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Research ArticleRegular Article

Immigration Judges’ Perceptions of Telephonic and In-Person Forensic Mental Health Evaluations

Aliza S. Green, Samuel G. Ruchman, Beselot Birhanu, Stephanie Wu, Craig L. Katz, Elizabeth K. Singer and Kim A. Baranowski
Journal of the American Academy of Psychiatry and the Law Online April 2022, JAAPL.210075-21; DOI: https://doi.org/10.29158/JAAPL.210075-21
Aliza S. Green
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
MD
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Samuel G. Ruchman
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
MD
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Beselot Birhanu
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
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Stephanie Wu
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
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Craig L. Katz
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
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Elizabeth K. Singer
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
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Kim A. Baranowski
Dr. Green is a first-year resident in the Internal Medicine Program, Brigham and Women’s Hospital, Boston, MA. Dr. Ruchman is a first-year resident in the Internal Medicine-Pediatrics Program, University of Colorado, Aurora, CO. Ms. Birhanu and Ms. Wu are third-year medical students at the Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Katz is Clinical Professor in the Departments of Psychiatry, Medical Education, and Health System Design & Global Health and Faculty Director of the Mount Sinai Human Rights Program’s Remote Evaluation Network, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Singer is Director of the Mount Sinai Human Rights Program and Associate Professor in the Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Baranowski is Associate Director of the Mount Sinai Human Rights Program and Faculty Director of Research, Icahn School of Medicine at Mount Sinai, New York, NY.
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    Table 1

    Domains, Categories, and Frequencies of Participants’ Attitudes

    Domain and CategoryNo. of Participants
    General preferences for affidavits
     Format affidavits for easy readability9
     Provide evidence to support conclusions9
     Include malingering assessment8
     Avoid advocacy and legal language8
     Detail evaluator qualifications7
     Provide therapeutic recommendations5
     Describe interview conditions4
    Roles of affidavits
     Provide evidence8
     Explain manifestations of trauma8
     Exist in unfair legal system7
     Streamline court proceedings5
    Appraisal of sample affidavits
     Viewed both affidavits positively9
     Rated in-person affidavit as stronger8
    Attitudes toward telephonic evaluations
     Concern about limitations of modality9
     Better than no evaluation9
     Unfamiliar with modality6
     Judge’s background informs attitudes6
    Recommendations for telephonic evaluations
     Disclose modality and explain rationale9
     Describe strategies to overcome limitations8
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Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
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Immigration Judges’ Perceptions of Telephonic and In-Person Forensic Mental Health Evaluations
Aliza S. Green, Samuel G. Ruchman, Beselot Birhanu, Stephanie Wu, Craig L. Katz, Elizabeth K. Singer, Kim A. Baranowski
Journal of the American Academy of Psychiatry and the Law Online Apr 2022, JAAPL.210075-21; DOI: 10.29158/JAAPL.210075-21

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Immigration Judges’ Perceptions of Telephonic and In-Person Forensic Mental Health Evaluations
Aliza S. Green, Samuel G. Ruchman, Beselot Birhanu, Stephanie Wu, Craig L. Katz, Elizabeth K. Singer, Kim A. Baranowski
Journal of the American Academy of Psychiatry and the Law Online Apr 2022, JAAPL.210075-21; DOI: 10.29158/JAAPL.210075-21
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Keywords

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