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Seattle University Collaborative Projects - International Academy of ...

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elements <strong>of</strong> engagement, the interdependent environment, and uncertainty/vulnerability, seeks toidentify the fitting response to an ethical question, rather than the right or the good. It has thepotential to meet the need for an appropriate ethic for interdisciplinary forensic psychiatry teams.Comparisons between Psychiatrists’ and Mental Health Nurses’ DecisionMaking in Civil CommitmentAnthony O’Brien, <strong>University</strong> <strong>of</strong> Auckland (a.obrien@auckland.ac.nz)Clinician perception <strong>of</strong> use <strong>of</strong> mental health legislation has been suggested as contributing tovariation in rates <strong>of</strong> civil commitment. Variation has been reported in a number <strong>of</strong> jurisdictionsinternationally and is evident in New Zealand. The primary aim <strong>of</strong> this study was to develop andtest the psychometric properties <strong>of</strong> a questionnaire designed to measure clinician perceptions <strong>of</strong>use <strong>of</strong> mental health legislation. Secondary aims were 1) to test the hypothesis that cliniciandifferences in perceptions <strong>of</strong> use <strong>of</strong> legislation are associated with the rate <strong>of</strong> committal <strong>of</strong> theirmental health service, and 2) to test the hypothesis that nurses and psychiatrists show differencesin clinical decision making. Two instruments were used to measure clinician perception <strong>of</strong>mental health legislation in nine New Zealand health districts. Districts (n=9) were selected torepresent those with high and low rates <strong>of</strong> use <strong>of</strong> civil commitment. Clinicians (n=168) wereasked to rate clinical vignettes thought to be typical <strong>of</strong> those in which mental health legislationmight be considered. A 24 item survey <strong>of</strong> attitudes to civil commitment was developed andtested using exploratory factor analysis. The study used a purposive sample <strong>of</strong> mental healthnurses (n=98) and psychiatrists (n=70). This paper will focus mainly on the comparisonsbetween psychiatrists and nurses and will discuss the implications for the functioning <strong>of</strong>multidisciplinary teams and for decision making in relation to mental health legislation.85. Intimate Partner Violence: Theory and PracticeThe Aetiology <strong>of</strong> Intimate Partner Violence and Implications for Practice andPolicyLouise Dixon, <strong>University</strong> <strong>of</strong> Birmingham (l.dixon.1@bham.ac.uk)Nicola Graham-Kevan, <strong>University</strong> <strong>of</strong> Central Lancashire (ngraham-kevan@uclan.ac.uk)Purpose: This review critiques popular theoretical accounts <strong>of</strong> intimate partner violence (IPV). Itprovides a synthesis <strong>of</strong> methodologically sound research to understand how this social problemis best conceptualised and the implications for practice and policy. Background: Practice andpolicy in the domain <strong>of</strong> IPV is <strong>of</strong>ten informed by opinion and research driven by a genderedperspective, despite the wealth <strong>of</strong> evidence supporting the need to further explore and respond tothe spectrum <strong>of</strong> IPV from a gender inclusive perspective. Theory underlying hypotheses about206

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