Veidlapa Nr. M-3 (8)
Study Course Description

Forensic Psychiatry and Narcological Assesment

Main Study Course Information

Course Code
RNA_022
Branch of Science
Clinical medicine; Psychiatry
ECTS
16.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To ensure the acquisition of knowledge on the issue of forensic psychiatry and compulsory therapy in order to enable correct evaluation of pathological disorder manifestations and their legal significance. Ensure acquisition of theoretical knowledge and practical skills according to the requirements of the Regulation on procedure of alcohol, narcotic, psychotropic and toxic substances impact test pursuant to the normative documentation of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Knowledge on the legal basis of forensic psychiatric expert and narcological examination, its types and organisation thereof; case identification by using aetiological-pathogenic and clinical criteria; priority parameters in expert examination model; therapy and rehabilitation plans by applying compulsory measures of medical nature.

Skills

1.Skills: detection of psychopathological phenomena and verification of nosological diagnosis. Evaluation and substantiation of the significance thereof in particular legally significant situation. Case identification by using aethiopathogenetic and clinical criteria. Upon the evaluation of the disorders, personality and situation, to select the expert evaluation model in accordance with the priority parameter. Substantiation of the conclusion of expert examination by means of general and special confirming criteria. To provide opinion to the court regarding the changes in psychiatric health of a person over the course of application of the compulsory measures of medical character. To ascertain the fact of the use of psychoactive substances, the effect or intoxication.

Competences

1.Competencies: to be able to answer the questions addressed to the panel of experts based on the obtained information and the clinical status of the disorders in dynamic change. To assume liability for the decisions made, ethical and legal consequences of one’s behaviour. To know the laws and regulatory enactments of the Republic of Latvia that apply to forensic psychiatric expert and narcological examination and forensic expert examination in general. To give orders to medical, care and rehabilitation team members during the implementation of the compulsory measures of medical character. To use in the practice, as much as possible, the discoveries of science and information available in the literature. Be able to interpret the results of expertise, be able to take responsibility for the opinions provided.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
• To read additional literature sources, to attend thematic conferences of LPA and LAN - during everyday work to learn to recognise peculiarities of psychiatric disorders in forensic situations, correct evaluation and awareness of the significance thereof; - To learn legal norms that must be observed by forensic psychiatry experts. - in everyday work, learn to recognize the effects of various psychoactive substances.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Assessment of theoretical knowledge by means of test questions. Drawing up one expert examination opinion for training purposes and substantiation thereof, drawing up one opinion on the changes of psychiatric health status and substantiation thereof. Reasons for issuing one medical examination opinion.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Legal basis of forensic psychiatric expert examination. Organisation, the rights and duties of the expert, prescription and performance of the expert examination, expert opinion and evaluation thereof by the investigator and the court.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Methodology and phases of forensic diagnosis. Types of expert evaluation. Ethics and deontology in forensic psychiatry.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Theoretical and legal grounds of the terms “legal sanity”, “legal insanity”, “limited legal sanity”.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Forensic psychiatric expert examination during a civil procedure. Legal capacity. Capacity to act.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Peculiarities of minor forensic psychiatric expert examination, expert examinations for mentally retarded patients.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Forensic psychiatric expert examination in the event of schizophrenic spectrum and affective disorders.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Forensic psychiatric expert examination in the event of organic psychiatric disorders (including epilepsy).
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Forensic psychiatric examination in cases of personality disorders and psychogenesis.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Forensic psychiatry in narcology
  1. Seminar

Modality
Location
-
-

Topics

Legal aspects of determining the effects of alcohol, narcotics, psychotropic and toxic substances, stages of medical examination.
  1. Seminar

Modality
Location
-
-

Topics

Medical examination for determining the effects of alcohol.
  1. Seminar

Modality
Location
-
-

Topics

Medical examination for determining the effects of narcotic, psychotropic and toxic substances.
Total ECTS (Creditpoints):
16.00
Number of Residency Seminars:
12
Length (weeks):
12
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Manual for Forensic Psychiatry. Ed. By T. B. Dmitrijeva, B. V. Shostakovich, A. A. Tkachenko.- Moscow: Medicine Publishers, 2004 – 592.p.

2.

Tiesu ekspertu likums

3.

Krimināllikums 2. nodaļa, 8. nodaļa

4.

Kriminālprocesa likums - 3., 4., 5., 9., 10., 15., 30., 32., 33., 43., 44., 55., 60., 61. nodaļas

5.

Civillikums – 2. apakšnodaļa

6.

Civilprocesa likums – 4., 15., 17., 21., 33. Nodaļas

7.

Klkīniskie algoritmi un pacientu ceļi

8.

Eiropas Narkotiku un narkomānijas uzraudzības centrs

9.

Stirna A., Landsmane I., Skaida S., Stankeviča I. (2008) Narkoloģija. Astrīdas Stirnas redakcijā, Rīga, SIA „Medicīnas apgāds”.

10.

Ministru kabineta noteikumi Nr. 394,(02.06. 2008.) Nr.719 (27.11.2018.)

Additional Reading

1.

Caune M. Sertifikācija psihiatrijā. Uzdevumu krājums, 2013.

2.

Kaplan & Sadocks. Synopsis of Psychiatry. Editors B. J. Sadock, V. A. Sadock. 11th Edition. Philadelphia; Williams & Wilkins, 2015.

3.

Heilbrun, Kirk Grisso, Thomas Goldstein, Alan M. Best Practices in Forensic Mental Health Assessment: Foundations of Forensic Mental Health Assessment. Oxford University Press, USA, Cary, NC, USA, 2008.

4.

Addiction medicine. Richard K.Ries, David A.Fiellin, Shannon C.Miller, Richard Saitz. 5th Edition, Wolters Kluwer, 2014

Other Information Sources

1.

International Statistical Classification of Diseases and Related Health Problems. 10th Revision