The Miller-Forensic Assessment of Symptoms Test (M-Fast)

2005 ◽  
Vol 32 (6) ◽  
pp. 591-611 ◽  
Author(s):  
Holly A. Miller

The Miller-Forensic Assessment of Symptoms Test (M-FAST) was developed to provide clinicians with a reliable and valid screen for malingered mental illness. Previous studies have demonstrated the development and initial validation of the M-FAST. The current analyses extend the M-FAST generalizability across literacy status and race and compare predictive utility with clinical opinion. Study 1 includes a sample of 280 forensic male psychiatric patients, 5 psychiatrists, and 8 psychologists. The psychiatric participants were administered the SIRS, M-FAST item pool, M Test, and MMPI-2. Study 2 includes an independent sample of 50 male forensic psychiatric participants and the 13 mental health professionals. Results provide evidence of generalizability of the M-FAST across literacy and racial groups. Results also indicate that the M-FAST produced higher classification accuracy than the M Test and clinical opinion, significantly reducing the number off alse negatives at the screening stage of malingering assessment.

2019 ◽  
Vol 109 ◽  
pp. 126-132 ◽  
Author(s):  
Leonie Hendrikoff ◽  
Lana Kambeitz-Ilankovic ◽  
Rüdiger Pryss ◽  
Fanny Senner ◽  
Peter Falkai ◽  
...  

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Carlos De las Cuevas ◽  
Amado Rivero-Santana ◽  
Lilisbeth Perestelo-Pérez ◽  
Jeanette Pérez-Ramos ◽  
Pedro Serrano-Aguilar

2005 ◽  
Vol 29 (9) ◽  
pp. 327-329 ◽  
Author(s):  
Tayyeb A. Tahir ◽  
Jonathan I. Bisson ◽  
Jodie Wilcox

Aims and MethodTo assess the views of patients and mental health professionals on the practice of copying clinical letters to patients. Patients and professionals from local community mental health teams were asked to complete a questionnaire regarding their views.ResultsThe questionnaires were completed by 51 patients and 40 mental health professionals. Significantly more patients (83%) than staff (37%) thought that copying letters to patients was a good idea (OR=14.56, 95% CI 4.674 –45.158). Many staff appeared concerned that copying letters to patients could result in breakdown of the therapeutic relationship, causing distress and anxiety.Clinical ImplicationsConsiderable work is needed for clinicians to feel comfortable in copying letters to patients. The creation of working groups, including users, carers, managers and clinicians working in the field of mental health, would facilitate the development of guidelines for this practice.


2001 ◽  
Vol 18 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Alison O'Connor ◽  
Patricia Casey

AbstractObjectives: There have been concerns in the international literature that the manner in which psychiatry and psychiatric patients is portrayed in the print media is negative and sensational. If correct this has serious implications for the stigma and prejudice that our patients will suffer. This study was designed to evaluate the content and tone of articles relating to psychiatry. It was compared with a broadly similar study published in 1995 and will form the base from which to measure changes in psychiatric coverage over time.Method: All the daily broadsheets, one daily tabloid and three Sunday broadsheets were examined for a six month period in 1999 and all articles, letters or headlines incorporating psychiatry-related material were examined. Using specific definitions, articles and headlines were examined for tone and content as well as for the contribution of mental health professionals.Results: Overall 0.65 articles per newspaper per day were found. News items and feature predominated, with forensic issues receiving the greatest attention. The tone of the articles was either neutral or positive and the improvement in the tone of articles in the tabloids was particularly noticeable when compared with an earlier study. This is very different from the findings of international studies. However, the headlines were more sensational in tone than the contents of the articles themselves. Increasingly the opinion of health professionals was sought but contributions from psychiatrists remained low, writing just two articles and constituting 15% of health professionals whose opinions were sought. Nine per cent of items constituted misuse of terms.Conclusions: The Irish print media are not hostile to psychiatry and there has been an improvement in tone and type of article in the past five years. Greater involvement of psychiatrists in the media and particularly more direct engagement with editors is required if there is to be a shift from coverage of forensic matters in favour of informative articles as well as improvement in the headline tone.


2016 ◽  
Vol 54 (2) ◽  
pp. 239-259
Author(s):  
Kirby Huminuik

In spite of the absolute prohibition against torture in international law, this grave human rights abuse is still practiced systematically and with impunity in the majority of countries around the world. Mental health professionals can play a positive role in the fight against torture and impunity, by developing competencies to assess the psychological sequelae of torture. High-quality psychological evidence can help to substantiate allegations of torture, thereby increasing the likelihood of success in civil, administrative, and criminal proceedings. This article will orient mental health professionals to issues specific to forensic assessment of torture survivors. It provides a brief introduction to the sociopolitical context of torture, reviews literature on the psychological sequelae of torture, introduces the reader to key competencies, offers information on strategies for producing documentary evidence and expert opinion, highlights ethical considerations, and suggests areas for development in the field.


1997 ◽  
Vol 31 (2) ◽  
pp. 285-290 ◽  
Author(s):  
John Coverdale ◽  
Ian Falloon ◽  
Sarah Turbott

Objective: We aimed to determine the attitudes and behaviours of mental health professionals (MHPs) including psychiatrists towards identifying and reducing their own patients' risk for sexually transmitted diseases and unwanted pregnancies. Method: 102 of all of the 162 mental health professionals serving predominantly chronically psychiatrically ill adult outpatients and inpatients in Waitemata district responded to an anonymous questionnaire (response rate = 63%), concerning their own attitudes and behaviours towards identifying and counselling patients on their risk for sexually transmitted diseases and unwanted pregnancies. Results: Mental health professionals reported that, on average, they had counselled 14% of their own male patients and 21% of their own female patients on sexually transmitted diseases, including AIDS prevention, and that more of their own patients were at risk than were counselled. They also reported that they had counselled 5% of their own male patients and 17% of their own female patients about family planning. Forty-two per cent of mental health professionals indicated that they had insufficient knowledge about sexually transmitted diseases to educate patients, 72% indicated that when it came to risky sexual behaviours chronic psychiatric patients were much the same as other people, and 33% or more felt uncomfortable discussing topics of condom use and patients' sexual preferences. Conclusion: These results suggest that family planning and sexually transmitted diseases risk preventive interventions for psychiatric patients need to overcome mental health professionals' own barriers to risk prevention.


2005 ◽  
Vol 187 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Giel Hutschemaekers ◽  
Bea Tiemens ◽  
Ad Kaasenbrood

BackgroundProfessional boundaries between psychiatrists and other mental health professionals are difficult to set. Empirical evidence for the distribution of diagnostic and treatment tasks among professionals is lacking.AimsThis study examines the ‘collective sense of the profession’ about the relationship between patient characteristics and the contribution of tasks by disciplines.MethodAn adapted RAND appropriateness method was used. Eighty-six professionals judged 77 case descriptions of psychiatric patients on the contribution to diagnostic and treatment tasks of eight selected disciplines.ResultsIn two multi-level models the variance explained by the judges' characteristics was 3.7% for diagnostic tasks and 4.5% for treatment tasks. The variance explained by the patient characteristics was zero for diagnostic and 0.5% for treatment tasks. The variance explained by the indicated disciplines was 36.8% for diagnostic and 12.6% for treatment tasks.ConclusionsThe collective sense of the profession on the contribution of psychiatrists to mental healthcare is unambiguous but not related to patient characteristics. It seems to be based on an apriori ranking order of disciplines.


2016 ◽  
Vol 18 (1) ◽  
pp. 64-75 ◽  
Author(s):  
Helen Johnson ◽  
Rachel Worthington ◽  
Neil Gredecki ◽  
Fiona Rachel Wilks-Riley

Purpose – The purpose of this paper is to examine the relationship between trust and burnout among mental health professionals working within a forensic psychiatric setting. The association between these factors and boundary violations was also examined. Design/methodology/approach – Mental health professionals (n=117) completed the Maslach Burnout Inventory and a measure of their trust in co-workers. A series of 12 vignettes was also designed to assess the frequency and impact of boundary violations by clients. Findings – Propensity to trust was found to be predictive of personal accomplishment. A higher propensity to trust others was associated with lower levels of emotional exhaustion and depersonalisation. It was also associated with greater cooperative behaviour. Higher frequency of boundary violations reported by professionals was associated with lower levels of perceived trust and cooperative behaviours among colleagues, and increased depersonalisation. In addition, professionals reporting more of a perceived impact of boundary violations, reported higher emotional exhaustion and depersonalisation. The results also indicate that younger professionals reported higher levels of emotional exhaustion and depersonalisation, whereas older professionals were more positive regarding their competence and sense of accomplishment. Research limitations/implications – The results are discussed in terms of the development of trust within teams as an effective strategy to reduce the development of burnout. Implications are made for the importance of reflective practice and clinical supervision in developing positive working relationships with clients, and providing a safe environment to discuss professional conflict. The importance of supporting younger professionals has also been highlighted. Originality/value – This is the first research paper to explore the relationship between trust within teams and the development of burnout within forensic psychiatric services.


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