Specific Objectives
Applied Forensic Clinical Experience
1. Range of Evaluations
The fellow will perform or participate in performing forensic evaluations under supervision for each of the following issues:
- Competency to stand trial
- Criminal responsibility
- Violence risk assessment
- Sentencing
- Prisoners in need of treatment
- Civil commitment
- Commitment of substance abusers
- Assessment of problematic sexual behaviors
- There may be an opportunity to participate in competency restoration groups
2. Autonomy and Level of Expertise in Evaluations
For the types of evaluations delineated above, the fellow will perform a sufficient number under supervision to be capable of functioning by the end of the training year at a high level of competence, responsibility and autonomy. In these areas, the fellow will be encouraged as soon as possible in the year to have primary responsibility, under proper supervision, for all aspects of the evaluation process (that is: problem formulation, data collection, interpretation, and report writing). By the end of the year the fellow will be expected to pass a written examination of forensic practice in Massachusetts and to prepare reports at a level of quality required for certification as a Designated Forensic Psychologist in Massachusetts. The fellow should also be qualified to take the written examination of the American Board of Forensic Psychology (ABFP).
3. Breadth and Focus
Fellows will obtain forensic evaluation experience in inpatient forensic evaluation settings as well as court clinics. A relatively unique strength of our program is the ability for fellows to perform Criminal Responsibility evaluations throughout the year, and notably, we evaluate Criminal Responsibility in Massachusetts via the American Law Institute's (ALI) standard; that is, fellows will have the opportunity to assess both the cognitive and volitional capacities of the defendant.
Although the majority of the clinical experience is with individuals involved with the criminal justice system, experiences are also provided with civil populations (for instance, assessing need for civil commitment, assessing need for involuntary substance treatment, consulting with inpatient settings regarding risk of violence of civil patients) as well as potential opportunities with other populations.
4. Forensic Consultation
The fellow will be exposed to, and gain some experience in, providing consultation to other mental health professionals on clinical questions related to legal issues. This will occur in the context of Forensic Team consultations to inpatient treatment teams, community providers, and by experience in consulting to courts through court clinic placements.
5. Expert Testimony
The fellow will gain exposure to, and experience in, providing expert testimony to courts. These opportunities will arise in the context of civil and criminal evaluations conducted at DMH hospitals, Bridgewater State Hospital, at court clinics, and by observation of core faculty when they are called to testify in their own evaluation cases.
Research and Training
1. Personal Research
The fellow will develop, design and implement a research study over the course of the year under the supervision of Dr. Gina Vincent, and will present their project at the Law and Psychiatry Seminar Series at the end of the year.
2. Teaching
The fellow will obtain experience in teaching other professionals by providing occasional presentations to: predoctoral psychology interns, psychiatry fellows, conferences and workshops offered by the Law-Psychiatry Program, and other teaching forums as opportunities arise (such as training of police and lawyers). Fellows will present a case conference, as well as a presentation on their research project.
3. Supervision
Fellows will have the opportunity to supervise a pre-doctoral intern on their rotation with our forensic service, on elements of their practice, including: conducting and writing results of psychological testing, forensic report writing, developing psycho-legal opinions, and can provide mentorship to the intern. The will be supervised by a licensed psychologist in our service on their duties supervising the pre-doctoral intern.
Seminar Objectives
1. Formal Knowledge in Forensic Psychology/Psychiatry
Formal knowledge may be acquired through all aspects of the fellow year, but is especially intended to be derived from the two weekly seminars, By the end of the year, these seminars will have provided the fellow the opportunity to have acquired knowledge of the following:
- Principles of forensic mental health assessment.
- Legal principles that are relevant to specific forensic evaluations.
- Major U.S. case law dealing with critical issues in policy and practice in mental health and forensic cases.
- Massachusetts General Laws and Regulations, as well as Massachusetts case law pertaining to mental health evaluations, treatment and practice in criminal cases.
- Legal and ethical issues in the provision of forensic mental services (MA and national)
- Rules, procedures, and techniques related to providing expert witness testimony.
2. Formal Knowledge of Forensic Research
Didactic training will include reviews of major research studies addressing legal policy and forensic services involving mentally ill adults and minors. In addition, the fellow will become familiar with:
- Major texts in forensic psychology/psychiatry.
- Major research journals in these fields.
- How to review and critique research manuscripts submitted to journal editor.
- How to find and read statutes and legal cases.
3. Integration of Formal Knowledge and Applied Experience
The fellow will obtain this integration in several forums: The Law & Psychiatry Program's biweekly case conferences, the Tuesday morning seminar, and through general supervision at various applied forensic experience sites.
4. Preparation for the ABPP examination in Forensic Psychology
The seminars and didactic experiences are designed to include the broad range of areas subsumed in the Specialty of Forensic Psychology. By the end of the year, fellows will be prepared to take and pass the ABPP in Forensic Psychology.
Fellowship Core Competencies
The following are the core competencies fellows are expected to achieve by the conclusion of the fellowship year. An evaluation form listing these competencies will be completed by the Training Director and rated on a Likert Scale to determine if the fellow successfully completes the program. The fellow must obtain a score greater than 2 to pass each competency, and the fellowship program. In addition, they must take and pass (e.g., a score of 70% or higher) the DMH DFP written examination in the Summer of the training year as well, to successfully complete the fellowship program.
A. Knowledge of the basic principles of the legal system, including how the legal system works, legal doctrines that are relevant for mental health evaluations, as well as core legal cases relevant to Forensic Psychology and their implications for practice, covering the breadth of forensic psychology.
B. Knowledge of forensic psychological evaluation methods, including specialized assessment instruments used in forensic psychological practice.
C. Knowledge of, and practice consistent with, the Specialty Guidelines for Forensic Psychologists and the Ethical Principles and Code of Conduct for Psychologists.
D. Knowledge of rules, procedures, and techniques related to expert witness testimony.
E. Attainment of advanced skill in providing forensic psychological services in at least two of the following areas: a) Competency to Stand Trial, b) Criminal Responsibility, c) Civil Commitment, d) Violence Risk Assessments
- Ability to conduct a forensic interview.
- Ability to use and interpret structured assessment instruments.
- Ability to obtain the relevant data, including collateral sources of information.
- Ability to integrate results and formulate interpretations consistent with data, relevant for the conclusions related to the legal question, and consistent with ethical and practice guidelines.
- Ability to write reports that are clear, comprehensive, articulate and appropriately focused on the referral issue.
- Ability to provide expert testimony in a clear, articulate manner, consistent with ethical and practice guidelines.
F. Demonstration of ability to critically evaluate research and how it applies to forensic practice.