Bearing Witness to Change

Ezra Griffith, PhD , professor emeritus of psychiatry, Yale School of Medicine; former deputy chairman, Diversity and Organizational Ethics, Department of Psychiatry; editor, Journal of the American Academy of Psychiatry and the Law. Michael Norko, MD , associate professor of psychiatry, Yale University School of Medicine; director of forensic services, CT Department of Mental Health & Addiction Services; deputy editor, Journal of the American Academy of Psychiatry and the Law.Alec Buchanan , associate professor of psychiatry, Yale School of Medicine; former editor, Journal of Forensic Psychiatry. Madelon Baranoski, PhD , professor of psychiatry, Law and Psychiatry Division of Yale University School of Medicine; vice chair, Yale University Human Investigation Committee; director, New Haven Jail Diversion Program. Howard Zonana, MD , professor of psychiatry, Yale University, School of Medicine; clinical professor [Adjunct] of Law, Yale Law School; training director, Forensic Psychiatry Fellowship Program at Yale.

INTRODUCTION: Legacy of Change for Forensic Mental Health Professionals. SECTION 1: Major External Influences on Change in Forensic Psychiatry. The Law’s Influence on Change in Forensic Psychiatry. Contribution of Consumer Movements to Change in Forensic Psychiatry. Global Developments and Forensic Practice. The Impact of Neuroscience and Other Technological Developments on Forensic Psychiatry. Politics and Money as Change Agents in Forensic Systems. SECTION 2: Forensic Psychiatry as Its Own Change-Agent. Recent Developments in Forensic Psychiatry Ethics. Performance in Forensic Practice. The Impact of Change on Training of Forensic Psychiatrists. SECTION 3: Changes in the Traditional Evaluative and Consultative Roles of the Forensic Psychiatrist. Consultation to Civil and Criminal Courts. Veterans Courts and Military Systems.Legislative Consultation and the Forensic Specialist. Consultation to Catholic Annulments Courts and Church Systems. Management of Forensic Hospitals. SECTION 4: Forensic Practice in the Treatment and Care of Patients. Individual and Group Psychotherapy in the Forensic Hospital. Behavioral Supports for Managing Violence Risk in the Inpatient Forensic Setting. Violence Risk and Forensic Psychiatry. The Changing Role of Forensic Psychiatry in the Criminal Justice Process. Community Forensic Services as an Integrated Treatment Model. Change in Management of Persons with Serious Mental Illness and Problem Sexual Behaviors. Correctional and Clinical Care Systems. CONCLUSION: Beyond Diagnosis and Evaluation. Emerging Frontiers for Forensic Psychiatry.