Introduction to Forensic Psychiatry - Northern Deanery

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Overview• History• Development of the ‘secure Hospital’• McNaughton’s rules• What do we do• Secure Hospitals• Prison Psychiatry• MAPPA• Some medico legal issues• RISK ASSESSMENTPratish Thakkar
History• The Act for the Safe Custody of Insane Persons Charged withOffences (39 & 40 Geo III c.94) 1800• Following the trial of Hadfield– Charged with high treason– Discharged a pistol at King George III– h/o head injury– Episodes of madness– He ought to die to save the world but not by his own hand• Found ‘not guilty’. Disposal problems.• Admitted to Bethlem. He escaped.• Returned to prison.• Asylum managers expressed concerns– Private patients– Additional securityPratish Thakkar
Page 1: Forensic Psychiatry:an introduction
Page 5 and 6: History- Broadmoor• 1863- 400 men
Page 7 and 8: Insanity• Daniel McNaughton- Scot
Page 9 and 10: Secure Hospitals• 3 types of secu
Page 11 and 12: Special Hospital• Mental health s
Page 13 and 14: Community Forensic Psychiatry Servi
Page 15 and 16: Prison Psychiatry• Historically p
Page 17 and 18: Single casesMichael StoneLin & Mega
Page 19 and 20: DSPD• DSPD intended to address: T
Page 21 and 22: MAPPA• 3 categories of offenders
Page 23 and 24: Expert witness• Psychiatric defen
Page 25 and 26: Risk Assessment‘Risk assessment
Page 27 and 28: Process of Risk Assessment• The a
Page 29 and 30: Approaches to Risk Assessment• Un
Page 31 and 32: Actuarial• Formal / equation-form
Page 33 and 34: AnamesticProcess of gathering detai
Page 35 and 36: Standardized Risk Assessment Tools
Page 37 and 38: The factors• Historical: previous
Page 39 and 40: No risk assessment should rely sole
Page 41: Thank you !Pratish Thakkar

Introduction to Forensic Psychiatry - Northern Deanery

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