Psychiatric and Clinical Sequelaeof Delirium and Competenceto Stand Trial

We present the case of a middle-aged defendant who had been incarcerated in a county jail and housed on the mental health unit. It was documented that he had been exhibiting fluctuating levels of alertness and responsiveness. The writers saw him in a forensic capacity, to conduct an evaluation of hi...

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Veröffentlicht in:The journal of the American Academy of Psychiatry and the Law 2009, Vol.37 (4), p.549-551
Hauptverfasser: Salem, Anasuya, Leonard, Cecilia
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container_title The journal of the American Academy of Psychiatry and the Law
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creator Salem, Anasuya
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description We present the case of a middle-aged defendant who had been incarcerated in a county jail and housed on the mental health unit. It was documented that he had been exhibiting fluctuating levels of alertness and responsiveness. The writers saw him in a forensic capacity, to conduct an evaluation of his competence to stand trial, and recognized that he was having a medical emergency, delirium that was most likely due to brain metastases from inoperable advanced cancer. We recommended an immediate transfer to a medical facility for treatment. The article serves to present an interesting case and to highlight the need for clinical vigilance despite the usual goal of an objective, noninterfering forensic role.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Brain Neoplasms - diagnosis
Brain Neoplasms - secondary
Commitment of Mentally Ill - legislation & jurisprudence
Delirium - diagnosis
Delirium - psychology
Diagnosis, Differential
Expert Testimony - legislation & jurisprudence
Humans
Male
Mental Competency - legislation & jurisprudence
Middle Aged
Neuropsychological Tests
Patient Transfer - legislation & jurisprudence
title Psychiatric and Clinical Sequelaeof Delirium and Competenceto Stand Trial
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