some international jurisdictions route individuals for whom criminal responsibility is foreclosed because of mental disorder from the penal system into a forensic psychiatry regime. Such rerouting might be presumed preferable for such individuals, because it is intended to offer a humane alternative to incarceration and is often viewed by the public as an avenue for accused individuals to avoid accountability. Our clinical experience corroborates European findings that at least some individuals who have been placed into forensic psychiatric care would have preferred to remain in the penal system. We report on our preliminary qualitative investigation into the reasons why some forensic psychiatric inpatients in the Canadian province of Ontario would prefer to be incarcerated. Using a grounded theory methodology, we identify six thematic categories of reasons for this preference. Drawing on these themes, we propose that participants perceive inpatient forensic psychiatric detention as posing a greater threat to personal identity than incarceration as well as feel despair associated with the perceived futility of resisting identity-shaping pressures in this environment. Participants' concerns re-emphasize the clinical challenge, but also the importance, of providers' supporting patients to associate hope rather than harm with the aim of personal transformation through inpatient forensic psychiatric care.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward Equity in Prescribing Buprenorphine in the New Jersey Department of Corrections. 新泽西州惩教署丁丙诺啡处方的公平性研究。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-07-15 DOI: 10.29158/JAAPL.250046-25
Anthony Tamburello, Ifeoma Anwunah-Okoye, Rusty Reeves, Patti Gerardo Arroyo
{"title":"Toward Equity in Prescribing Buprenorphine in the New Jersey Department of Corrections.","authors":"Anthony Tamburello, Ifeoma Anwunah-Okoye, Rusty Reeves, Patti Gerardo Arroyo","doi":"10.29158/JAAPL.250046-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250046-25","url":null,"abstract":"<p><p>Medications for opioid use disorder (MOUD), including buprenorphine, are effective for the treatment of incarcerated persons (IPs) with opioid use disorder (OUD). Racial disparities in such prescribing have been researched in both community and correctional settings. We describe a performance improvement (PI) project to reduce the disparities in prescribing buprenorphine in the New Jersey Department of Corrections that involved public-facing educational efforts directed toward both prescribers and potential patients. Using reports designed to collect baseline and follow-up summary data from the electronic medical record and institutional database, we showed that, from 2021 to 2024, for the entire NJDOC census, the rate of prescribing for Black IPs increased from 3.9 to 6.3 percent (<i>p</i> < .00001) and for Hispanic IPs from 6.6 to 9.6 percent (<i>p</i> = .0009), whereas prescribing for White IPs was unchanged (19.0-18.0%, <i>p</i> = .362). When considering interest in buprenorphine by persons with OUD (either expressing interest or receiving a prescription for it), we noted increases in Black (41.1-56.5%, <i>p</i> < .0001) and Hispanic (54.9-69.7%, <i>p</i> = 0) IPs, but not White (71.6-73.4%, <i>p</i> = .360) IPs. Compared with a study on MOUD prescribing in this setting in 2019, the proportion of IPs prescribed buprenorphine identifying as Black increased (17.0-41.1%, <i>p</i> < .00001). These results support educational efforts for improving access to treatment with MOUD in carceral settings.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining the Goals Toward Which Forensic Mental Health Practice Should Aspire. 确定法医心理健康实践应该追求的目标。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-06-10 DOI: 10.29158/JAAPL.250016-25
Jacob M Appel
{"title":"Determining the Goals Toward Which Forensic Mental Health Practice Should Aspire.","authors":"Jacob M Appel","doi":"10.29158/JAAPL.250016-25","DOIUrl":"10.29158/JAAPL.250016-25","url":null,"abstract":"<p><p>Forensic mental health professionals (FMHPs) play a crucial role in shaping legal outcomes, necessitating a clear understanding of excellence in the field. Establishing criteria for excellence depends upon first addressing key controversies, including those related to the role for advocacy inside the legal process, the extent to which FHMPs should strive for social justice outside the courtroom, and the allocation of scarce forensics resources. Resolution of these debates will, in turn, determine whether excellence stems primarily from selection or treatment. Only once a clear consensus regarding the meaning of excellence develops can aspirational goals for the professional be established.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"193-197"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research Literacy Is Crucial in Training Forensic Psychiatrists. 研究素养是培训法医精神病学家的关键。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-06-10 DOI: 10.29158/JAAPL.250021-25
Susan Hatters Friedman
{"title":"Research Literacy Is Crucial in Training Forensic Psychiatrists.","authors":"Susan Hatters Friedman","doi":"10.29158/JAAPL.250021-25","DOIUrl":"https://doi.org/10.29158/JAAPL.250021-25","url":null,"abstract":"","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":"53 2","pages":"140-146"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Pilot Analysis Investigating the Use of AI in Malingering. 一项调查人工智能在诈欺中的应用的试点分析。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-06-10 DOI: 10.29158/JAAPL.240115-24
Scott A Gershan, Esther Schoenfeld, Declan J Grabb
{"title":"A Pilot Analysis Investigating the Use of AI in Malingering.","authors":"Scott A Gershan, Esther Schoenfeld, Declan J Grabb","doi":"10.29158/JAAPL.240115-24","DOIUrl":"10.29158/JAAPL.240115-24","url":null,"abstract":"<p><p>Generative artificial intelligence (AI), with its increasing ubiquity and power, will likely transform forensic psychiatry, sparking both advances and new challenges for the field. A possible consequence of the technology is that it will be used to assist malingerers in learning about and feigning psychiatric symptoms. In this study, the AI chatbot ChatGPT was asked to provide information about the insanity defense and psychosis and to use this information to assist the user in simulating a psychotic illness to avoid legal consequences. We found that ChatGPT 3.5 demonstrated a relatively nuanced understanding of typical symptoms of psychosis and that it could translate that knowledge into practical guidance on how to exploit the mental health system for secondary gain. Our findings suggest that, although significant limitations exist with the technology in its current form, forensic psychiatrists should be prepared for its increasing sophistication and the potential consequences in malingering assessments.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"147-156"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of Child and Parent Offender Removal in Incidents of Child Neglect in U.S. Army Families. 美国陆军家庭中儿童忽视事件中儿童和父母罪犯移除的预测因素。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-06-10 DOI: 10.29158/JAAPL.240114-24
Christin M Ogle, Steven P Nemcek, Jing Zhou, Stephen J Cozza
{"title":"Predictors of Child and Parent Offender Removal in Incidents of Child Neglect in U.S. Army Families.","authors":"Christin M Ogle, Steven P Nemcek, Jing Zhou, Stephen J Cozza","doi":"10.29158/JAAPL.240114-24","DOIUrl":"10.29158/JAAPL.240114-24","url":null,"abstract":"<p><p>This study examined predictors of child and parent offender removal from the home following substantiated incidents of child neglect in U.S. Army families. Case records (<i>n</i> = 390) were coded to identify neglect types and incident characteristics associated with removal in prior studies. Results indicate that the removal of a child and the removal of a parent from the home following an incident of neglect are associated with distinct neglect types and incident characteristics. In bivariate analyses, failure to provide physical needs (FTP), family mental health problems, and co-occurring abuse were each associated with higher odds of child removal. In multivariate analyses, offender substance use, co-occurring abuse, and early parenting, but not FTP, were associated with child removal. Interaction models indicated that high-severity FTP incidents in families with mental health problems were more likely to result in child removal compared with other neglect incidents. In contrast, incidents involving emotional neglect and service member offenders were associated with higher odds of parent removal. Findings advance understanding of the characteristics of neglect incidents associated with family separations, which can improve the judiciousness of legal decisions regarding removal actions and inform prevention efforts that effectively protect children from harm while minimizing disruptions to family integrity.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"160-171"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AI-Assisted Deception and the Emerging Challenge of LLMs in Forensic Psychiatry. 人工智能辅助欺骗和法医精神病学法学硕士的新挑战。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-06-10 DOI: 10.29158/JAAPL.250022-25
Jason G Roof
{"title":"AI-Assisted Deception and the Emerging Challenge of LLMs in Forensic Psychiatry.","authors":"Jason G Roof","doi":"10.29158/JAAPL.250022-25","DOIUrl":"10.29158/JAAPL.250022-25","url":null,"abstract":"<p><p>Generative artificial intelligence (AI), including the large language model ChatGPT, has introduced potential new opportunities and challenges to the practice of forensic psychiatry. These powerful AI-based tools may offer substantial benefits in administrative tasks, report generation, and record summarization yet simultaneously present areas for further consideration, such as aiding evaluees in feigning psychiatric symptoms. Additional ethics and legal considerations exist regarding privacy, bias within AI models, and the introduction of fabricated or misleading AI-generated content into forensic assessments. Legislative efforts, privacy safeguards, and professional guidelines essential for responsible AI use are being developed. Forensic psychiatrists are uniquely positioned to influence responsible AI integration through education, advocacy, and development of best practices within psychiatry.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"157-159"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward Aspirational Forensic Mental Health Practice. 迈向有抱负的法医心理健康实践。
IF 2.1 4区 医学
Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-06-10 DOI: 10.29158/JAAPL.240123-24
Julie Goldenson, Stanley L Brodsky, Terry Kukor
{"title":"Toward Aspirational Forensic Mental Health Practice.","authors":"Julie Goldenson, Stanley L Brodsky, Terry Kukor","doi":"10.29158/JAAPL.240123-24","DOIUrl":"10.29158/JAAPL.240123-24","url":null,"abstract":"<p><p>Forensic mental health professionals are often provided with aspirational guidelines to inform their practice; however, disparities exist between what such professionals should strive to do and what they actually do. This article considers pathways to improving practice not only in terms of knowledge base but also in terms of ethics, skills, and intellectual, dispositional, and interpersonal qualities. Obstacles are identified that could prevent forensic mental health professionals from practicing at higher levels of excellence.</p>","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"183-192"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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