Chapter 32 Forensic Psychiatric Nursing Copyright 2014 2010

Chapter 32 Forensic Psychiatric Nursing Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Forensic Nursing Provide direct services to crime victims and perpetrators of crime Consultation services to colleagues in nursing, medical, and law-related agencies Expert court testimony Offer input on policy changes in the corrections setting Offer evaluation services for inmates Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 2

Forensic Nursing Forensic nurse generalist Advanced practice forensic nurse Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 3

Roles of the Forensic Nurse Identification of victims Creation of appropriate treatment plans Collection, documentation, and preservation of potential evidence Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 4

Sexual Assault Nurse Examiner (SANE) Care of adult and pediatric victims of sexual assault SANE training course is typically 5 days (40 contact hours) Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 5

Nurse Coroner/Death Investigator Public official charged with duty of determining how and why people die Assessing the deceased through Understanding the evidence Ø Discovery of evidence Ø Preservation of evidence Ø Use of evidence Ø Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 6

Forensic Psychiatric Nurses Evidence collection Work as competency evaluators Provide assessment data that can help make final diagnosis Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 7

Roles and Functions of the Forensic Psychiatric Nurse Nurse psychotherapist Forensic nurse examiner Competency evaluator Fact and expert witnesses Consultant Hostage negotiator Criminal profiler Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 8

Terms Legal sanity—able to distinguish right from wrong Legal insanity—presence of a major mental disorder Mc. Naughton Rules Ø Irresistible impulse—knew act was wrong but could not control behavior Ø Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 9

Terms (Cont. ) Guilty but mentally ill Competence to proceed—defendant’s present thinking at time of trial Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 10

Correctional Nursing Defined by location of the work or legal status of the patient Significant part of job is providing treatment and services for inmates with chronic mental health diagnoses Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 11

Audience Response Questions 1. Insanity is the medical term that applies to mental illness. A. True B. False C. Not sure Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 12

Audience Response Questions 2. A person charged with murder was found guilty but mentally ill. This individual A. will spend the rest of his life in a psychiatric facility. B. will spend the rest of his life in a prison. C. may be eligible for parole. Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 13