GERIATRIC FORENSIC PSYCHIATRY

Principles and Practice

Edited by Dr Jacob Holzer, Dr Robert Kohn, Dr James Ellison, and Dr Patricia Recupero

Broad, comprehensive review of geriatric forensic psychiatry addresses clinical aspects, civil and criminal legal topics, law and regulations, and numerous special topics within the scope of forensic psychiatry and the older population
The first available volume to address this array of topics

GERIATRIC FORENSIC PSYCHIATRY

Principles and Practice

Edited by Dr Jacob Holzer, Dr Robert Kohn, Dr James Ellison, and Dr Patricia Recupero

Description

Geriatric Forensic Psychiatry: Principles and Practice is one of the first texts to provide a comprehensive review of important topics in the intersection of geriatric psychiatry, medicine, clinical neuroscience, forensic psychiatry, and law. It will speak to a broad audience among varied fields, including clinical and forensic psychiatry and mental health professionals, geriatricians and internists, attorneys and courts, regulators, and other professionals working with the older population.

Topics addressed in this text, applied to the geriatric population, include clinical forensic evaluation, regulations and laws, civil commitment, different forms of capacity, guardianship, patient rights, medical-legal issues related to treatment, long term care and telemedicine, risk management, patient safety and error reduction, elder driving, sociopathy and aggression, offenders and the adjudication process, criminal evaluations, corrections, ethics, culture, cognitive impairment, substance abuse, trauma, older professionals, high risk behavior, and forensic mental health training and research. Understanding the relationship between clinical issues, laws and regulations, and managing risk and improving safety, will help to serve the growing older population.

GERIATRIC FORENSIC PSYCHIATRY

Principles and Practice

Edited by Dr Jacob Holzer, Dr Robert Kohn, Dr James Ellison, and Dr Patricia Recupero

1. The Psychiatric and Cognitive Mental Status Examination in the Medical-Legal Context
Jacob C. Holzer
2. Neuropsychiatric Aspects Involving the Elderly and the Law
Robert P. Granacher Jr.
3. Behavioral Neurological Aspects Involving the Elderly and Law
Robert P. Granacher Jr.
4. Neuropsychological Assessment in Geriatric Forensic Psychiatry
Larua L. Frakey and Donald Davidoff
5. Neuroimaging and Geriatric Forensic Psychiatry
Tannahill Glen, Joseph Simpson, Melissa Lamar, Denene M. Wambach, and Hal Wortzel
6. Federal Protections, Laws, and the Geriatric Patient
Christina T. Vidoli and Jacob C. Holzer
7. The Elderly Veteran, Service, Benefits, and the Community
Luisa Skoble, Jamison Rogers, and Robert Kohn
8. Civil Commitment of Older Persons
Sara J. Brady and Eric Y. Drogin
9. Capacity, Informed Consent, and Guardianship
Stephen L. Read and James Edward Spar
10. Capacity in the Life Course of the Elder: Testamentary Capacity, Power of Attorney, and Estate Planning
Yaser Haq, Stuart Anfang, and Benjamin Liptzin
11. Forensic Issues and Caregivers of the Elderly
Gary Epstein-Lunbow and Elizabeth Tobin Tyler
12. End of Life Decision Making
Chad D. Kollas and Beth Boyer Kollas
13. Older Driver Assessment and Counseling
Thomas M. Meuser and David B. Carr
14. Forensic Issues in the Geriatric Psychiatry Consult Liaison Service and the Right to Accept and Refuse Treatment
Eran D. Metzger, Jacob C. Holder, and Rebecca W. Brendel
15. Psychopharmacological Agents, Side Effects, and Black Box Warnings
Manish A. Fozdar and Jacob C. Holzer
16. Neurostimulation Therapies, Side Effects, Risks, and Benefits
Heba Gad, Daniel Bateman, and Paul E. Hotzheimer
17. Patient Safety and Risk Reduction in the Geriatric Psychiatry Patient
Jacob C. Holzer and Paul Gluck
18. Forensic Issues in Long-Term Care Psychiatry
Marshall B. Kapp
19. Medical Legal Issues in Psychiatric Home Care and Telemental Health
Robert Kohn, Thomas Sheeran, and Suzanne Duni-Briggs
20. Evaluation of Elderly Persons in the Criminal Justice System
Richard L. Frierson and Shilpa Srinivasan
21. Elder Abuse
Robert Kohn, Jessica Warner, Wendy Verhoek-Oftedahl, and Emily Murphy
22. The Elderly Sex Offender
Hannah Stewart and J. Paul Fedoroff
23. Sociopathy, Antisocial Personality, and Directed Aggression in the Geriatric Population
Olivia Zurek, Laura Stanton, and Robert Kohn
24. Violence and Aggression in the Elderly: Non-directed Aggression and Clinical Causation
Ghulam Mustafa Surti, Laura Stanton, and Robert Kohn
25. Working With the Elderly Defendant Through the Adjudicative Process
Barry W. Wall
26. The Geriatric Witness
Simha Ravven and Howard Zonana
27. Geriatric Offenders: Evaluation and Treatment Within Correctional Settings
Timothy J. McGlasson, Michael K. Champion, and Joseph V. Penn
28. Ethics in Geriatric Forensic Assessment
Philip J. Candilis, Gregory B. Leong, and Robert Weinstock
29. Cultural Issues In Geriatric Forensic Psychiatry
Brandy X. Lee and Grace Lee
30. Substance Use Disorders in the Elderly
Michael Burgard and Robert Kohn
31. Intellectual Disabilities, Autism, and Aging: Medical-Legal Issues
Mark J. Hauser, Robert Kohn, Matthew D. Lerner, Michael Stein, Becca Lory, and Harold J. Bursztajn
32. Mild Cognitive Impairment: Impact on Medical-Legal Issues
David C. Hsu and James M. Ellison
33. Suicidal Behavior in the Elderly and Its Forensic Implications
Maureen A. Malin, Carolina Jimenez-Madiedo, and Robert Kohn
34. The Evolving Role of Psychiatry in Physician-Assisted Dying and Euthanasia
James M. Wilkins, Maureen A. Malin, and Robert Kohn
35. The Traumatized Older Individual and Society
Gen Tanaka, Anothai Soonsawat, Omar Sultan Haque, and Harold J. Bursztajn
36. Issues in Medicare Billing, Documentation, and Coding
Linda Martins, Ruby Nicholson, and Robert Kohn
37. The Aging Physician and Other Professionals: Assessing Fitness for Duty
Marilyn Price and Donald Meyer
38. Geriatric Forensic Report Writing
Sherif Soliman and Phillip J. Resnick
39. The Role of the Law and Legal Profession and Relationship to the Psychiatric Consultant
Patricia R. Recupero
40. Geriatric Psychiatry Research
S. Khalid Abubaker, Tyler G. Jones, and Philip J. Candilis
41. Geriatric Forensic Psychiatry Training in Forensic and Geriatric Psychiatry Fellowships
Stephen L. Read, Aaron Kaufman, and Daniel T. Hackman
42. Human Rights and the Elderly: An Interventional Perspective
Robert Kohn

GERIATRIC FORENSIC PSYCHIATRY

Principles and Practice

Edited by Dr Jacob Holzer, Dr Robert Kohn, Dr James Ellison, and Dr Patricia Recupero

Author Information

Jacob C. Holzer M.D. is on the faculty at Harvard Medical School based at McLean's Hospital, Belmont, MA. He completed medical school at Tufts and did his psychiatry residency training at Yale Medical School. He completed a neuroscience fellowship at Yale Medical School and a neuropsychiatry and behavioral neurology fellowship at Harvard Medical School. He is board certified by the ABPN in Psychiatry and Forensic Psychiatry. He serves on a number of committees at the American Academy of Psychiatry and the Law. He is the author of over 50 scientific publications, abstracts, and book chapters.

Robert Kohn, MD, MPhil is a Professor at the Warren Alpert Medical School of Brown University in the Department of Psychiatry and Human Behavior, based at The Miriam Hospital, Providence, RI. Dr. Kohn is the Director of the Brown University Fellowship Training Program in Geriatric Psych iatry. He is a consultant to the Pan American Health Organization/World Health Organization. He is board certified by the ABPN in Psychiatry, Geriatric Psychiatry and Psychosomatic Medicine. He completed his medical school training at the University of Illinois and his psychiatry training at Brown University. He is the author of over 150 scientific publications and book chapters, as well as the editor of two textbooks in psychiatry.

Patricia R. Recupero J.D., M.D. is a Clinical Professor at the Warren Alpert Medical School of Brown University in the Department of Psychiatry and Human Behavior based at Butler Hospital, Providence, RI. Dr. Recupero is President and CEO of Butler Hospital. She obtained her law degree at the Boston College Law School and her medical school training at Brown University. She obtained her psychiatry training at Brown University. She is board cert ified by the ABPN in Psychiatry, Addictions Psychiatry, and Forensic Psychiatry. She is the former President of the American Academy of Psychiatry and the Law and the National Association of Psychiatric Health Systems. Dr. Recupero serves of the Council of Psychiatry and Law of the American Psychiatry Association. She is the author of over 43 scientific publications and book chapters.

Contributors:

S. Khalid Abubaker, MD
Forensic Psychiatry Fellowship
Saint Elizabeths Hospital
Department of Behavioral Health
Washington, DC

Stuart Anfang, MD
Department of Psychiatry
Bastate Medical Center
Springfield, Massachusetts
Department of Psychiatry
Tufts University School of Medicine
Boston, Massachusetts

Daniel Bateman, MD
Assistant Professor of Psychiatry
Indiana University Department of Psychiatry
Indianapolis, Indiana

Sara J. Brady, M.D.
Beth Israel Deaconess Medical Center
Brookline, Massachusetts

Rebecca W. Brendel, MD, JD
Assistant Professor of Psychiatry
Harvard Medical School
Boston, Massachusetts

Michael Burgard, MD
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Harold J. Bursztajn, MD
President of the American Unit of the UNESCO Bioethics Chair
Associate Clinical Professor of Psychiatry
co-founder, Program in Psychiatry and the Law, Psychiatry of Harvard Medical Schools
Cambridge, Massachusetts
Harold J. Bursztajn, MD
Associate Clinical Professor of Psychiatry
Harvard Medical School
Boston, Massachusetts

Philip J. Candilis, MD, DFAPA
Director, Forensic Psychiatry Fellowship
Saint Elizabeths Hospital
Washington, DC
Clinical Professor of Psychiatry
George Washington University School of Medicine and Health Sciences
Howard University College of Medicine

David B. Carr, MD
Professor
School of Medicine and Neurology
Washington University
St. Louis, Missouri

Michael K. Champion, MD, CCHP
Forensic Chief
Hawaii Department of Health
Adult Mental Health Division
Associate Clinical Professor of Psychiatry
John A. Burns School of Medicine
University of Hawaii at Manoa
Honolulu, Hawaii

Donald Davidoff, PhD
Instructor, Harvard Medical School
Director of Neuropsychology, Geriatric Program
McLean Hospital
Belmont, Massachusetts

Eric Y. Drogin, J.D., Ph.D.
Harvard Medical School
Department of Psychiatry
Beth Israel Deaconess Medical Center
Hingham, Massachusetts

Suzanne Duni-Briggs JD, RN, BSN
Adjunct Faculty, Rhode Island College of Nursing
Director, Loss Prevention
Lifespan Risk Services, Inc.
Lifespan Corporation
Providence, Rhode Island

James M. Ellison, MD, MPH
Geriatric Psychiatry Program
McLean Hospital
Belmont, Massachusetts

Gary Epstein-Lunbow, MD
Assistant Professor of Psychiatry & Human Behavior
Health Sciences, Policy, & Practice
Brown University
Psychosocial Research Program
Butler Hospital
Providence, Rhode Island

J. Paul Fedoroff, M.D.
Director, Sexual Behaviours Clinic,
Head, Division of Forensic Psychiatry
University of Ottawa
Ottawa, Ontario, Canada

Manish A. Fozdar, MD, DFAPA
Assistant Consulting Professor of Psychiatry
Duke University Medical Center
Associate Professor of Psychiatry
Campbell University School of Medicine
Buies Creek
NCTriangle Forensic Neuropsychiatry, PLLC
Durham, North Carolina

Laura L. Frakey, PhD
Staff Neuropsychologist
Memorial Hospital of Rhode Island
Clinical Assistant Professor
Department of Psychiatry and Human Behavior
Alpert Medical School of Brown University
Memorial Hospital of Rhode Island
Pawtucket, Rhode Island

Richard L. Frierson, M.D.
Professor of Clinical Psychiatry and Vice Chair for Education
Department of Neuropsychiatry and Behavioral Science
University of South Carolina School of Medicine
Columbia, South Carolina

Heba Gad, MD
Instructor, Geriatric Psychiatry
Geisel School of Medicine at Dartmouth
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire

Tannahill Glen, PsyD
Department of Neurology
University of Florida
Jacksonville, Florida

Paul Gluck, MD
Past Chair, National Patient Safety Foundation
Associate Clinical Professor, OB/GYN
University of Miami School of Medicine
Miami, Florida

Robert P. Granacher Jr. M.D., M.B.A.
Clinical Professor of Psychiatry
University of Kentucky College of Medicine
Lexington, Kentucky

Daniel T. Hackman, MD
Forensic Psychiatrist
Indianapolis, Indiana

Yaser Haq, MD, JD
Department of Psychiatry
Bastate Medical Center
Springfield, Massachusetts
Department of Psychiatry
Tufts University School of Medicine
Boston, Massachusetts

Omar Sultan Haque, MD
Research Associate, Program in Psychiatry and the Law, Harvard Medical School
Resident, Department of Psychiatry and Human Behavior, Brown University
Providence, Rhode Island

Mark J. Hauser, M.D.
Lecturer on Psychiatry
Harvard Medical School
Boston, Massachusetts

Paul E. Holtzheimer, MD
Associate Professor, Psychiatry and Surgery
Director, Mood Disorders Service
Geisel School of Medicine at Dartmouth
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire
Jacob C. Holzer, MD
McLean Hospital
Belmont, Massachusetts

David C. Hsu, MD
Staff Geriatric Psychiatrist
Mercy Medical Group
Dignity Health Medical Foundation
Behavioral Health Department
Sacramento, California

Tyler G. Jones, MD, FAPA
Deputy Chief Medical Officer
Oregon State Hospitals
Clinical Associate Professor of Psychiatry
Oregon Health & Science University
Portland, Oregon

Marshall B. Kapp, JD, MPH
Director, Florida State University Center for Innovative Collaboration in Medicine and Law
Professor
Florida State University College of Medicine
Florida State University College of Law
Tallahassee, Florida

Aaron Kaufman, MD
Health Sciences Assistant Clinical Professor
University of California Los Angeles
Los Angeles, California

Robert Kohn, M.D.
Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Chad D. Kollas, MD, FACP, FCLM, FAAHPM
Medical Director, Palliative & Supportive Care
UFHealth Cancer Center at Orlando Health
Assistant Professor of Medicine
University of Florida College of Medicine
Orlando, Florida

Beth Boyer Kollas, MS, PhD
Executive Director of Health Outcomes and Clinical Program Integration
Central Florida YMCA
Orlando, Florida

Melissa Lamar, PhD
Department of Psychiatry
University of Illinois at Chicago
Chicago, Illinois

Brandy X. Lee, MD, MDiv
Assistant Clinical Professor
Law and Psychiatry Division
Yale University
New Haven, Connecticut

Grace Lee, EdD
Forensic Psychologist
New York, New York

Gregory B. Leong, MD
Clinical Professor of Psychiatry
Department of Psychiatry and Behavioral Sciences
Kreck School of Medicine
University of Southern California
Los Angeles, California

Mathew D. Lerner, PhD
Assistant Professor of Psychology, Psychiatry, & Pediatrics
Stony Brook University
Stony Brook, New York

Benjamin Liptzin, MD
Department of Psychiatry
Bastate Medical Center
Springfield, Massachusetts
Department of Psychiatry
Tufts University School of Medicine
Boston, Massachusetts

Becca Lory, CAS
Director of Development, GRASP
Chair of the Board of Directors, GRASP
Autism Advocate and Consultant
New York, New York

Carolina Jimenez-Madiedo, M.D.
Assistant Clinical Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Maureen A. Malin, M.D., Ph.D., MBA, Ed.D.
Medical Director, McLean Hospital Geriatric Neuropsychiatry Unit
Instructor in Psychiatry
Harvard Medical School
Boston, Massachusetts

Linda Martins, MHA, RHIA, CCS
Health Information Manager/Compliance Auditor/Privacy Officer
Butler Hospital
Providence, Rhode Island

Timothy J. McGlasson, DNP, PMHNP-BC
Psychiatric Nurse Practitioner
University of Texas Medical Branch
Correctional Managed Care
Austin, Texas

Eran D. Metzger, MD
Director of Psychiatry
Hebrew SeniorLife
Assistant Professor of Psychiatry
Harvard Medical School
Boston, Massachusetts

Thomas M. Meuser, PhD
Associate Professor
Gerontology Program
School of Slical Work
University of Missouri - St. Louis
St. Louis, Missouri

Donald Meyer, MD
Harvard Medical School
Boston, Massachusetts

Emily Murphy, MD
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Ghulam Mustafa Surti, MD
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Ruby Nicholson, RHIT
Director of Health Information/Quality Improvement & Compliance
Kent Center
Warwick, Rhode Island

Joseph V. Penn, MD, CCHP
Director, Mental Health Services
University of Texas Medical Branch (UTMB)
Correctional Managed Care (CCHP)
Conroe, Texas
Clinical Associate Professor
UTMP Department of Psychiatry
Galveston, Texas

Marilyn Price, MD, CM
Department of Psychiatry
Massachusetts General Hospital
Boston, Massachuetts

Simha Ravven, MD
Forensic Psychiatry Fellow
Yale University School of Medicine
Law & Psychiatry Div. Conn. Medical Health Center
New Haven, Connecticut

Stephen L. Read, MD
Health Sciences Clinical Professor
Department of Psychiatry and Biobehavioral Sciences
David Geffen School of Medicine at UCLA
Los Angeles, California

Patricia R. Recupero, J.D., M.D.
Clinical Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
President and CEO, Butler Hospital
Providence, Rhode Island

Phillip J. Resnick, M.D.
Professor of Psychiatry
Case Western Reserve University
School of Medicine
Cleveland, Ohio

Jamison Rogers, M.D.
Forensic Psychiatry Fellow and Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Thomas Sheeran PhD, ME
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Joseph Simpson, MD, PhD
University of Southern California
Keck School of Medicine
Los Angeles, California

Luisa Skoble, M.D.
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Sherif Soliman, M.D.
Assistant Clinical Professor
Case Western Reserve University
School of Medicine
Northcoast Behavioral Healthcare
Northfield, Ohio

Anothai Soonsawat, MD
Resident, Department of Psychiatry
Harvard Medical School
Boston VA Healthcare System
Brockton, Massachuetts

James Edward Spar, MD
Professor of Clinical Psychiatry
Department of Psychiatry and Biobehavioral Sciences
David Geffen School of Medicine at UCLA
Los Angeles, California

Shilpa Srinivasan, M.D.
Associate Professor of Clinical Psychiatry
Department of Neuropsychiatry and Behavioral Science
University of South Carolina School of Medicine
Columbia, South Carolina

Laura Stanton, M.D.
Clinical Assistant Professor of Psychiatry and Human Behavior
Warren Alpert Medical School of Brown University
Providence, Rhode Island

Michael Stein, J.D., Ph.D.
Visiting Professor
Harvard Law School
Boston, Massachusetts

Hannah Stewart
University of New Brunswick
Fredericton, New Brunswick, Canada

Gen Tanaka, MD
Resident, Department of Psychiatry
Harvard Medical School
Boston VA Healthcare System
Brockton, Massachusetts

Elizabeth Tobin Tyler, JD, MA
Clinical Assistant Professor of Family Medicine
The Warrant Alpert Medical School of Brown University
Providence, Rhode Island

Wendy Verhoek-Oftedahl, PhD
Assistant Professor of the Practice of Epidemiology
Brown University School of Public Health
Providence, Rhode Island

Christina T. Vidoli, Esq.
Winston Law Group, LLC
Somerville, Massachusetts

Barry W. Wall, MD
Director, Forensic Service
Eleanor Slater Hospital
Department of Behavioral Healthcare, Developmental Disabilities, & Hospitals
Cranston, Rhode Island

Denene M. Wambach, JD
Department of Neurology
Drexel University
College of Medicine & Office of the General Councel
University of Pennsylvania
Philadelphia, Pennsylvania

Jessica Warner, MD
Area Specialty Chief
Department of Psychiatry, Kaiser Permanente Colorado
Denver, Colorado

Robert Weinstock, MD
Health Sciences Clinical Professor of Psychiatry and Biobehavioral Sciences
David Geffen School of Medicine
University of California, Los Angeles
Los Angeles, California

James M. Wilkins, M.D., D.Phil.
Geriatric Psychiatry Fellow
Partners HealthCare
Massachusetts General Hospital
Boston, Massachusetts

Hal S. Wortzelk MD
Director, Neuropsychiatry Consultation Services
Director, Mental Illness Research, Education, & Clinical Center
Denver Veterans Hospital
Denver, Colorado

Howard Zonana, MD
Professor, Department of Psychiatry
Yale Medical School
Clinical Professor of Law
Yale Law School
Connecticut Mental Health Center
New Haven, Connecticut

Olivia Zurek, M.D.
Fellow, Geriatric Psychiatry
Warren Alpert Medical School of Brown University
Providence, Rhode Island