HOSPITALS

YEAR
HOSPITALS
AUTHOR SOURCE SELECTION ABSTRACT
2009 Forensic evaluation of patients' inconsistent behavioral patterns by the multidisciplinary staff in a psychiatric hospital-introducing a new checklist Igor Salganik PhD
Gregor Velkovsky MD
Herman Farkash MD psychiatry journal 6219 Malingering is often suspected in a diagnostic evaluation of a defendant to determine legal responsibility. This article focuses on inconsistencies in symptom presentation, history, and heteroanamnesis of an examinee as pos-sible cues for considering this diagnosis. A case is presented of a defendant who was admitted to a closed psychogeriatric ward under court order due to being held not legally responsible for his alleged crime. The coordinated teamwork of the multidisciplinary staff on the ward revealed major incon-sistencies in the defendant s symptom representation and behavioral pat-terns, which resulted in his reevaluation as a malingerer and consequent legal prosecution. Clinical recommendations are made for the diagnostic evaluation of a defendant within the inpatient setting, and a new checklist specially designed for this purpose is presented.

2009 Sex offender treatment at a State Hospital in California-legal, clinical and practical issues Richard May MD psychiatry CD 10554 Sexually violent predators (SVPs) are considered a small but extremely dangerous group of people who have committed certain specific crimes and suffer a certain type of serious mental illness. Their treatment is unique and entails multiple clinical, legal, and practical issues that are interrelated. Periodic monitoring of SVP s mental condition by one or more forensic evaluators is required for different reasons. The basis of this comprehensive forensic evaluation will be presented, including the need for such evaluations. California s SVP Act and amendments to it by the legislature in 2006 will be discussed. Relevant landmark cases that highlight different legal criteria, standards or concepts related to SVPs will be presented. Richard D. May, M.D. is on the staff of Coalinga State Hospital and has been involved with the management of SVPs in particular.

2007 Panel Discussion on the "Recovery Model"ß in Atascadero Hospital Mark Becker PhD
Telford I Moore PhD
William Marek PhD psychology 10357 no abstract

2007 Violent attacks in psychiatric and other hospitals Ralph Slovenko PhD, JD psychiatry CD 10682 Violent attacks in psychiatric and other hospitals by patients on staff or other patients is increasingly a matter of concern. While the actual number of attacks in hospitals is inex act--there is no national reporting system by which hospitals in general, or psychiatric facilities in particular, must report incidents of violence--it is considered to be extensive. This presentation discusses civil and criminal law remedies with reference to a number of recent cases.

2000 Role of media and hospital exposure on Rorschach response patterns by patients reporting satanic ritual abuse Frank Leavitt PhD psychology journal 6003 Patients reporting satanic ritual abuse draw on a perceptual information base that differs from that used by other psychiatric patients.

1997 Civil commitment- involuntary hospitalization of the mentally ill- study of 1100 subjects Annette Crisanti
psychiatry tape 1297 Involuntary hospitalization of the mentally ill has been a contentious issue for decades. Hundreds of discussion papers dealing with history, legal aspects and clinical implications abound.

1995 Hospitalized patients and right to sexual interaction Professor Michael L. Perlin
psychiatry tape 1332 no abstract at this time

1995 A comparison of suiciders, suicide attempters, and nonattempters in a forensic psychiatric hospital Valerie Klinge PhD psychiatry journal 526 The present study compares behavioral, clinical and demographic variables in three groups of male forensic psychiatric inpatients: those who committed suicide, those who attempted suicide, and those who had made no attempts. This research is based on a descriptive study of suiciders completed earlier at this facility, which emphasized the need for control groups. Results are discussed in terms of the role the hospital environment can play in modifying the contextual variables in which the suicide attempts occur.

1993 Multiple Personality Disorder- a forensic psychiatric hospital Edwin deBroize, PhD
psychology tape 1395 Multiple Personality Disorder is a controversial diagnosis and the rate of occurrence in the population is unclear. It has been reported that up to nine out of ten patients with this diagnosis are women. Some researchers have hypothesized that males with this disorder are likely to be found in the prisons. This study finds a prevalence rate of about 18% among hospitalized forensic patients. The implications of such a high prevalence of MPD among male forensic patients are enormous in terms of diagnosis and treatment of these patients, as well as possible legal ramifications for individual patients.

1993 Admissions, court referrals and civil commitments in public and private psychiatric hospitals in southern Nevada Franklin Master MD
psychiatry journal 232 The authors, both of whom are regular court commitment examiners, studied available commitment data for both public and private psychiatric hospitals in Las Vegas, Nevada to determine whether, as alleged in the media, there had been abuse of commitment procedures by private hospitals. The findings raise a number of issues, some of which appear to be explainable in terms of differences between patient populations between the two types of institutions.

1992 Civil commitment of patients to private psychiatric hospitals-abuses of the system Franklin Master MD psychiatry tape 1937 With the great increase in the number of private psychiatric hospitals in the United States, much attention has recently been given to abuses of health care and questionable motives for admitting and releasing voluntary psychiatric patients. In a number of these facilities, patients were held for a longer period of time than expected and released only after family members secured court orders. Other abuses have included "luring" patients by means of promotional claims and by "paid referrals." The speakers are both court-appointed examiners in Las Vegas, Nevada with caseloads of patients for civil commitment.

1990 Topics in hospital and correctional psychiatry Harold A Pike MD psychiatry tape 1721 Issues related to psychiatric care of mentally ill patients in confinement: security, professional staff attitudes; right to refuse treatment/ medications; assaultive and disruptive behavior; dangerousness and release to the community of penal code patients; use of hospital charts in treatment

1990 Right to refuse treatment- Riese v. St. Mary's Hospital Telford Moore PhD psychology tape 1761 A recent California decision upheld the right of involuntarily detained psychiatric patients to refuse psychotropic medications. Exercise of this right often runs counter to patients' rights to receive treatment and to the duty and obligation of the health professions to provide such treatment. This problem is examined according to the principles of autonomy and beneficence.

1990 Clinical study of competency to consent to voluntary psychiatric hospitalization Michael Norko MD,
Sephen Billick MD
Richard McCarrick MD
Michael Schwartz MD psychiatry journal 5242 The authors used a questionnaire instrument to evaluate competency to consent to hospitalization in 100 voluntary psychiatric inpatients. they report that 90 percent of the subjects met clinically-oriented criteria for competency, but only 18 percent met legally-oriented criteria. Ten to twenty percent of the subjects would not meet any meaningful criteria of competency.

1990 Dangerousness and Discharge-Patton State Hospital Forensic Center (40 pages) August Kasper MD, Chief of Medical Educaton-Patton State Hospital psychology journal 8145 no abstract

1989 Emergency use of seclusion and restraint in a California State Hospital Bruce Danto MD psychiatry journal 5016 Author reviews departures from reasonable standard of care for the seclusion and restraint of violent and suicidal patients from correctional facilities. Clinical material from the author's forensic investigation of three hospitals in a large eastern city is discussed. Suspected seriously mentally ill offenders with histories of suicidal or violent behavior were admitted to these hospitals.

1987 Mathari Psychiatric Hospital, Kenya development of a forensic unit Dr G Mustafa psychiatry journal 5234 Author discusses management of an intensive security unit of 350 beds that functions as part of a large psychiatric hospital in Kenya. Newly admitted patients are prison transfers.

1987 Competency screening test-application to a state maximum security hospital population CR Paramesh PhD psychology journal 5195 The Competency Screening Test contains seven questions which provide this instrument with its principal differentiating power. Use of these seven questions only slightly reduces the test's predictive power while consuming much less of the defendant's time. The shortened version suggested may enable enable patients to remain more cognitively organized and thereby produce fewer answers reflecting their pathology. Author notes that it is important to keep testing subordinate to the overall assessment process so that testing supplements decision-making rather than becoming its substitute.

1985 Staff defensiveness and legal advocacy in a California State Hospital Matthew Maibaum PhD psychology journal 5162 There are patients in state and private institutions who face denial of legal rights and who encounter active physical or mental abuse from staff members. There are staff who devalue the efforts of patient advocates, who make access to patients extremely difficult, who deny the very need for advocacy services and who shun the advocate out of fear of discovery of abuse or of prosecution.

1983 Legal status and patient behavior at the time of hospitalization Berram Stoffelmayr PhD
David Roth PhD psychology journal 5289 Study shows that involuntary patients are more dangerous and less able to care for themselves. And the main determinants for commitment were behaviors neither described in the mental health codes nor usually referred to in the literature when discussing the need for involuntary hospitalization.

1981 110 murderers in a psychiatric hospital Donald Allison MD psychiatry journal 10304 A 10-year longitudinal study of 110 murderers, 59 of whom were criminally insane Our sample of 110 murderers showed only two incidents of minor assault after release.

Managing the growing insanity acquittee crisis in our public psychiatric hospitals Vicki Roberts M.Ed. LPC

no abstract

YEAR	HOSPITALS	AUTHOR	SOURCE	SELECTION	ABSTRACT
2009	Forensic evaluation of patients' inconsistent behavioral patterns by the multidisciplinary staff in a psychiatric hospital-introducing a new checklist	Igor Salganik PhD Gregor Velkovsky MD Herman Farkash MD	psychiatry journal	6219	Malingering is often suspected in a diagnostic evaluation of a defendant to determine legal responsibility. This article focuses on inconsistencies in symptom presentation, history, and heteroanamnesis of an examinee as pos-sible cues for considering this diagnosis. A case is presented of a defendant who was admitted to a closed psychogeriatric ward under court order due to being held not legally responsible for his alleged crime. The coordinated teamwork of the multidisciplinary staff on the ward revealed major incon-sistencies in the defendant s symptom representation and behavioral pat-terns, which resulted in his reevaluation as a malingerer and consequent legal prosecution. Clinical recommendations are made for the diagnostic evaluation of a defendant within the inpatient setting, and a new checklist specially designed for this purpose is presented.
2009	Sex offender treatment at a State Hospital in California-legal, clinical and practical issues	Richard May MD	psychiatry CD	10554	Sexually violent predators (SVPs) are considered a small but extremely dangerous group of people who have committed certain specific crimes and suffer a certain type of serious mental illness. Their treatment is unique and entails multiple clinical, legal, and practical issues that are interrelated. Periodic monitoring of SVP s mental condition by one or more forensic evaluators is required for different reasons. The basis of this comprehensive forensic evaluation will be presented, including the need for such evaluations. California s SVP Act and amendments to it by the legislature in 2006 will be discussed. Relevant landmark cases that highlight different legal criteria, standards or concepts related to SVPs will be presented. Richard D. May, M.D. is on the staff of Coalinga State Hospital and has been involved with the management of SVPs in particular.
2007	Panel Discussion on the "Recovery Model"ß in Atascadero Hospital	Mark Becker PhD Telford I Moore PhD William Marek PhD	psychology	10357	no abstract
2007	Violent attacks in psychiatric and other hospitals	Ralph Slovenko PhD, JD	psychiatry CD	10682	Violent attacks in psychiatric and other hospitals by patients on staff or other patients is increasingly a matter of concern. While the actual number of attacks in hospitals is inex act--there is no national reporting system by which hospitals in general, or psychiatric facilities in particular, must report incidents of violence--it is considered to be extensive. This presentation discusses civil and criminal law remedies with reference to a number of recent cases.
2000	Role of media and hospital exposure on Rorschach response patterns by patients reporting satanic ritual abuse	Frank Leavitt PhD	psychology journal	6003	Patients reporting satanic ritual abuse draw on a perceptual information base that differs from that used by other psychiatric patients.
1997	Civil commitment- involuntary hospitalization of the mentally ill- study of 1100 subjects	Annette Crisanti	psychiatry tape	1297	Involuntary hospitalization of the mentally ill has been a contentious issue for decades. Hundreds of discussion papers dealing with history, legal aspects and clinical implications abound.
1995	Hospitalized patients and right to sexual interaction	Professor Michael L. Perlin	psychiatry tape	1332	no abstract at this time
1995	A comparison of suiciders, suicide attempters, and nonattempters in a forensic psychiatric hospital	Valerie Klinge PhD	psychiatry journal	526	The present study compares behavioral, clinical and demographic variables in three groups of male forensic psychiatric inpatients: those who committed suicide, those who attempted suicide, and those who had made no attempts. This research is based on a descriptive study of suiciders completed earlier at this facility, which emphasized the need for control groups. Results are discussed in terms of the role the hospital environment can play in modifying the contextual variables in which the suicide attempts occur.
1993	Multiple Personality Disorder- a forensic psychiatric hospital	Edwin deBroize, PhD	psychology tape	1395	Multiple Personality Disorder is a controversial diagnosis and the rate of occurrence in the population is unclear. It has been reported that up to nine out of ten patients with this diagnosis are women. Some researchers have hypothesized that males with this disorder are likely to be found in the prisons. This study finds a prevalence rate of about 18% among hospitalized forensic patients. The implications of such a high prevalence of MPD among male forensic patients are enormous in terms of diagnosis and treatment of these patients, as well as possible legal ramifications for individual patients.
1993	Admissions, court referrals and civil commitments in public and private psychiatric hospitals in southern Nevada	Franklin Master MD	psychiatry journal	232	The authors, both of whom are regular court commitment examiners, studied available commitment data for both public and private psychiatric hospitals in Las Vegas, Nevada to determine whether, as alleged in the media, there had been abuse of commitment procedures by private hospitals. The findings raise a number of issues, some of which appear to be explainable in terms of differences between patient populations between the two types of institutions.
1992	Civil commitment of patients to private psychiatric hospitals-abuses of the system	Franklin Master MD	psychiatry tape	1937	With the great increase in the number of private psychiatric hospitals in the United States, much attention has recently been given to abuses of health care and questionable motives for admitting and releasing voluntary psychiatric patients. In a number of these facilities, patients were held for a longer period of time than expected and released only after family members secured court orders. Other abuses have included "luring" patients by means of promotional claims and by "paid referrals." The speakers are both court-appointed examiners in Las Vegas, Nevada with caseloads of patients for civil commitment.
1990	Topics in hospital and correctional psychiatry	Harold A Pike MD	psychiatry tape	1721	Issues related to psychiatric care of mentally ill patients in confinement: security, professional staff attitudes; right to refuse treatment/ medications; assaultive and disruptive behavior; dangerousness and release to the community of penal code patients; use of hospital charts in treatment
1990	Right to refuse treatment- Riese v. St. Mary's Hospital	Telford Moore PhD	psychology tape	1761	A recent California decision upheld the right of involuntarily detained psychiatric patients to refuse psychotropic medications. Exercise of this right often runs counter to patients' rights to receive treatment and to the duty and obligation of the health professions to provide such treatment. This problem is examined according to the principles of autonomy and beneficence.
1990	Clinical study of competency to consent to voluntary psychiatric hospitalization	Michael Norko MD, Sephen Billick MD Richard McCarrick MD Michael Schwartz MD	psychiatry journal	5242	The authors used a questionnaire instrument to evaluate competency to consent to hospitalization in 100 voluntary psychiatric inpatients. they report that 90 percent of the subjects met clinically-oriented criteria for competency, but only 18 percent met legally-oriented criteria. Ten to twenty percent of the subjects would not meet any meaningful criteria of competency.
1990	Dangerousness and Discharge-Patton State Hospital Forensic Center (40 pages)	August Kasper MD, Chief of Medical Educaton-Patton State Hospital	psychology journal	8145	no abstract
1989	Emergency use of seclusion and restraint in a California State Hospital	Bruce Danto MD	psychiatry journal	5016	Author reviews departures from reasonable standard of care for the seclusion and restraint of violent and suicidal patients from correctional facilities. Clinical material from the author's forensic investigation of three hospitals in a large eastern city is discussed. Suspected seriously mentally ill offenders with histories of suicidal or violent behavior were admitted to these hospitals.
1987	Mathari Psychiatric Hospital, Kenya development of a forensic unit	Dr G Mustafa	psychiatry journal	5234	Author discusses management of an intensive security unit of 350 beds that functions as part of a large psychiatric hospital in Kenya. Newly admitted patients are prison transfers.
1987	Competency screening test-application to a state maximum security hospital population	CR Paramesh PhD	psychology journal	5195	The Competency Screening Test contains seven questions which provide this instrument with its principal differentiating power. Use of these seven questions only slightly reduces the test's predictive power while consuming much less of the defendant's time. The shortened version suggested may enable enable patients to remain more cognitively organized and thereby produce fewer answers reflecting their pathology. Author notes that it is important to keep testing subordinate to the overall assessment process so that testing supplements decision-making rather than becoming its substitute.
1985	Staff defensiveness and legal advocacy in a California State Hospital	Matthew Maibaum PhD	psychology journal	5162	There are patients in state and private institutions who face denial of legal rights and who encounter active physical or mental abuse from staff members. There are staff who devalue the efforts of patient advocates, who make access to patients extremely difficult, who deny the very need for advocacy services and who shun the advocate out of fear of discovery of abuse or of prosecution.
1983	Legal status and patient behavior at the time of hospitalization	Berram Stoffelmayr PhD David Roth PhD	psychology journal	5289	Study shows that involuntary patients are more dangerous and less able to care for themselves. And the main determinants for commitment were behaviors neither described in the mental health codes nor usually referred to in the literature when discussing the need for involuntary hospitalization.
1981	110 murderers in a psychiatric hospital	Donald Allison MD	psychiatry journal	10304	A 10-year longitudinal study of 110 murderers, 59 of whom were criminally insane Our sample of 110 murderers showed only two incidents of minor assault after release.
	Managing the growing insanity acquittee crisis in our public psychiatric hospitals	Vicki Roberts M.Ed. LPC			no abstract