The Field Of Forensic Psychiatry

By Gary Ward


Psychiatry is one of the fields of medicine that has several other sub-specialties under it. Forensic psychiatry is one of those sub-specialties and it has close relationship to criminology. The abbreviation FP will be adopted in this article. FP as a field provides an interface between psychiatry and law. Professionals who specialize in this area are called forensic psychiatrists. They have many responsibilities in law enforcement and court systems.

Forensic psychiatrists work with the court system in determination of the competency of individuals to stand trials. The evaluations they provide on individuals serve as recommendations for sentencing. These individuals also act as expert witnesses for defendants in lawsuits. FP encompasses two areas of criminal evaluations, these are, MSO and CST. CST stands for Competency to Stand Trial while MSO stands for Mental State at the Time of the Offence.

Competency to Stand Trial refers to as competency evaluation that aims to determine if the defendant in a lawsuit has the mental capacity to understand the charges they face. It also determines if the defendant is in a position to help their own attorneys in preparing their defenses. CST is a provision in the Fifth Amendment to the Constitution of the United States. The provision requires that one must be present for their own trial, face their accuser, and help their attorney to defend themselves.

There are also times when these psychiatrists may be required to act as expert witnesses in civil or criminal cases. Here, they present an independent opinion to the court in the form of a report. They formulate their opinions and explain to the court the basis of their opinions. The judge or jury may base on the opinion given by the expert witness to make the final ruling.

These psychiatrists may also be hired to formulate an opinion regarding the state of mind a person was in when they committed a certain crime. The goal here is to ascertain if the defendant knew that there actions were of a criminal nature when they committed them. The application of this psychiatric knowledge from state to state, with some states rejecting it altogether.

Three key standards of reason are based upon by FP specialists in determining mental fitness. The three standards are ALI test, Durham rule, and MNaghten rules. If mental capacity is determined to be lacking in the defendant during or after committing a crime, one of the three standards may be based upon to drop the charges. The basis for freeing the defendant is lack of mental capacity to understand the criminality of their actions.

When psychiatrists are hired to evaluate mental fitness in court, both the defense and prosecution usually have their own professionals. Psychiatrists get employed to care for prisoners in prison and jail. Additionally, their services are needed in caring for individuals who are mentally ill and as a result of their mental illness, they have been free from their crimes.

The field of risk management is also adopting FP very fast. Potential or suspected offenders can be put under supervision of a team of forensic psychiatric professionals. The team is often comprised of care workers, nurses, psychologists, and psychiatrists among others.




About the Author: