Mental Health Evaluators

Join the Conversation

Tuesday, July 7th to Wednesday, September 30th

Please join us in an online, open forum on telehealth. NCB is providing an opportunity for clinicians to ask each other questions, share observations and adapted telehealth protocols for the SoT population via an online forum and technical exchange. This conversation will be a forum for peer-led informational exchange. NCB staff will assist in facilitating and monitoring the conversation.

Directions: Please watch Eugene Augusterfer’s presentation and interview Telemedicine in Mental Health first. Then feel free to join us in this open forum. All are welcome to join this forum, whether you have an account on Healtorture.org or not. For more information on using the forum, please read the directions on the first post. Please keep your comments respectful, relevant, factual, and do not share identifying information about clients per client privacy and HIPAA regulations. This forum will be open from July 6, 2020 through September 30, 2020.

Should discrepant accounts given by asylum seekers be taken as proof of deceit?

Jane Herlihy, DClinPsych and Stuart Turner, MD, BChir, MA. TORTURE Journal, Volume 16, No. 2, 2006

The consistency of an asylum-seeker’s account has become a central question in determining asylum status. One of the ways in which credibility is judged by decision makers is the assessment of the account given by the claimant of his or her experiences of persecution. The authors address one area of decision making regarding judgments of credibility which seems not to be based on the best scientific knowledge, but on incorrect lay assumptions about how memory works.

Note: The link below is to the

Expert Witness in Immigration Proceedings

Malphrus, Garry (2010), Immigration Law Advisor - A Monthly Legal Publication of the Executive Office for Immigration Review, Vol. 4, No. 5, 1-14

This article examines case law from the Board of Immigration Appeals and the Federal circuit courts of appeals addressing the use of expert evidence in immigration proceedings, including questions of admissibility and weight. It also discusses the Federal Rules of Evidence regarding expert evidence as a possible guide to assist in navigating this terrain.

Secondary Traumatization and Burnout in Professionals Working with Torture Survivors

Birck, Angelika (2001), Traumatology, 7: 85-90

Abstract: Twenty-five professionals of the Treatment Center for Torture Victims in Berlin (BZFO) took part in a study about burnout, secondary traumatization and satisfaction with work. Burnout was very low, whereas PTSD-like symptoms were increased in mental health professionals as well as in administration staff. Beliefs about the value and safety of other people were most disrupted. Satisfaction with work was high.

Risk and resilience for psychological distress amongst unaccompanied asylum seeking adolescents

Hodes M, Jagdev D, Chandra N, Cunniff A. (2008), Journal of Child Psychology and Psychiatry, 49(7):723-32. Full article requires paid subscription.

Summary written for www.HealTorture.org by CVT Intern Joseph Walker: 

Across the world there are significant numbers of displaced and unaccompanied refugee children. They are sent away from their families or flee from their communities out of fear of persecution, organized violence, or war. Young people who experience war events and displacement have elevated rates of psychopathology, particularly posttraumatic stress disorder.

The mental health of children affected by armed conflict: protective processes and pathways to resilience

Betancourt TS, Khan KT (2008), International Review of Psychiatry; 20(3):317-28.

This paper examines the concept of resilience in the context of children affected by armed conflict and presents key studies in the literature that address the interplay between risk and protective processes in the mental health of war-affected children from an ecological, developmental perspective.
Note: Requires paid subscription - link is to abstract.

Children, torture and psychological consequences

Alayarian, A. (2009). Torture: Journal of Rehabilitation of Torture Victims and Prevention of Torture, 19(2), 145-156.
 
Impact of torture on children may vary depending on the child’s coping strategies, cultural and social circumstances. In this paper the author gives a brief introduction of the work the Refugee Therapy Center does with children, discusses the effects of torture on children and presents a vignette and some examples of clinical intervention.

* The International Rehabilitation Council for Torture Victims (IRCT)’s Journal on Rehabilitation of Torture Victims and Prevention of

Assessment of Malingering With Repeat Forensic Evaluations: Patient Variability and Possible Misclassification on the SIRS and Other Feigning Measures

Rogers, R., Vitacco, M. and Kurus, S. (2009), Journal of the American Academy of Psychiatry Law, 38:109–14

Malingering is conceptualized as a specific response style to an adverse set of circumstances. As a situational response style, malingering is not viewed as a stable trait or enduring characteristic of feigning individuals.
This brief analysis addresses a critical concern of repeat forensic evaluations.

Clinical and Conceptual Problems in the Attribution of Malingering in Forensic Evaluations

Drob, S., Meehan, K., and Waxman, S. (2009), Journal of the American Academy of Psychiatry Law, 37:98–106

The assessment of malingering in a forensic context is beset by a variety of clinical and conceptual difficulties that are often overlooked by forensic specialists. In the article, the authors review clinical and conceptual errors that contribute to false attributions of malingering in forensic evaluations.

Adapting the Cultural Formulation for Clinical Assessments in Forensic Psychiatry

Aggarwal, Neil (2012), Journal of the American Academy of Psychiatry Law, 40:113-18

Cross-cultural researchers have advised against group approaches to individual care. This article offers a revision of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV) Outline for Cultural Formulation for use in forensic psychiatry by adjusting its formal guidelines with recommendations from the forensic mental health literature.

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