Abstract Book - International Academy of Law and Mental Health

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Neurobiological research has provided increasing evidence for the idea that biological factors areassociated with a variety of antisocial behavior in juveniles. Although major lacunae in ourunderstanding o fthis association still exist, it seems timely to consider the potential clinicalimplications of the findings that this field of research has generated and will be generating thecoming years (Popma & Raine 2006). Recent literature will be reviewed an related to specificaspects of (forensic) clinical practice: diagnosis, treatment, risk-taxation, treatment evaluation.For example, we will discuss studies in which biological factors have been found to predicttreatment outcome in children with disruptive behavior disorders and the effect of psychologicalinterventions on biological parameters which are associated with antisocial behavior (Brotman2008). In addition, we will reflect on relevant ethical issues.Fearlessness and Brain Functioning in Antisocial AdolescentsMoran Cohn, VU Medical Centre, Amsterdam, The Netherlands (m.cohn@debascule.com)Antisocial behaviour in juveniles has long been recognized as a mental health priority. Suchbehaviour is highly prevalent, related to negative future outcomes, and entails a growingeconomic burden. In psychiatry, persistent and severe antisocial behaviour is diagnosed as adisruptive behaviour disorder (DBD), which is the most prevalent disorder in adolescentpsychiatry. Currently, effective treatment is limited. In addition to psychosocial factors,neurobiological factors have been shown to influence the development of antisocial behaviour.This proposal focuses on brain functioning deficits related to fearlessness. It has beenhypothesized that the lack of fear contributes to the pathogenesis and persistence of antisocialbehaviour through a lack of anticipation of, and reaction to, social cues with negativeconsequences, e.g. punishment. Currently, while adult brain imaging studies find evidence forthis theory, support for this hypothesis in adolescents is limited to studies with peripheralneurobiological measures. Moreover, longitudinal studies are lacking. Therefore, an innovativelongitudinal imaging study in juveniles with early onset DBD was conducted in which brainfunction parameters reflecting specific aspects of fear, i.e. fear conditioning andreward/punishment anticipation, were related to patterns of persisting versus desisting (transient)antisocial behaviour. Participants (n=150) were drawn from a unique large cohort (n=256) ofdelinquent juveniles in the Netherlands, of whom many have previously been diagnosed withearly onset DBD. Data collection was finished in Summer 2012. As such, fresh data will bepresented from structural and functional MRI analyses that will be performed in 2012 and 2013.Ultimately, results should extend current knowledge about the underlying brain mechanismspredicting the early pathogenesis and persistence of antisocial behaviour in juveniles and therebystimulate the development of specific and effective treatment strategies.Longitudinal Studies on HPA and ANS Activity in Relation to theDevelopment and Persistence of Antisocial Behaviour in Adolescents35
Lucres Jansen, VU Medical Centre, Amsterdam, The Netherlands (l.nauta@debascule.com)The Hypothalamic-Pituitary-Adrenal (HPA) system and Autonomic Nervous System (ANS)have been frequently studied in relation to antisocial behavior. However, most studies to datehave been cross-sectional, with single measurements of HPA and ANS activity. Evenlongitudinal studies including HPA and ANS activity as a possible predictor for future antisocialbehavior usually have not included repeated measurements of HPA and ANS activity. However,the activity of both systems is not only controlled by genetic/innate factors, but is also influencedby environmental (stress) factors. HPA and ANS activity in mental disorders may thus besusceptible to change over time. Two longitudinal studies on the development and persistence ofantisocial behavior including repeated measurements of HPA or ANS activity in adolescencewill be presented. Also, the stability of HPA and ANS activity during adolescence will bediscussed from a more methodological point of view.Psychiatric Correlates of Competency to Stand Trial in YoungOffendersEraka Bath, University of California at Los Angeles (ebath@mednet.ucla.edu)Sofia T. Sepanyan, University of California at Los Angeles (sofia.stepanyan@yahoo.com)Much of the research on juvenile competency to stand trial (CST) has focused on age andintellectual functioning as consistent predictors of competency status. Clinical correlates of CSTstatus, such as psychopathology, diagnostic severity and presence of co-occurring disorders, areless understood in young offenders. Only a limited number of studies have focused onpsychiatric disorders (Grisso, 2005) and diagnostic severity (Cowden and McKee, 1995; Vijoen,Roesch, & Zapf) as predictors of juvenile CST status. The current study aimed to investigate theextent to which diagnostic severity and psychiatric comorbidity predict CST status in a sample of324 juvenile participants in the Los Angeles County Juvenile Mental Health Court. Preliminaryanalyses identified that age, intellectual functioning, mental retardation, pervasive developmentaldisorders, mood disorders, substance use disorders and psychotic disorders are significantcorrelates of CST status in young offenders. Given that delinquent populations are at higher riskfor displaying mental and developmental disabilities, improved understanding of therelationships between CST status and mental health conditions is critical and may provideguidance on determining the types of services and rehabilitation programming young offendersmay need to proceed with their legal cases.14. Bringing Lawyers and Healthcare Professionals Together inTeaching, Decision-Making, and Standard of CareInterdisciplinary Teaching Strategies in Mental Health Law36
Page 1: Abstracts of the XXXIIIrd Internati
Page 4 and 5: 37. CURRENT CHALLENGES IN SOUTH
Page 6 and 7: 127. PSYCHOPATHY: MEASURES, PROG
Page 8 and 9: SPANISH LANGUAGE SESSIONS .........
Page 10 and 11: This session will also highlight fi
Page 12 and 13: the defendant as a consequence of a
Page 14 and 15: obligation to assist responsible vi
Page 16 and 17: community, the management of addict
Page 18 and 19: Reform of public health legislation
Page 20 and 21: Kim Bogucki, Seattle Police Departm
Page 22 and 23: team. This is particularly true whe
Page 24 and 25: A Treatment Program for Psychopathi
Page 26 and 27: deterioration of change over time a
Page 28 and 29: Annemarie Busser, Amnesty Internati
Page 30 and 31: 10. Spinoza: Life, Psychology, and
Page 32 and 33: 11. Behavioural Approaches within t
Page 34 and 35: more traditionalist approaches of l
Page 38 and 39: Lynne Hanson, Queen’s University
Page 40 and 41: This presentation outlines a map of
Page 42 and 43: Lyn Francis, University of Newcastl
Page 44 and 45: Bullying: A Child Psychiatrist’s
Page 46 and 47: professional groups in terms of the
Page 48 and 49: (Care and Treatment) (Scotland) Act
Page 50 and 51: Jackie Turton, University of Essex
Page 52 and 53: Rosemary Sheehan, Monash University
Page 54 and 55: differential diagnosis, the use of
Page 56 and 57: Compensating Uncertainty in Legal D
Page 58 and 59: Rui Manuel Xavier Vieira, Universit
Page 60 and 61: was the chief mode of understanding
Page 62 and 63: simply the result of individuals wi
Page 64 and 65: Monica Broome, University of Miami
Page 66 and 67: Donald Lyons, Mental Welfare Commis
Page 68 and 69: e.g. financial literacy, conflict r
Page 70 and 71: program offending (controlling for
Page 72 and 73: When a person is charged with certa
Page 74 and 75: meet statutory requirements, govern
Page 76 and 77: Correctional Mental Health in the S
Page 78 and 79: David L. Shapiro, Nova Southeastern
Page 80 and 81: encounter with an enrolled patient
Page 82 and 83: of this presentation is to explore
Page 84 and 85: 35. Cultural Bias: From the Classro
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factors that influence the outcome
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With the advances in ethnopsychopha
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(36.8%). In prison, APD (32.4%) and
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the use of specific neuropsychologi
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and psychological factors such as s
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more knowledge about this group is
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quality control standards. In the a
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exploring the short- and long-term
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exemption from criminal responsibil
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support the hypothesis that relatio
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Developing Criminal Justice Mental
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however, particularly difficult for
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Sarah M. Manchak, University of Cin
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elderly individuals in the context
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The importance of trust for the med
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of these terms raises questions abo
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control” (RSC). This presentation
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assistance to the affected offender
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FASD as a “Common Sense Deficit D
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comes with significant costs to soc
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In her influential theory of offend
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Expected results: Increased knowled
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56. Forensic Psychiatry in Holland
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Risk Assessment and Shared Care Pla
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developing children’s mental heal
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study (granted by the Ministry of S
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that the limitations of equivalence
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example of standardization and the
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and expected effect. More informati
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unacceptable proliferation of myths
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met criteria for Post Traumatic Str
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population (peptic ulceration, pani
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Traditionally, modern Western psych
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on the part of the railroads. The p
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have negative repercussions on thei
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consequences of such recognition or
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capita, population below poverty li
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Trans-institutionalization is the p
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sexual abuse in custodial settings
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patients were compared with those o
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The New to Forensic educational pro
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establish recovery based practice g
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Wing Ting To, University College Gh
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75. The Interface of Older Adults w
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significant concern for nursing. In
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Background: Practice and policy in
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Erica Bowen, Coventry University (e
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Social Influences and Challenges in
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Inge Joa, Stavanger University Hosp
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assessments to determine whether su
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Donald Stone, University of Baltimo
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Elizabeth Calder, Mental Welfare Co
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mental health issues change accordi
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Research has shown that there are b
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Crisis Intervention Team Training f
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Implications: Presentation of my fi
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line from the fascination with mons
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to the rules explain that appeal to
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Methods: The study focused on the c
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criteria (p≤.01), fewer inpatient
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for those they care about if commun
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authority nor a treatment provider
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Method: All men (n=193) who, betwee
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Drew Kingston, Royal Ottawa Health
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Ainslie McDougall, University of Ne
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There are no FDA psychopharmacologi
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chronic psychotics in the 1950s wit
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daily time on line, content of onli
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Objective: According to police crim
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The discussion of several specific
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Mental Health, Human Rights Legisla
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in laws concerning the mentally ill
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Relative in Scotland has taken a di
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Arthur Evans Jr, City of Philadelph
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hoc analyses show that the most imp
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experience substantial morbidity an
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the state, rules for inpatient admi
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Surrogacy, particularly commercial
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these theoretical claims of music t
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the parliamentary inquiry commissio
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addition, at each transfer informat
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of conventional fMRI analysis ident
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Forensic Psychiatry in the Era of G
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tendency to become sexually active.
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Commerce, Taxes, and Health Care: N
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A Unique Approach to Incentivizing
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Stefaan De Smet, University College
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An Evaluation of the Implementation
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Expected results: Intraclass correl
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than focus so much on the specific
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convicted and/or civilly committed
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emains uncertain. This presentation
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United States and Canada. Audience
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combination with the SAVRY (Structu
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A person having a hospital care ord
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Early Prevention of Antisocial Beha
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The Listener Scheme and Social Ther
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months, especialially in the EZV re
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Sexuality among prisoners is one of
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Klaus Hoffmann, Reichenau Forensic
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Utility of Risk-Need-Responsivity D
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typology has been investigated in m
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prevention. Clarification of eventu
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offenders with more extensive delin
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The Prognostic Value of the PCL-R i
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Aims: 1) To quantify the prevalence
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The effectiveness of a psychosocial
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data gathering, analysis, and polic
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Risk Assessment: Trouble with Numbe
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of attachment patterns (measured by
Page 307 and 308:
Marcie Campbell, Domestic Violence
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Justice. The present study surveyed
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espond to the ethical challenge of
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135. Sex Fiends, Perverts, Pedophil
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Recent years have produced a growin
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Impulsive Violent Sexual Behaviour:
Page 319 and 320:
Current literature stresses the ben
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“Seeing Like Them” and “Being
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sanctions, that they complied with
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Business and Clinical Challenges: A
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use to patients who agree to their
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euthanasia policy and practice in B
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Expected results: The present study
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Why Are Few Diagnoses of PTSD Confi
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employment status of the parents, m
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Context: For most people, young adu
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Real-Life High-Stakes Lies: Using V
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adapted from thesis research conduc
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and conformers) and theoretical pre
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participated in the development of
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decades. As in similar institutions
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exist for creative projects to ease
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studies (n=9454). Averaged across a
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and the Prison Mental Health Servic
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dynamic approach to offender rehabi
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Developing Psychologically Informed
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extent to which the CYCCs can make
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include the potential for over use,
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Findings: We identified 2,127 CTO c
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old paradigm are to adapt. An obvio
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Section 136 of the Mental Health Ac
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A Mixed-Methods Study of Women’s
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observers’ visual attention onto
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diabetes. A more sophisticated defi
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and a social and economic climate t
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stress and self-care deficits (e.g.
Page 379 and 380:
pregnant women. Serious challenges
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Exposing through Litigation the Ove
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sophistry in this case. We revisit
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that employ non-adversarial, psycho
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Subject to Conditions Pending Trial
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UN-ESCAP is launching the New Decad
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process. “Collaborative Contracti
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Carolyn E. Hansen, Attorney-at-Law,
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professionals available to treat pr
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legislators, policy makers and the
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Un único efecto secundario, la gal
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adolescente o en la recuperación d
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(efecto disuasorio de la pena) y la
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estudio que nos aporta información
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La mayor injerencia del padre en la
Page 409 and 410:
Carli Kulmar, Charles Sturt Univers
Page 411 and 412:
Can a Sixty Year Old French Re-Entr
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offenders serving life sentences, s
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Kelo through the Lens of Therapeuti
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legislador ha previsto un trámite
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180. Reconsidering “Injury:” Ap
Page 421 and 422:
Ivan Zinger, Office of the Correcti
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Recent years have seen the emergenc
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Jacqueline S. Dejean, Massachusetts
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presentation will report on that an
Page 429 and 430:
Predictors of Criminal Justice Outc
Page 431 and 432:
participant profiles related to the
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Colette R. Brunschwig, University o
Page 435 and 436:
practice regarding the care of indi
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equires knowledge from other fields
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This presentation discusses the nee
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Dale Dewhurst, Athabasca University
Page 443 and 444:
190. Using Therapeutic Jurisprudenc
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progress, the declaration was creat
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approaches will be suggested to add
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Communication and empathy correspon
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apporté ne pas avoir perçu la rec
Page 453 and 454:
L’objectif du projet de recherche
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personnalité, dont l’impulsivit
Page 457 and 458:
Fatiha Amara-Boulala, CHA, Alger, A
Page 459 and 460:
Suzanne Léveillée, Université du
Page 461 and 462:
sessuale nei confronti di minori-,
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Legami: il bondage tra cultura e pe
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negazione della situazione; pur ess
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internazionale che hanno preso lett
Page 469 and 470:
Antonello Crisci, Università degli
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Ai sensi degli Artt. 59-63 della l.
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Benedetta Vittoria, Forensic Psychi
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significato, uno scopo alla giornat
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Stalking: analisi del fenomeno nel
Page 479 and 480:
Alberto D’Argenio, Sapienza - Uni
Page 481 and 482:
Armando Palmegiani, Sapienza - Univ
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elación sanitario-paciente, la pri
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205. Delitos violentos: datos epide
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a intervenir los déficits relativo
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comportamiento delictivo resaltan e
Page 491 and 492:
La hospitalización involuntaria en
Page 493 and 494:
Mauricio Jeldres Vargas, Servicio M
Page 495 and 496:
Ley de derechosa y deberes de los p
Page 497 and 498:
ien superior del Servicio Público.
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en adelante. Este grupo es represen
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por otro). En términos de confiabi
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aparentemente enfrentados, conforma
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Cameron, C., 159 Camin Sosa, M.
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Jeldres Vargas, M., 492, 495 Je
Page 509 and 510:
Quiring, S., 67 R Rabe, K., 283
Page 511:
Zakai, A., 217 Zanuto, E., 285
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