Journal of the American Academy of Psychiatry and the Law最新文献_第3页

A Framework for Mandated Reporting for Substance-Related Parental Abuse and Neglect. 与药物有关的父母虐待和忽视的强制报告框架。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-12-03 DOI: 10.29158/JAAPL.250059-25

Matthew Robert Dernbach, Jacob M Appel

{"title":"A Framework for Mandated Reporting for Substance-Related Parental Abuse and Neglect.","authors":"Matthew Robert Dernbach, Jacob M Appel","doi":"10.29158/JAAPL.250059-25","DOIUrl":"10.29158/JAAPL.250059-25","url":null,"abstract":"Clinicians face the prospect of mandated reporting when a patient reports, either during the intake appointment or during the course of addiction treatment, their risky substance use-related behavior around a child. Beyond legal considerations, many factors might influence a clinician's decision whether or not to report the case to child protective services (CPS). Although there is literature regarding mandated reporting in the setting of pre- or perinatal substance use, there is limited literature regarding the mandated reporting obligation in the setting of postnatal substance use around children. We survey the relevant statutes and regulations in the 51 jurisdictions of the United States regarding postnatal mandated reporting for substance-related parental abuse and neglect. Drawing from these results, we identify areas of legal obligation, areas open to interpretation, and areas that remain unaddressed. We further propose a clinical framework for determining whether to make a CPS report in the course of addiction treatment. In the current state of significant variability in mandated reporting regulation, clinicians must consider the safety of the child, the well-being of the family, stigma toward individuals with substance use disorder, maintenance of the conditions necessary for the patient to engage with addiction treatment, and what the law requires.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"377-391"},"PeriodicalIF":2.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034593","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

Restorative Justice and the Competency Crisis. 恢复性司法与能力危机。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-12-03 DOI: 10.29158/JAAPL.250077-25

Logan Graddy

引用次数: 0

Rehabilitating Youth in Juvenile Corrections. 在少年感化所改造青少年。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-12-03 DOI: 10.29158/JAAPL.250080-25

Cheryl D Wills

引用次数: 0

Different Perspectives on Managing Patients on Conditional Release. 有条件释放患者管理的不同视角。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-12-03 DOI: 10.29158/JAAPL.250090-25

Ronald F Means, Danielle R Robinson

引用次数: 0

Reflections on Missing White Women and the Gabby Petito Case. 对失踪白人妇女和加贝·珀蒂托案的反思。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-12-03 DOI: 10.29158/JAAPL.250081-25

Katie Kruse, Camille Tastenhoye, Susan Hatters Friedman, Nina Ross, Renée Sorrentino

引用次数: 0

Exploring Secure Recovery Knowledge, Skills, and Education Needs of Forensic Staff. 探讨安全恢复的知识、技能和司法人员的教育需求。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-12-03 DOI: 10.29158/JAAPL.250076-25

Shaheen A Darani, Stephanie R Penney, Genevieve Walker, Courtney Brennan, Remar Mangaoil, Faisal Islam, Treena Wilkie, Alexander I F Simpson

{"title":"Exploring Secure Recovery Knowledge, Skills, and Education Needs of Forensic Staff.","authors":"Shaheen A Darani, Stephanie R Penney, Genevieve Walker, Courtney Brennan, Remar Mangaoil, Faisal Islam, Treena Wilkie, Alexander I F Simpson","doi":"10.29158/JAAPL.250076-25","DOIUrl":"10.29158/JAAPL.250076-25","url":null,"abstract":"Recovery-oriented models are rarely taught to care providers, and knowledge is insufficient on the practical challenges of implementing recovery-oriented care in secure settings with consistency and fidelity. This study identifies the knowledge, skills, and education needs of forensic care staff related to the practice and implementation of secure recovery. Our mixed-methods approach using a needs assessment survey and focus groups found that most (73.2-77.8%) staff surveyed (n = 108) reported \"excellent\" or \"good\" knowledge and understanding of recovery-oriented care. Fewer (43.5%) staff felt confident in their ability to administer risk and recovery-oriented assessment tools in forensic settings. The conceptual domains of knowledge, skills, and education needs were clear in focus group data. Data reflected a varied understanding among staff regarding secure recovery principles and variation as to what recovery \"looks like\" in practice. Participants perceived a lack of available training and support when commencing employment in forensic mental health, and specific gaps in knowledge and training were noted in relation to the structured risk and recovery tools used in our program. Results from this study will be used to improve forensic patient care through implementation of a tailored educational curriculum in secure recovery for forensic staff.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"415-428"},"PeriodicalIF":2.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597892","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

The Tao of Forensic Psychiatry. 法医精神病学之道。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-09-03 DOI: 10.29158/JAAPL.250047-25

Logan Graddy

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 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-09-03 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":"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.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"251-263"},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","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

Cold Cases of Neonaticide, Genetic Genealogy, and Forensic Psychiatry. 新生儿杀婴案，遗传谱系和法医精神病学。

IF 2 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-09-03 DOI: 10.29158/JAAPL.250036-25

Susan Hatters Friedman, Elise Friedman

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 4区医学

Journal of the American Academy of Psychiatry and the Law Pub Date : 2025-09-03 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":"10.29158/JAAPL.250046-25","url":null,"abstract":"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 (p < .00001) and for Hispanic IPs from 6.6 to 9.6 percent (p = .0009), whereas prescribing for White IPs was unchanged (19.0-18.0%, p = .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%, p < .0001) and Hispanic (54.9-69.7%, p = 0) IPs, but not White (71.6-73.4%, p = .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%, p < .00001). These results support educational efforts for improving access to treatment with MOUD in carceral settings.","PeriodicalId":47554,"journal":{"name":"Journal of the American Academy of Psychiatry and the Law","volume":" ","pages":"264-272"},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","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