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Research ArticleRegular Articles

Legislative Advocacy and Forensic Psychiatry Training

Jennifer Piel
Journal of the American Academy of Psychiatry and the Law Online June 2018, 46 (2) 147-154; DOI: https://doi.org/10.29158/JAAPL.003741-18
Jennifer Piel
Dr. Piel is Assistant Professor and Associate Psychiatry Residency Training Program Director, Department of Psychiatry and Behavioral Sciences, University of Washington, and Staff Psychiatrist, VA Puget Sound Health Care System, Seattle, WA.
JD, MD
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    Table 1

    Relevant ACGME Guidelines and Milestones in Psychiatry and Forensic Psychiatry: Advocacy, Legislation, and Regulation

    1. ACGME program requirements for graduate medical education in psychiatry, 20174
        IV.A.5.f).(4)Advocate for quality patient care and optimal patient care systems
        IV.A.5.f).(10)Advocate for the promotion of mental health and the prevention of mental disorders
    2. ACGME and ABPN: the psychiatry milestone project, 20155
        MK6 4.2/CDescribes professional advocacy*
        MK6 5.2/CProposes advocacy activities, policy development or scholarly contributions related to professional standards
        SBP2 5.2AAdvocates for improved access to and additional resources within systems of care
        PROF2 5.3/BParticipates in the professional community (e.g., professional societies, patient advocacy groups, and community service organizations)
    3. ACGME program requirements for graduate medical education in forensic psychiatry, 201613
        IV.A.2.b).(1).(h)Legal regulation of psychiatric practice
        IV.A.2.b).(2)Must demonstrate competence in their knowledge of the legal system related to forensic psychiatry, including … (f) fundamentals of laws, statutes, and administrative regulations
    4. ACGME and ABPN: The forensic psychiatry milestone project, 20156
        PROF2 4.2BParticipates in the primary specialty and forensic psychiatric professional community (e.g., patient advocacy groups, community service organizations)
        SBP2 5.1Advocates for improved access to, better allocation of, and, as appropriate, additional resources within forensic and community systems of care
        MK1 1.1/A,B,CDemonstrates basic knowledge of the legal regulation of psychiatric practice
        MK1 2.2/ADemonstrates knowledge of basic concepts and sources of law and the court structure
        MK1 3.2ADemonstrates knowledge of jurisdiction, constitutional principles, and relevant state and federal laws
        MK1 5.1/ADemonstrates sufficient knowledge to provide assistance in the drafting of legal briefs, statutes or regulations
        PBLI1 5.3/BIndependently teaches appraisal of clinical evidence and legal developments
    • ↵* “Advocacy includes efforts to promote the wellbeing and interests of patients and their families, the mental health care system, and the profession of psychiatry. While advocacy can include work on behalf of specific individuals, it is usually focused on broader system issues, such as access to mental health care services or public awareness of mental health issues. The focus on larger societal problems typically involves work with policy makers (state and federal) and peer or professional organizations (American Psychiatr[ic] Association (APA), National Alliance on Mental Illness (NAMI), etc” (Ref. 5 at 20-1).

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    Table 2

    Goals and Objectives: Legislative Advocacy Track

    Goals
        To learn more about psychiatry and the law, including legislative advocacy related to mental health law
    Objectives
        To understand the U.S. legal structure and sources of law
        To become familiar with theories of statutory interpretation and the role of courts in interpreting statutes
        To understand the legislative process
        To understand how medical and legal research may be used to support, refute, or analyze legislative proposals
        To develop research skills using both medical and legal sources
        To define legislative advocacy
        To become familiar with organizations and agencies involved in mental health legislation
        To complete a written project focused on legislative advocacy in mental health law
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    Table 3

    Legislative Advocacy Track: Activities to Fulfill Project Requirement

    Review current legislation and explain the anticipated effect on the practice of psychiatry or patients
    Review current legislation and recommend and explain revisions
    Draft proposed legislation or an amendment to existing law and explain why it should be enacted
    Analyze viewpoints of stakeholders involved in current legislation and develop a plan to support or oppose the viewpoints
    Submit op-ed articles to local newspapers addressing active legislation or recently enacted legislation
    Write a persuasive paper for lawmakers to educate them on the ramifications of a bill
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Journal of the American Academy of Psychiatry and the Law Online: 46 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 46, Issue 2
1 Jun 2018
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Legislative Advocacy and Forensic Psychiatry Training
Jennifer Piel
Journal of the American Academy of Psychiatry and the Law Online Jun 2018, 46 (2) 147-154; DOI: 10.29158/JAAPL.003741-18

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Legislative Advocacy and Forensic Psychiatry Training
Jennifer Piel
Journal of the American Academy of Psychiatry and the Law Online Jun 2018, 46 (2) 147-154; DOI: 10.29158/JAAPL.003741-18
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