Article Figures & Data
Figures
- Figure 1.
Rates of individuals with mental illness in long-term facilities including jail and mental hospitals. Reprinted, with permission from Texas Law Review, Austin, TX: University of Texas, 2006.7
Tables
Common Medicolegal Areas Reported Being Taught About Area (%) Reported Having Clinical Experience in Area (%) Violence risk assessment 74.8 51.3 Correctional psychiatry 23.8 28.7 Not criminally responsible/fitness evaluation(competency to stand trial) 79.7 43.4 Paraphilias/sex offenders 55.9 27.3 Testifying to courts/tribunals 30.8 24.5 Civil commitment 49.0 39.2 Confidentiality/duty to warn 81.1 61.5 Informed consent 79.7 78.3 Disability evaluation 18.9 25.9 Malpractice/negligence 47.6 4.9 N = 143.
- Table 2
Resident Attitudes Toward Medicolegal Topics and the Correlation to Teaching Exposure and Clinical Experience
Statements Regarding Medicolegal Topics % Residents Agreeing With Statement Taught About Specific Forensic Area Had Clinical Experience in Specific Area Violence Risk Assessment NCR and Fitness Evaluations Correctional Psychiatry Paraphilias and Sex Offenders Violence Risk Assessment NCR and Fitness Evaluations Correctional Psychiatry Paraphilias and Sex Offenders I feel comfortable dealing with most forensic matters (n = 137) 24.8 .04 .17* .11 .18* .13 .40** .24** .19* Forensic subjects interest me (n = 139) 71.2 .05 .04 .09 .11 .06 .32** .27** .06 I would have liked more forensic psychiatry experience in my training (n = 138) 63.0 .04 .03 −.17* −.14 −.02 .04 −.12 −.07 Some forensic psychiatry clinical training should be mandatory for all trainees (n = 140) 80.7 .15 .03 .10 .02 .07 .14 .08 .13 I prefer not to deal with forensic topics (n = 139) 31.7 −.12 .06 −.05 −.02 −.17* −.25** −.23** −.10 I was aware that a rotation in forensic psychiatry could satisfy the “severe and persistent mental illness” requirement of training (n = 131) 48.9 −.03 −.05 .16 .14 .03 .12 .30** .07 I would not choose forensic psychiatry as a career primarily because I would worry about the safety of my family and myself (n = 137) 25.5 −.18* .01 −.06 −.08 −.08 −.12 −.13 −.09 The idea of testifying in court intimidates me (n = 133) 73.7 .02 −.06 .05 −.04 .05 .02 .01 .05 Forensic patients are not easy to like (n = 137) 29.2 −.14 .05 −.01 −.07 −.10 −.17* −.13 −.14 Criminals are unlikely to have a psychiatric illness (n = 136) 2.9 .13 .02 .00 −.03 −.02 −.02 .06 .07 I would prefer not to work with people with criminal histories (n = 134) 24.6 −.08 .04 .11 −.03 −.15 −.15 −.13 −.03 I would likely try to avoid offering services to people with criminal histories (n = 136) 7.4 −.20* −.16 −.04 .00 −.21* −.17* −.11 .04 I would be likely to try to avoid offering consultation or treatment to individuals in prison (n = 134) 28.4 −.06 −.04 .04 −.17* −.07 −.28** −.11 −.06 I would be likely to try to avoid offering consultation or treatment to people leaving prison (n = 135) 17.8 −.11 −.06 .00 −.07 −.17* −.33** −.09 −.16 Sex offenders are unlikely to have psychiatric illness (n = 134) 1.5 −.09 −.08 −.06 −.06 −.04 −.04 −.05 .15 I would prefer not to work with people with sexual offences (n = 134) 43.3 −.01 .08 .07 −.10 −.12 −.20* −.13 −.04 I would likely try to avoid offering services to people with sexual offences (n = 133) 20.3 −.03 −.02 −.04 −.04 −.01 −.16 −.14 −.01 I feel comfortable treating sex offenders for comorbid illness such as mood, anxiety, substance or psychosis (n = 132) 54.5 .03 .09 .03 .22* .04 .18* .01 .09 The criminal justice system is too lenient on sex offenders (n = 130) 30.8 .04 −.02 −.02 −.04 .07 −.15 .03 −.07
