& ANSWERS(RATED A+)
Media beliefs of persons with mental disorders - ANSWER-They are of high risk and
very dangerous
truths about PMD - ANSWER-Most individuals do not engage in crime or violence
-if they engage with crime it is mainly less serious offences
Mental disorder - ANSWER-syndrome characterized by a clinically significant
disturbance to cognitions, emotions or behaviours
-causes disruption to basic functionalities of life
CJS and mental disorders - ANSWER-- many individuals experiencing MD come into
contact with the system
-over-represented in contact with police, courts and correctional system
-contact with the CJS has increased over the years
Why CJS and MD contact has increased - ANSWER-de-instituionalization... removal of
institutions set up to care for individuals with MD, resulting in a decrease of community
resources and police become first responders for MH
prevalence of MD with CJS - ANSWER-1/4 PMD are arrested in their lifetime at least
once (25%)
1/10 PMD encounter police during intro to mental health system
Types of outcomes for contact with CJS - ANSWER-1. convicted in the system
2. found unfit to stand trail (MH interferes with ability to attend court)
3. NCRMD (not criminally responsible on account of MD)
Assessment tools for outcome of trial - ANSWER-Fitness interview test revised:
-nature or object of proceedings
-possible consequences of proceedings
-communication with counsel
NCRMD:
-retrospective assessment to assess accused's state of mind
-found not responsible if MD caused individual to be incapable of appreciating the
nature of act or fact that the act was wrong
best case to deal with PMD - ANSWER-- respond to the mental disorder condition that
is causing criminal acts
-respond with an RNR model to identify RF and ways to decrease risk for future
offending
, Prevalence of NCRMD - ANSWER--very rare in Canada (<1%)
-majority of these cases were for individuals with a psychotic spectrum disorder
experiencing hallucinations and delusions
-50% of times, victim is a family or known person
hallucinations - ANSWER-false sensory experiences, such as seeing something in the
absence of an external visual stimulus
delusions - ANSWER-false beliefs, often of persecution or grandeur, that may
accompany psychotic disorders
-cannot be changed in response to evidence
issue with CJS and MD - ANSWER-data shows that MD are higher in prison samples
compared to the community samples
when was the term psychopathy first used - ANSWER-- in 1800's by Philip Pinel who
recognized individuals as "crazy without delusions"
Hervey Cleckley - ANSWER-Psychiatrist who was the first to describe psychopathy as a
mental illness in which the victim is able to appear normal, but is suffering from a deep-
seated mental disorder that is characterized by low level of guilt and conscience
-developed a checklist of 16 characteristics to identify psychopaths
main themes of MD and CJS - ANSWER--ASPD and SUD are the most common in
prison samples
-psychotic disorders are rare in prison samples
-incarcerated women are more likely to have MH issues than males
-suicide is a serious problem in Canadian prisons
RF for PMD to engage in violence - ANSWER--ASPD
-criminal history
-substance abuse
-active psychosis
Threat/control override (TCO) - ANSWER-Psychotic symptoms in which an individual
feels that their self-control is overridden by outside forces or feels they will be harmed
by others
(delusional beliefs or command hallucinations)
5 areas of assessment for violence in PMD - ANSWER-1. fitness to stand trial
2. NCRMD
3. mental health in prison (brief jail MH screen before entering the system)
4. suicide assessment
5. risk for violence (usually SPJ assessments work best for PMD)