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Chapter 49. Forensic Addiction Psychiatry

Avram H. Mack, M.D.; Monica Barros, M.D.
DOI: 10.1176/appi.books.9781585623440.359350

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Excerpt

There is an increasing probability that the addiction clinician will, willingly or not, come into contact with legal issues in the course of practice. This reflects many trends, including the widespread use of substances of abuse, increases in the prison population, increase in litigation, and professional interest in forensic psychiatry. After all, violence, suicide, interpersonal conflicts, lawsuits, psychiatric commitment, and even crimes (and sentences) are often a part of the lives of those who misuse substances. Traditionally, such involvement has been divided into the realm of either the expert forensic consultant or the clinician. With the growth of systems for mandated treatment as "diversion" from judicial interventions (e.g., drug courts; see Chapter 33 in this volume, "Community-Based Treatment"), this dichotomy has been blurred further, and many more addiction psychiatrists may be formally engaged in forensic psychiatry. At a minimum, such work requires solid clinical skills, but it also requires an adequate familiarity with one's role in the legal system.

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Table Reference Number

Being engaged in forensics has risks and liabilities.

Know your audience to communicate suitable information.

Substances of abuse increase the risk of violence in individuals.

Correctional settings vary in the status of the individual.

Special types of mandated treatment and "diversion" may have effects on reducing recurrent criminal behavior.

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Sample questions:
1.
In forensic practice, the clinician needs to be mindful of the possible differences in the definitions of common clinical terms. Which of the following statements is false?
2.
The relationship between mental illness, substance abuse, and violent behavior remains controversial. Which of the following statements is false?
3.
Which of the following is not an example of a circumstance where a drug-using defendant may claim involuntary intoxication as a criminal defense strategy?
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