Seattle University Collaborative Projects - International Academy of ...

David Freedman, University of Colorado (df2379@gmail.com)Stephen Greenspan, University of Colorado (stephen.greenspan@gmail.com)There is a growing awareness among mental health practitioners that many mental disorderspreviously believed to be primarily behavioral in nature, reflecting character and environment,are actually grounded in brain mal-development or brain disorder. This growing awareness,influenced by the advent of new diagnostic procedures and measures, is also found amongforensic practitioners. In this presentation, I describe some of the elements involved inconducting a neurobehavioral assessment of cognitive functioning, particularly in capital cases,organizing this material in terms of the professional disciplines – social work, mitigationinvestigation, psychological, and medical – with which these methods are mainly identified. Thepresentation concludes with a brief discussion of how to integrate the multiple areas of expertiseto create an accurate understanding of the neurobehavioral functioning and capacity of thesubject.83. The Interface of Older Adults with the Civil and ForensicMental Health Services in the United KingdomScottish Mental Health Law and Older PeopleDavid Findlay, NHS Tayside, UK (david.findlay@nhs.net)The Mental Health (Care and Treatment) (Scotland) Act 2003 (MHCTA) operates alongside theAdults with Incapacity (Scotland) Act 2000 (AWI). Both are firmly based on clearly articulatedprinciples and can involve complex areas of interaction though use of MHCTA is more closelydocumented and fully recorded. MHCTA saw a move from Sheriff Court hearings to a tribunalbased system and this presentation will explore subjective aspects of that shift for both olderpeople and involved professionals as well as considering trends in levels of detention andcompulsory treatment across age ranges and diagnoses. It will touch upon less frequently usedoptions, such as the Care Programme Approach (CPA), and subsequently emergent legislation,such as the Adult Support and Protection (Scotland) Act 2007 (ASPA). Specific mention will bemade of MHCTA’s role in dementia and seemingly lower profile in both delirium specificallyand the general hospital setting overall. An overview of the “Shrieval” process will be given inthe context of Scotland’s entire tribunal system being subject to review. The emphasis will be onthe diverse ways in which a bureaucratic, legalistic process adds value to the everyday care ofolder people’s mental health problems.202