David D Luxton1,2, Frances J Lexcen3,4, Katharine A McIntyre5. 1. Office of Forensic Mental Health Services, Washington State Department of Social and Health Services, P.O. Box 45330, Olympia, WA, 98504, USA. ddluxton@uw.edu. 2. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA. ddluxton@uw.edu. 3. Child Study and Treatment Center, Washington State Department of Social and Health Services, Lakewood, WA, USA. 4. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA. 5. Office of Forensic Mental Health Services, Washington State Department of Social and Health Services, P.O. Box 45330, Olympia, WA, 98504, USA.
Abstract
PURPOSE OF THE REVIEW: We review the application of videoconferencing (VC) to pretrial forensic assessments of competence to stand trial (CST). We summarize the benefits, legal considerations, and reliability of VC evaluations. Based on our experience with VC in forensic settings, we provide illustrations of challenges and recommendations regarding this capability to meet increasing demands for services. RECENT FINDINGS: CST evaluations are the most frequent type of forensic mental health assessment within the American legal system. VC can be a reliable method for conducting interviews with most defendants, including those with psychotic symptoms. Videoconferencing can improve the overall efficiency of evaluations while also improving the safety of the professionals involved with the competency evaluation. VC provides an opportunity to meet the increasing demand for evaluations and improve their efficiency. Forensic clinicians should become familiar with the uses of VC in delivering services so that VC is implemented ethically and effectively.
PURPOSE OF THE REVIEW: We review the application of videoconferencing (VC) to pretrial forensic assessments of competence to stand trial (CST). We summarize the benefits, legal considerations, and reliability of VC evaluations. Based on our experience with VC in forensic settings, we provide illustrations of challenges and recommendations regarding this capability to meet increasing demands for services. RECENT FINDINGS: CST evaluations are the most frequent type of forensic mental health assessment within the American legal system. VC can be a reliable method for conducting interviews with most defendants, including those with psychotic symptoms. Videoconferencing can improve the overall efficiency of evaluations while also improving the safety of the professionals involved with the competency evaluation. VC provides an opportunity to meet the increasing demand for evaluations and improve their efficiency. Forensic clinicians should become familiar with the uses of VC in delivering services so that VC is implemented ethically and effectively.
Authors: Gina M Manguno-Mire; John W Thompson; Jay H Shore; Calvin D Croy; Jose F Artecona; John W Pickering Journal: J Am Acad Psychiatry Law Date: 2007