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William H Fisher, University of Massachusetts Lowell (william_fisher@uml.edu)Albert J. Grudzinskas, University of Massachusetts Worcester (al.grudzinskas@umassmed.edu)While crisis intervention teams (CITs) have become the gold standard for police based responseto situations involving persons with mental illness, their implementation is not without somedifficulty. This presentation highlights issues identified in consultation with police officials in anumber of communities as well as lessons learned in an unsuccessful attempt to develop a CIT ina large city in the northeast. As a multisystemic response, CIT development requires buy-in notonly from police, but also from local emergency mental health service providers, with whompolice may or may not have a good history. There are also factors internal to police departmentsthemselves. Police officials may be reluctant to develop new specialty units, favoring instead theenhancement of training for all officers. In some cases this reflects officials’ perceptions of thepotential efficacy of CIT, given the geographic and demographic features of their communities.Small departments in rural communities and, conversely, large congested cities may not be idealsettings for CITs. Cost is an additional issue. Police unions may demand that CIT officers, whowill have received enhanced training, be paid at a higher level. Training costs also play a role. Inone large city police estimated that some 40 officers would be needed to cover all three shifts,seven days per week including holidays, and to serve as substitutes for sick or vacationing CITofficers. A related issue is the need to take large numbers of officers off-line for the 40-hourtraining required by the standard CIT protocol and paying overtime to officers substitutingduring those 40 person-weeks. Finally, the patrol officers themselves, especially those with longexperience on the job, may feel that they have developed an approach for dealing with personswho appear to have mental illness and the resources available for managing them.Future Directions for CIT ResearchAmy C Watson, University of Illinois at Chicago (acwatson@gmail.com)The research on CIT to date suggests the model is having some positive effects on improvingpolice response to mental health related calls. CIT training has been shown to improve officerknowledge about mental illness and treatment, increase self-efficacy for responding to mentalhealth crisis calls, and decrease stigmatizing attitudes about mental illnesses. Research suggestsCIT officers may be less likely to use force and be more likely to direct persons with mentalillnesses to psychiatric treatment than their non-CIT counterparts. Some research also suggeststhat CIT may reduce arrests of persons with mental illnesses by diverting them to treatment.Hence there is growing support for CIT as an effective approach to improving police response topersons with mental illnesses. However, there is still much we do not know. For example, howdo does community context and accessibility of mental health services impact CIT effectiveness?How does CIT impact the experiences of persons with mental illnesses in police encounters andtheir longer term mental health service engagement and criminal justice outcomes? This paperwill describe research underway in Chicago that seeks to address these questions. Otherimportant next steps for CIT research will also be discussed.90
36. A Critical Exploration of Pressing Ethical, Clinical & SpiritualIssues in Acute Psychiatry through to Community Care inCanadaWho Gets What? Inequities in Acute Mental Health Care in CanadaKen Balderson, University of Toronto (baldersonk@smh.ca)Resource limitations have been a problem in mental health care even before the unkept promisethat deinstitutionalization would be accompanied by appropriate funding of community-basedservices. Financial pressures on governments leading to decreased health care funding are nowexacerbating these problems. Fewer beds and pressures for decreased length-of-stay have led tochronic backups of patients in Emergency Departments. Whether a patient is admitted to hospitalmay not always depend on clinical need, and often depends on bed flow pressures. Wheninpatient units are full, psychiatric emergency staff may be forced to develop suboptimaldispositions, making discharge plans to relieve ED congestion. A lack of standardization in careprovided to admitted patients may also result in differences/inequities in care received.Psychiatry lags behind other medical specialties in Canada in the standardization of treatmentprovided in acute care settings. This paper examines approaches used in other jurisdictions whichmay lead to increased standardization and improve acute mental health care delivery in Canada.Challenges of Providing Informed Consent in Emergency PsychiatryRosalind Abdool, University of Waterloo (rabdool@uwaterloo.ca)In contemporary bioethics, the principle of autonomy is often at the forefront of decisionmaking.However, there are many psychological limitations and external pressures that makeproviding informed consent a significant challenge. In addition, these limitations and externalinfluences are amplified in emergency situations, where the pressure to make decisions increasessignificantly and there are reduced resources, such as time and the accessibility of familymembers, available to patients to employ regular reflective and deliberative abilities. Mypresentation aims to explore two pressing questions relating to this topic: What additionalchallenges are present in emergency medicine/psychiatry that make providing informed consentparticularly challenging in this context? What measures can be taken to improve respect forautonomy and to facilitate providing informed consent in emergency psychiatry.Can Emergency Psychiatry be Person-Centred?91
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Abstracts of the XXXIIIrd Internati
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INTERNATIONAL SCIENTIFICCOMMITTEEDa
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15. Bio-Psycho-Social Research in F
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52. Drug Safety and Women’s Healt
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91. Juveniles/Youth92. Law and Emot
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134. The Prognosis of Psychiatric D
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173. Understanding and Improving Us
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212. Using TJ to Improve the Crimin
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Spinoza’s Ethics and Mental Healt
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By the end of the twentieth century
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understanding of how the discipline
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Criminal Responsibility and Ethics:
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It is a tacit belief amongst member
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Hoarding Disorder. Discussion of ho
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enthusiasm of many public health wo
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WCCW inmate asked other inmates to
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10. The Application of Mental Healt
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The Role of Psychiatric and Psychol
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Evelyn Klein Haneveld, Van der Hoev
Page 39 and 40: 12. Assessment, Intervention, and P
Page 41 and 42: ensure that the facilitators of the
Page 43 and 44: services. In addition preliminary t
Page 45 and 46: Psychological Evidence in Psycholog
Page 47 and 48: woke up to sudden gun shots. It was
Page 49 and 50: ecause it was futile and of no medi
Page 51 and 52: used to predict attrition rates and
Page 53 and 54: In addition to their focus on gener
Page 55 and 56: There will be occasions when a livi
Page 57 and 58: The Adults with Incapacity (Scotlan
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Page 61 and 62: The phenomenon in object results ub
Page 63 and 64: Dalkilic (2008) in their review of
Page 65 and 66: antiquated, and inaccurate medical
Page 67 and 68: 25. Collaborative Care Arrangement
Page 69 and 70: Traditional research on desistance
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Page 73 and 74: dealing with the various stages of
Page 75 and 76: It Is a Different Kind of Thing: Tr
Page 77 and 78: graduate from a MHC have a reintegr
Page 79 and 80: Edwina LightPhilip BoyceAlan RosenC
Page 81 and 82: Australia has aligned “family vio
Page 83 and 84: The Rationale for a Sub-Specialty i
Page 85 and 86: Sexual Abuse of GLBT Inmates Seen a
Page 87 and 88: the court orders the keep of patien
Page 89: Michael T. Compton, George Washingt
Page 93 and 94: identified in up to 70% of clients
Page 95 and 96: the EU. This is an important area a
Page 97 and 98: The 2006 UN Convention on the Right
Page 99 and 100: ecourse to legal action are explore
Page 101 and 102: Mª da Glória da Silva, Conceiçã
Page 103 and 104: 36) Conclusion: The arsonist female
Page 105 and 106: Previous research examining the jur
Page 107 and 108: Interprofessional Collaboration on
Page 109 and 110: mandatory diabetes registry which r
Page 111 and 112: often enough and authorities are pa
Page 113 and 114: obbery or extortion. The subjects w
Page 115 and 116: when these different domains are co
Page 117 and 118: prisoners to a psychiatric prison w
Page 119 and 120: Are Negative Symptoms of Psychosis
Page 121 and 122: with no recurrence. Positive sympto
Page 123 and 124: Björn Hofvander, Lunds University
Page 125 and 126: from each of the limbs of the crimi
Page 127 and 128: Lyn Francis, University of Newcastl
Page 129 and 130: participant safety make the thought
Page 131 and 132: significant number (10%) of women w
Page 133 and 134: Perspectives of Eating Disordered C
Page 135 and 136: Terrorism cases in civilian and mil
Page 137 and 138: California’s most needy academic
Page 139 and 140: that of males. This paper empirical
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Physical Health Monitoring in Aged
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Community re-entry from prison is c
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What Do You Mean?Monica Broome, Uni
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patients, more frustrated physician
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Equity of Mental Health Care: Moral
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The Role of Empathy in Legal-Psychi
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that emphasizes development and imp
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Marion Lepage, Institut Philippe-Pi
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etween female inmates occurred on a
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two such deaths might occur in the
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The adult criminally accused person
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Cognitive and Social Deficits Assoc
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FASD Prevention, Education and Resp
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symptoms, and investigate the effec
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Gerben Meynen, Tilburg University (
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In Japan a new forensic psychiatric
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this, prison mental health in-reach
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T.B.E.*Hostility, Prejudice, Bigotr
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potential as an essential, major in
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Establishment of the Treatment of M
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The Treatment of Slaves as Human in
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the armed forces for homeless veter
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consequences of such recognition or
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dysfunctional anger, impulsive aggr
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within prison environments and two
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This paper concerns a study in whic
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Recovery based practice is being wi
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and coercive interventions. For thi
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One of the most recent innovative s
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ight combination of services and sa
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Jane McCarthy, King’s College Lon
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Incapacity Legislation and its Use
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casts the individual into the role
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the nature and aetiology of IPV is
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Matthew Mawer, Coventry University
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educed over the 2-year period. At 2
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Involuntary outpatient treatment (I
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The legal position of youth and you
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process on a human subject. Matter
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seeks to ensure the participation o
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ecidivism. Previous research (Wilso
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one TE are associated with a greate
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Sofia T. Sepanyan, University of Ca
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emotions; further, it makes that em
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observers (insofar as such emotiona
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Attachment and TraumaGuy Lord, Medi
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Complaints and disciplinary process
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The Crisis Intervention Team (CIT)
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Rationale/Background: Ethical and m
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functions. An increasing body of ev
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Victim Impact Evidence and the Limi
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Restriction, Deprivation, and Deten
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Carol Hayden, University of Portsmo
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about autonomy. This shift, in turn
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103. Longitudinal Follow-Up Studies
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A Meta-Analytic Examination of Crim
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Real-Time Change in Mental Health C
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Quality control is used to reduce v
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Social Media in the Practice of For
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Results: In the self-reported data
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91 addicted young adults (66%) disp
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hands of the U.S. government. Cultu
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Myeong-Sook Yoon, Chonbuk National
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more than holding a regular job; ac
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presentation include: comparative g
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Title T.B.A.Don Linszen, University
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generates important questions about
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Goal: The forensic psychiatric clin
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A Better Working Alliance as a Resu
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117. Non-Pharmacological Treatments
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incentivized for serving youth loca
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violent and sexual re-offending). W
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Prevalence of Anxious and Depressiv
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121. Personality and AggressionVali
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The intents of this research on the
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offender recidivism. Sexual offende
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Neuropsychology, Neuroscience, Voli
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Malingering in Psychological/ Psych
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and performance literature examines
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prevalence of PTSD in prison inmate
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Duncan Chappell, Griffith Universit
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deficiencies sufficiently important
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detected by society and used for fo
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Patients of a forensic psychiatric
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Are there differences between suici
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Introduction: In Germany there is a
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long-term prisoners in Berlin-Tegel
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chance of another timely release, e
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Disorder, or PTSD. Though they serv
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Lesch-Type II have significantly be
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Evaluation of Therapeutic Intervent
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In this presentation the practical
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Psychopathy and Behavior Problems i
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RCT results will be presented. Our
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demonstrated a positive correlation
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equirements will have been set for
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methods exist. A report will be mad
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Sandra Eldridge, Queen Mary, Univer
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Coercion Reduction: More than Inter
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and Kennedy Axis V) were gathered,
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esearch rationale for and procedure
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The Access to Justice Project is a
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assume that these differences were
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Samaritan. This session will outlin
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analyses were performed. The intern
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Alissa Schlote, Carleton University
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Code, expert opinion evidence asses
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Lydia Pomp, Stenden University and
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150. Sane Enough (for What)? Mental
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Cheryl E. Amana-Burris, North Carol
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152. Self and Other: Conceptual and
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Yuck!: The Nature and Moral Signifi
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Prosecuting Sexual Assault: The Pre
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The Relevance of Interpersonal Styl
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study design, and recidivism were i
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Terry R. Bard, Harvard Medical Scho
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Some jurisdictions are implementing
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Jessica Huening, Rutgers University
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promoted gendered inequality. In th
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The number of suicides in Japan has
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help living a meaningful life and d
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Purpose: This study (1) examines th
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significant vice case in Amsterdam)
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164. TerrorismThe Nexus between Ter
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Frances P. Bernat, Texas A & M Univ
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Emotional Correlates of Radicalizat
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ights extremists. The vast majority
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323 EPA patients in care (in Amster
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elationship and secondly, the impac
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(2002), who developed the Accelerat
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Parolee Treatment Outcomes: The Imp
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Chris Veeh, University of Kansas (v
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173. Understanding and Improving Us
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Victoria, Australia involving almos
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variable practice, resource constra
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The ‘social model of disability
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their human rights. The implication
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Mental Health Issues of Incarcerate
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Boys consistently report higher rat
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Neal Feigenson, Quinnipiac Universi
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children in Warsaw had taught him t
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Omar Sultan Haque, Harvard Medical
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other non-smiling members. Witnesse
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PTSD disrupts the dynamics of home
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The juvenile justice system is desi
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evidence about what legal models
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Teaching Modern Legal Skills to Law
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184. Changing the Profession and th
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learn active, empathic listening. T
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oader tribunal tradition. The notio
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strengthening the role and responsi
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David Yamada, Suffolk University (d
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as well as the legislature brought
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United States, these courts vary gr
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And as such, they could certainly b
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ever increasing adversarial aspects
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Judging in Tribal Healing to Wellne
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adolescentes que infringen la ley p
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José Ignacio Lijarcio, Universidad
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La ley Integral contra la violencia
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Antonio Herrera, Universidad de Gra
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Victòria Lerroux, Colegio Oficial
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prevención no es algo nuevo, sino
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Ellen Waldman, Thomas Jefferson Sch
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Could Problem Solving Become a Prob
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family law, or the use of mediation
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Podemos definir la conformidad como
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mismas una solución que implique l
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To Compensate without to Aggravate:
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contradictory debate, whereas decis
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professionals, potential jurors ten
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Visual law, a branch of multisensor
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egards the second question, further
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eframe discussion of value-based in
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Approaching this case study with a
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204. TJ & Criminal Procedure: Inter
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205. TJ and the Judicial Process in
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the child - is rarely achieved thro
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Using Communication Models to Teach
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In November 2010, the Hogg Foundati
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Law or Sentencing Advocacy? Involun
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een heavily and recurrently critici
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Restorative Justice in Northern Ire
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Jason Holmes, Phoenix School of Law
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Therapeutic Jurisprudence: An Empir
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punishment as an additional source
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TJ and the Treatment of Combat Vete
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Since the law 11.343/06, Brazil has
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Nieke Elbers, VU University (n.elbe
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In identifying what may increase la
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Caroline Larue, Université de Mont
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M. Daigle, Université du Québec
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competencia o capacidad es uno de l
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personas que cursan con reposo labo
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diabetes; glicemia en sangre, etc.
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Gonzalo Arroyo Curutchet, Hospital
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Hospitales Psiquiátricos Penitenci
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Coerción percibida y Efectos Psico
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dicha Convención, exponen a un deb
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El aumento de la proporción de las
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