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Developing consensus for culturally informed forensic mental health assessment: Experts' opinions on best practices.
Law and Human Behavior ( IF 2.4 ) Pub Date : 2023-06-01 , DOI: 10.1037/lhb0000531 Amanda M Fanniff 1 , Taylor York 1 , Renee Gutierrez 1
Law and Human Behavior ( IF 2.4 ) Pub Date : 2023-06-01 , DOI: 10.1037/lhb0000531 Amanda M Fanniff 1 , Taylor York 1 , Renee Gutierrez 1
Affiliation
OBJECTIVE
Individuals with minoritized identities are overrepresented in legal system contexts; thus, forensic mental health professionals conduct evaluations of examinees with a diversity of identities. Professional and ethical guidelines direct that these evaluations be completed in a culturally informed manner, yet many professionals still identify a need for specific guidance on how to do so. In the present study, we sought to establish consensus regarding best practices in incorporating culture into forensic mental health evaluations.
HYPOTHESES
Given the exploratory nature of this research, no formal hypotheses were tested. We expected that participants would concur that some practices are important to completing culturally informed forensic evaluations.
METHOD
We recruited two samples. Nine people with joint expertise in cultural considerations and forensic evaluations participated in a Delphi-type poll. More than half reported a minoritized racial/ethnic identity, and all identified as a man (56%) or woman (44%). Experts were surveyed regarding importance (two rounds) and relevance (one round) of recommended practices. They contributed seven additional relevant practices. Twenty-one board-certified forensic psychologists completed a one-time survey of their perceptions of best practices. These psychologists primarily identified as White (90%), and most did not identify as Hispanic or Latine (80%). They all identified as men (45%) or women (55%). This sample was asked to rate the importance of a list of practices refined during the Delphi-type poll.
RESULTS
The majority of practices were considered important or very important by experts and board-certified psychologists. Consensus is most clear for 28 practices with means, medians, and modes all in the "important" to "very important" range at all time points.
CONCLUSIONS
There is wide agreement on the importance of particular methods for incorporating cultural considerations in each phase of the forensic evaluation process. Forensic psychologists can use this information to self-evaluate and improve their practice and to inform training. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
中文翻译:
就文化知情的法医心理健康评估达成共识:专家对最佳实践的意见。
目标 具有少数群体身份的个人在法律体系中所占比例过高;因此,法医心理健康专业人员对不同身份的受检者进行评估。专业和道德准则要求这些评估以文化知情的方式完成,但许多专业人士仍然认为需要就如何做到这一点提供具体指导。在本研究中,我们试图就将文化纳入法医心理健康评估的最佳实践达成共识。假设 鉴于本研究的探索性,没有测试任何正式的假设。我们预计参与者会同意某些做法对于完成文化知情的法医评估非常重要。方法 我们招募了两个样本。九名在文化考虑和法证评估方面具有共同专业知识的人参加了德尔菲式民意调查。超过一半的人报告了少数种族/民族身份,并且全部被确定为男性(56%)或女性(44%)。专家们接受了关于推荐做法的重要性(两轮)和相关性(一轮)的调查。他们贡献了另外七项相关实践。二十一位经过委员会认证的法医心理学家完成了一项关于他们对最佳实践看法的一次性调查。这些心理学家主要认为自己是白人(90%),大多数不认为自己是西班牙裔或拉丁裔(80%)。他们都认为自己是男性(45%)或女性(55%)。该样本被要求对德尔菲式民意调查期间完善的一系列实践的重要性进行评级。结果 专家和委员会认证的心理学家认为大多数实践很重要或非常重要。 28 种实践的共识最为明确,其手段、中位数和模式在所有时间点都处于“重要”到“非常重要”的范围内。结论 对于在法医评估过程的每个阶段纳入文化因素的特定方法的重要性,人们达成了广泛的共识。法医心理学家可以利用这些信息来自我评估和改进他们的实践,并为培训提供信息。 (PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。
更新日期:2023-06-01
中文翻译:
就文化知情的法医心理健康评估达成共识:专家对最佳实践的意见。
目标 具有少数群体身份的个人在法律体系中所占比例过高;因此,法医心理健康专业人员对不同身份的受检者进行评估。专业和道德准则要求这些评估以文化知情的方式完成,但许多专业人士仍然认为需要就如何做到这一点提供具体指导。在本研究中,我们试图就将文化纳入法医心理健康评估的最佳实践达成共识。假设 鉴于本研究的探索性,没有测试任何正式的假设。我们预计参与者会同意某些做法对于完成文化知情的法医评估非常重要。方法 我们招募了两个样本。九名在文化考虑和法证评估方面具有共同专业知识的人参加了德尔菲式民意调查。超过一半的人报告了少数种族/民族身份,并且全部被确定为男性(56%)或女性(44%)。专家们接受了关于推荐做法的重要性(两轮)和相关性(一轮)的调查。他们贡献了另外七项相关实践。二十一位经过委员会认证的法医心理学家完成了一项关于他们对最佳实践看法的一次性调查。这些心理学家主要认为自己是白人(90%),大多数不认为自己是西班牙裔或拉丁裔(80%)。他们都认为自己是男性(45%)或女性(55%)。该样本被要求对德尔菲式民意调查期间完善的一系列实践的重要性进行评级。结果 专家和委员会认证的心理学家认为大多数实践很重要或非常重要。 28 种实践的共识最为明确,其手段、中位数和模式在所有时间点都处于“重要”到“非常重要”的范围内。结论 对于在法医评估过程的每个阶段纳入文化因素的特定方法的重要性,人们达成了广泛的共识。法医心理学家可以利用这些信息来自我评估和改进他们的实践,并为培训提供信息。 (PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。