Forensic Issues Discussion Assignment

Forensic Issues Discussion Assignment

Respond to this discussion by. Providing at least two additional treatment strategies that could be used with this client and at least one additional cultural influence that you think should be considered. Explain your responses.Forensic Issues Discussion Assignment

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Forensic Issues
The topic selected for this discussion is forensic issues. For this discussion, forensic issues will be defined as legal proceedings involving children and adolescents that require expert psychiatric evaluation and reporting of findings to either a court system or and agency requesting the evaluation. Examples of forensic issues include child custody issues, juvenile justice, child maltreatment, school bullying, and personal injury (American Academy and Adolescent Psychiatry (AACAP), 2011) Forensic Issues Discussion Assignment. A child and adolescent psychiatrists including any child mental health professional who perform forensic evaluation is referred to as a forensic evaluator. Unlike a psychiatrist who serve as a therapist, the role of a forensic evaluator is to objectively report psychological assessment findings to the court or legal department requesting expert opinion. Forensic Issues Discussion Assignment
Psychological Issues
Most children taken into custody by the juvenile court system, including children who have been victims of abuse and or neglect, or those from divorced homes, experience more psychological issues compared to those of the public (Sadock, Sadock, & Ruiz, 2014). Children in juvenile justice systems for example experience a higher rate psychiatric disorders such as depression, substance use, suicidal ideation. They also have a higher chance to have been victims of physical and sexual abuse, have poor academic performance, and experience rate of family conflict (Sadock, Sadock, & Ruiz, 2014). Forensic Issues Discussion Assignment
Assessment Measure and Rationale
In forensic issues related to bullying for example, expert evaluation from a forensic evaluator may be needed to assess the psychological damage of the bullying to the victim. Considering suicide remains the most lethal psychological issue related to adolescents with forensic issues, it is very crucial to screen for depression and suicidal ideation and provide treatment recommendations to any individual who is exhibiting these symptoms. Screening test such as the patient Health Questionnaire (PHQ-9) can be used because it screens for both depression and suicide and it is a self-administered test which is easy to use. The numerical responses of the questionnaire are added by the evaluator to determine severity of symptoms which ranges from 1-4 (minimal depression); 5-9 (mild depression); 10-14 (moderate depression); 15-19 (moderately severe depression); and 20-27 (severe depression) (Substance Abuse and Mental Health Services Administration (SAMHSA), 2017). Forensic Issues Discussion Assignment
Available Treatment Options
Treatment options for individuals with forensic issues may involve immediate hospitalization in an acute care psychiatric center, disposition to a juvenile detention correctional facility for rehabilitation and not punishment, foster home placement, group home placement, or referral to other outpatient psychiatric mental health treatment centers (Sadock, Sadock & Ruiz, 2014). Cognitive behavioral therapy, group therapy, individual therapy, and family therapy in conjunction with psychotropic medications may be beneficial for most individuals with mood disorders or other mental health conditions resulting from forensic issues (King & Vidourek, 2012). Most individuals are assigned to a case worker who manages client’s care (Sadock, Sadock & Ruiz, 2014).Forensic Issues Discussion Assignment
Impact of Culture and Treatment
When dealing with minority clients, the evaluator should ensure that the client can understand the language of the dominant culture instead of making assumptions. Lack of comprehension of the mainstream language can cause the client or a minority parent to accept whatever forensic evaluator or authority figure is saying despite lack of understanding of its implications. Therefore, the use of interpreters should be considered for clients with limited English proficiency. Such interpreters should not be relatives of those involved in the issue at stake such as the use of children with parents battling custody issues (Sadock, Sadock & Ruiz, 2014). Forensic Issues Discussion Assignment