PSYC 353 Lecture Notes - Jared Lee Loughner, Diminished Responsibility, Irresistible Impulse

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Need for treatment sufficient for involuntary hospitalization before 1969. People with supposedly deviant behavior or views different from society (socialist, communist) could be hospitalized against their will. No access to appeals or hearing processes. Now individuals must (at least one: have grave disability (basic needs can"t be met), be a danger to self or to others. Wyatt standards- right to treatment: humane psychological and physical environment, qualified and sufficient staff for treatment, adequate treatment plan specifically designed for them, minimal restriction of freedoms. Right to refuse treatment- informed consent: patient understands what treatment is, benefits and risks, and agrees to conditions. Mental illness don"t commit violent acts at a significantly higher rate than normal population, is only slightly higher. Higher after immediate discharge after treatment and because of substance abuse. Understanding what is happening to them in a courtroom. Capacity to participate in their own defense.

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