Forensic and Ethical Issues in Military Behavioral Health

Forensic and Ethical Issues in Military Behavioral Health
Forensic and Ethical Issues in Military Behavioral Health
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Dealing with ethical and forensic issues, this book is authored by active duty psychiatrists and psychologists from the Army, Navy, and Air Force, as well as civilians from within and outside of the Department of Defense. Ethical issues will refer to areas in which basic principles are in play: autonomy, justice, beneficence, and nonmaleficence. Forensic issues will refer to the intersection of military mental health issues and the law. Chapter topics include training about forensic issues, a legal overview of confidentiality and reporting of military behavioral health records, sanitary board evaluations, updates on disability proceedings, forensic psychological testing, death investigations and psychological autopsies, epidemiological consultation team findings, mitigation of risk and means restriction, psychiatric assistance in capital cases, post-traumatic stress disorder, substance abuse, rape and sexual trauma, suicide, and violence. Emerging subjects covered include behavioral science consultation teams and mefloquine and neurotoxicity.


Table of Contents

Table of Contents:

Contributors xi
Foreword by The Surgeon General xiii
Preface xv
1. Introduction: Forensic and Ethical Issues in Military Behavioral Health 1
2. Legal Overview of Confidentiality and Reporting of Military Behavioral Health Records 11
3. Troubling Issues in Military Forensic Psychiatry 21
4. Sanity Board Evaluations 35
5. Exculpatory Defenses and Matters in Extenuation and Mitigation 75
6. The Military Forensic Psychiatry Training Program 89
7. Forensic Aspects of Posttraumatic Stress Disorder 97
8. Updates on Disability Proceedings 111
9. The History and Current Use of Psychological Autopsies in the US Military 123
10. Epidemiological Consultation Team Findings 133
11. Psychiatric Assistance in Capital Cases 151
12. Selected Forensic Mental Health Issues Around Sexual Assault: A Focus on the 163
Role of the Expert Witness
13. Means Restriction and Suicide Prevention in the US Armed Forces 171
14. Behavioral Science Consultation to Interrogation and Detention Operations: 183
Policy, Ethics, and Training
15. Malingering and Factitious Disorders 203
16. The Secure Residential Psychiatric Facility: Process, Design, and Results for 217
Behavioral Healthcare
17. Ethical and Forensic Issues Involving Substance Use in the Military 245
18. Mental Health and Disciplinary Problems 261
19. Mefloquine and Posttraumatic Stress Disorder 275
Abbreviations and Acronyms xix
Index xxi


Military behavioral health specialists, especially those dealing with mental health and the law, as well as civilian behavioral health experts and lawyers specializing in cases related to mental health will find this a necessary publication.

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