Law and Mental Health
Code
LMH-CE-1
Title
Assessing Disability and
Emotional Trauma in a
Legal Context
Contact Info
Inquiries: Dr. Hoffman, (416) 756-6968
Supervisor(s): Dr. B. Hoffman
Place: North York General Hospital
Time: 3 hours per week, day is negotiable
No. of Residents: 1-2
Description
The resident will be given an opportunity to assess patients under
supervision on referral from lawyers and insurance companies and to write
medical-legal reports that address specific legal questions. There are
occasional cases involving cases of mal-practice or assessments of capacity.
Many of the cases involve emotional trauma from motor vehicle accidents or
other accidents caused by negligence. The legal questions centre on
causation, prognosis, impairment and credibility. Insurance companies want
assessments of disability and treatment recommendations.
LMH-CE-3
Community Forensic
Psychiatry
Inquiries: Dr. Glancy, (416) 408-3000
Supervisor(s): Drs. M. Ben-Aron, H. Bloom, G. Glancy
Place: Variable as arranged
Time: 3-8 hrs week (flexible)
No. of Residents: Limited to 2
Three experienced forensic psychiatrists will be available to help the student
transfer the basic principles of forensic psychiatry to a community setting.
The settings will include outpatient assessments, jail visits and consultations,
and appearances in court and various judicial hearings. Interesting cases will
be demonstrated to the resident and the resident will be expected to
participate in the assessments and have hands-on experience in dealing with
all facets of the assessment. At completion of the elective, the resident will
understand the practice of forensic psychiatry in a wider variety of
community settings.
LMH-CE-5
Corrections By The Bay,
Correctional Psychiatry
(Mini-Elective)
Inquiries: Dr. Lorberg, glforensic@yahoo.com
705-549-9470 x 2828
Supervisor(s):
Place: Corrections By The Bay
Central North Correctional Centre (CNCC)
1501 Fuller Avenue, Penetanguishene
Time: One day electives will start at 09:00, and finish
at 17:00 (Allow 1 ½ hour commute to/from Toronto).
No. of Residents:
Psychiatry Residents and Forensic Psychiatry Fellows are invited to take a
short trip up to the Georgian Bay region (Penetanguishene) where they can
see firsthand the inner workings of a modern “SuperMax” style Superjail
(constructed 2001). A capacity of 1200 inmates (majority male/most
remanded or serving shorter-term sentences) ensures an ample and steady
supply of patients with a wide range of pathology including Psychosis, ADHD,
and Substance Use problems. This unique mini-elective will pair up residents
with a Forensic Psychiatrist for no less than one day of one-on-one intense
supervision. CNCC is adjacent to Oak Ridge (a large Maximum Security
Forensic Psychiatric Hospital), and one can walk door to door in less than ten
minutes. For those who are interested, additional arrangements will be
made to facilitate no less than a tour through Oak Ridge. It may also be
possible to set up a more formal elective at Oak Ridge under the supervision
of another psychiatrist.
Objective: Provide Forensic Psychiatry Fellows and Psychiatry Residents with
an opportunity for exposure to Correctional Psychiatry in a modern Superjail
Overview of Elective:
•Intense one day exposure to Correctional Psychiatry in a modern
provincial Superjail. Consideration will be given to those who wish to
extend the duration of the elective.
•Intense one-on-one supervision is a priority; therefore the preference is
to offer the elective to no more than one Fellow or Resident at a time,
but up to two could be accommodated.
•There would be a focus on interviewing skills, adequately managing the
risk of interviewing inmates with a history of violence, the operations of
correctional settings and the role of psychiatry, specific
treatment/medication issues arising in correctional settings, and an
overview of important legal considerations and landmark cases.
•Security pre-screening is required. It will suffice in most instances to fax a
copy of a current driver’s license one week prior to the planned visit.
Please fax to my attention (Dr. Lorberg) using a covering letter: 705-5495124.
• Visiting Fellows and/or Residents are to present themselves to the CNCC
general reception area front desk. They may have to briefly wait for a
nurse or other health care worker to be paged to greet them and escort
them to the medical unit where I would meet them. Fellows and/or
Residents would spend the entire day under my direct supervision.
•Dress code is no less than business casual. Cell phones and pagers are
generally not allowed into the facility.
•Standard departmental elective evaluation forms will be completed.
LMH-CE-7
Forensic Psychiatry, North
Bay Psychiatric Hospital
Inquiries: Dr. Arthur L. Keith, Program Medical
Director
Supervisor(s):
Place: North Bay Psychiatric Hospital
Time: three to six month elective
No. of Residents:
The North Bay Psychiatric Hospital offers a three to six month elective for
psychiatry residents interested in education, training, and supervised
experience in Forensic Psychiatry. Most activities take place at the Forensic
Program, which as 52 beds total (28 medium secure and 24 minimum
secure). The medium secure wards house adult male examinees (being
assessed for courts) and patients (not criminally responsible and unfit to
stand trial). The minimum secure ward houses both adult males and adult
females. There are opportunities for experience with forensic inpatients (in a
multidisciplinary team setting), with the Ontario Review Board, and with the
court system.
The resident will gain experience in assessing and managing people with
major mental illnesses, personality disorders, and associated conditions,
focusing on the relationship of the clinical problems to the legal issues of
fitness to stand trail and criminal responsibility. Areas of emphasis include
biopsychosocial evaluation, development of forensic assessment skills,
preparation of court reports, and incorporating risk management principles
into treatment planning.
Dr. Arthur L. Keith is the Program Medical Director of the Forensic Program.
He is certified by the American Board of Psychiatry and Neurology in general
Psychiatry and in Forensic Psychiatry, and is licensed to practice medicine in
several States as well as in Ontario. He has both Canadian and American law
degrees, and is licensed to practice law in Florida. He was a member of the
Ontario Review Board before moving his practice to the States. He has
substantial experience in correctional psychiatry as well as in evaluative
forensic work. He returned to Canada in 2003, and has a current teaching
appointment at the Northern Ontario Medical School.
LMH-CE-9
Forensic Psychiatry, Ontario
Shores Centre
Inquiries: Dr. Zohar Waisman, 905-668-5881 x 6816
waismanz@ontarioshores.ca
Supervisor: Dr. Zohar Waisman
Psychiatry is a highly complex specialty that requires excellent skills in the
assessment and management of suicide and violence risk potential.
Regardless of the resident’s future career path within psychiatry these skills
Place: Ontario Shores Centre for Mental Health
Sciences
No. of residents: negotiable
Time: negotiable
are essential for practice. This selective will offer the resident with one to
one instruction on various assessment tools, interviewing skills,
documentation, and risk management as it relates to the art and science of
risk assessment in the management of patient care. The forensic psychiatric
milieu is ideal for such an elective as forensic psychiatrists are often asked to
offer an opinion with respect to risk and manage patients of various risk
levels.
The Ontario Shores Centre for Mental Health Sciences is a large tertiary care
psychiatric facility with an extensive and growing forensic program. This
elective is designed to offer residents with an introduction to forensic
psychiatry. It is appropriate for both residents with career aspirations in this
area and for those who simply want to gain a better understanding of this
subspecialty.
LMH-CE-11
Phallometric Laboratory
LMH-CE-13
Responding to Dangerous
Psychiatric Patients in the
New Millennium
LMH-CE-15
Sexology and Gender
Identity
Inquiries: Dr. Blanchard, (416) 535-8501 ext. 6228
Supervisor(s): Drs. R. Blanchard, P. Klassen
Place: Centre for Addiction and Mental Health
Time: 3-4 hrs/week, flexible
No. of Residents: 1
Inquiries: Dr. Russ Fleming, 705-549-3181 ext. 2205
Supervisor(s): Drs. G. Cameron, R. Dickey, R. Fleming,
G. Lorberg, S. Malcolmson, D. Pallandi, L. Ramshaw
Place: Mental Health Centre, Penetanguishene- Oak
Ridge and Regional Forensic Services Program
Time: Three to Four weeks
No. of Residents: 1-2
Inquiries: Dr. Dickey, (416) 979-6830
Supervisor(s): Dr. R. Dickey
Place: Centre for Addiction and Mental Health
Time: 3-4 hours per week
No. of Residents: 2
This elective will offer training in risk assessments, fitness to stand trial
assessments, and criminal responsibility assessments. The resident will have
a combination of assessment experience and rehabilitation experience within
the context of patients who are detained under the jurisdiction of the
Ontario Review Board. Depending on the level of comfort of the resident
there will be an opportunity to testify in court and as part of Ontario Review
Boards. Instruction will be offered with regard to testifying in court and the
criminal justice system in Ontario.
This elective provides the opportunity for the resident to participate in the
assessment of sexual preference in a laboratory setting.
Residents will participate in assessments of individuals who have been
charged with dangerous crimes and are being detained in medium- and
maximum-security psychiatric hospitals for the protection of the community.
They will be helped to explore some timely and controversial issues, e.g., are
psychiatrists responsible primarily to their patients or their communities?
Can psychiatrists predict dangerous behaviour? What is their proper role in
relation to public policy makers and lawmakers? Residents will interview
patients and participate in case conferences prior to court and review board
hearings, under direct supervision of experienced forensic psychiatrists.
They may attend legal trials and hearings that consider public risks that are
presented by dangerous psychiatric patients.
This elective provides an opportunity for a resident to participate in the
assessment of patients with various sexological difficulties in the context of
the Gender Identity Clinic. In addition, this elective provides the opportunity
for the resident to participate in the assessment and treatment of sexual
offenders in an outpatient mental health setting, and assessment of sexual
offenders in a prison setting.