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8 Cards in this Set
- Front
- Back
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· Not Guilty by Reason of Insanity (NGRI)
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o A person is not guilty of committing a crime because they were insane at the time of the crime.
o Committed for treatment until they improve enough to be released (do not go back to court) |
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· Competence to stand trial
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The judge orders a psychological evaluation
o If found incompetent, the person is typically assigned to a mental health facility until competent to stand trial (case is not yet closed) |
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· Tarasoff vs. Regents of the University of California
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o An outpatient at a University of California hospital had confided to his therapist that he wanted to harm his former girlfriend, Tanya Tarasoff. Several days after therapy, the former patient fulfilled his promise and stabbed Tarasoff to death.
o The therapist had notified campus police but the patient was released after some questioning. o Tarasoff’s parents argued that the therapist should have also warned them and their daughter. o The California Supreme Court agreed: “The protective privilege ends where the public peril begins.” o Therapists have a duty to protect - a responsibility to break confidentiality, even without the client’s consent, when it is necessary “to protect the client or others from harm.” |
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Civil Commitment
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Minimum standard of proof needed for commitment
§ There must be “clear and convincing” proof that he or she is mentally ill and has met the state’s criteria for involuntary commitment. · According to the court, proof is clear and convincing when it provides 75% certainty that the criteria of commitment have been met. Varies from state to state |
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Patients Right
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Right to treatment
§ If there is no treatment then the hospital is too similar to a jail o Right to refuse treatment o People who perform work in mental institutions are guaranteed at least a minimum wage. o Patients released from state mental hospitals have a right to aftercare and to an appropriate community residence o People with psychological disorders should receive treatment in the least restrictive facility available. |
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Primary Prevention
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Efforts to improve community attitudes and policies.
o Goal is to prevent psychological disorders altogether. o Community workers may lobby for better community recreational programs, consult with a local school board, or offer public workshops on stress reduction |
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Secondary Prevention
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o Consisted of identifying and treating psychological disorders in the early stages, before they become serious.
o Community workers may work with school teachers, ministers, or police to help them recognize the early signs of psychological dysfunction and teach them how to help people find treatment |
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Tertiary Prevention
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o Goal is to provide effective treatment as soon as it is needed so that moderate or severe disorders do not become long-term problems
o Today, community agencies do successfully offer tertiary care for millions of people with moderate psychological problems but they often fail to provide the services needed by hundreds of thousands with severe disturbances § One reason for this failure is lack of funding. |
