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Lecture

Forensic Class 6.odt

4 Pages
140 Views
Winter 2012

Department
Psychology
Course Code
PSYC 2400
Professor
Kevin Nunes

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Forensic Psychology
Lecture: Mental Illness
February 28,2012
Zapf, P. A., Roesch, R., & Viljoen, J. L. (2001). Assessing fitness to stand trial: The utility of the Fitness Interview Test
(revised edition). The Canadian Journal of Psychiatry, 46, 426-432.
Mental Illness
Purpose
Examine the accuracy of the Fitness Interview Test, revised edition (FIT-R) as a screening
instrument for assessing as a screening instrument for assessing fitness to stand trial.
Study 1 Participants
100 men remanded to Forensic Psychiatric Institute (FPI) in BC between 1994 and 1995
Most were single (54.5%), white (64%), and unemployed (67%) at time of admission
Mean age = 34.4 years (SD = 11.07)
Paid $5
Study 1 Measures
Fitness Interview Test – Revised (FITR)
Structured Clinical Interview for DSMIII-R-Patient Edition (SCID-P)
FIT-R (Roesch et al., 1998)
Screening measure
Semi-structured interview assesses 6 psychological abilities in CCC fitness standard
Three sections evaluate individual’s
1. Understanding of the nature and object of proceedings
2. Understanding of possible consequences of proceedings
3. Ability to communicate with counsel
If accused has a mental disorder and it results in impairment on any one of the 33 legal
components then may be unfit legal components, then may be unfit to stand trial
Study 1 Procedure
FIT-R and SCID-P administered by trained clinical psychology doctoral students
– Unfit = met criteria for mental disorder (SCID-P) and impaired on 1 or more of 3 psycholegal
abilities (FIT-R)
Coded official determination of fitness in the institution-based evaluation at FPI
Study 2 Participants
100 men remanded to FPI between 1997 and 1998 identified as suffering from psychotic
symptoms at admission
Most were single (69.1%), white (72%), and unemployed (78.3%) at time of admission
Mean age = 34.49 years (SD = 10.23)
Paid $5
Study 1 Measures
• FIT-R
• Brief Psychiatric Rating Scale (BPRS)

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Description
Forensic PsychologyLecture Mental IllnessFebruary 282012Zapf P A Roesch RViljoen J L 2001 Assessing fitness to stand trial The utility of the Fitness Interview Test revised edition The Canadian Journal of Psychiatry 46 426432 Mental IllnessPurposeExamine the accuracy of the Fitness Interview Test revised edition FITR as a screening instrument for assessing as a screening instrument for assessing fitness to stand trialStudy 1 Participants100 men remanded to Forensic Psychiatric Institute FPI in BC between 1994 and 1995 Most were single 545 white 64 and unemployed 67 at time of admissionMean age344 years SD1107Paid 5Study 1 MeasuresFitness Interview TestRevisedFITRStructured Clinical Interview for DSMIIIRPatient Edition SCIDPFITR Roesch et al 1998Screening measureSemistructured interview assesses 6 psychological abilities in CCC fitness standardThree sections evaluate individuals1 Understanding of the nature and object of proceedings2 Understanding of possible consequences of proceedings3 Ability to communicate with counsel If accused has a mental disorder and it results in impairment on any one of the 33 legal components then may be unfit legal components then may be unfit to stand trialStudy 1 ProcedureFITR and SCIDP administered by trained clinical psychology doctoral students Unfitmet criteria for mental disorderSCIDP and impaired on 1 or more of 3 psycholegal abilities FITRCoded official determination of fitness in the institutionbased evaluation at FPIStudy 2 Participants100 men remanded to FPI between 1997 and 1998 identified as suffering from psychotic symptoms at admissionMost were single 691 white 72 and unemployed 783 at time of admissionMean age3449 years SD1023Paid 5Study 1 Measures FITR Brief Psychiatric Rating Scale BPRS
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