Therefore, experts should be aware of how closely the evaluee resembles the sample on which a given test is based. In very difficult cases, inpatient assessment should be considered, if possible, as psychotic symptoms are extremely difficult to fabricate and sustain while under constant, intensive observation. Collateral information may add to or complement the evaluee's account and may be compared with the evaluee's account to help detect malingering and assess reliability. PMID: . The observations of hospital staff or of professionals in a correctional setting often complement the evaluee's presentation in the course of an interview; hence, any such useful observations may be included in the report. In contrast, in forensic psychiatry, individuals encountered may have ID that has not yet been diagnosed. In criminal assessments, the history of offenses by the evaluee may be included. Dietz PE. Seek collateral sources of information. The evaluator may recommend placing conditions on a return to work, such as the employee's continued acceptance of treatment and implementation of a workplace monitoring agreement.45. In conversion disorder, there is often a history of conversion symptoms and evidence of repression and dissociative phenomena, with mutism being one of many symptoms. An assessment of an evaluee's competence to manage financial affairs requires questioning about his awareness of his financial situation, as well as broader questioning about areas that may be affected by specific psychiatric symptoms. Such a differential diagnosis requires a thorough history and physical examination, using collateral sources to compensate for the patient's potential difficulties with self-reporting.161 The evaluee's regular caregivers can contribute data to aid in comparing the evaluee's acute presentation with baseline condition and level of function. /Ascent 682 /PageLabels 183 0 R Insanity Defense Evaluations - Basic Procedure and Best Practices If the evaluee insists on recording the interview, the evaluator may need to consider audio- or video-recording as well. Depending on the type of criminal forensic assessment, there may be a need for more or less information related to the circumstances leading to the criminal charge(s). Furthermore, some evaluees may overstate or exaggerate their level of functioning before the incident in question, particularly in cases in which a head injury is the alleged cause of disability.76,77 As with the psychiatric history, the forensic evaluator should determine what treatment the evaluee received (or is currently receiving) for relevant medical conditions, with a view to assessing whether the condition or the treatment may have contributed to related psychiatric disorders.
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aapl practice guideline for the forensic assessment