Professional Documents
Culture Documents
Vita - Elmeida
Psychiatry Department
Medical Faculty-USU
Introduction
1.
2.
3.
4.
Legal aspect of
psychiatric practice
1.
.
a.
b.
Professional liability
Psychiatrists are less likely than other
physician to sued for professional
negligence
In case of professional liability or
malpractice, a patients (the plaintiff)
sues the psychiatrist (the defendant)
In Order to prevail legally, the
plaintiff must prove each of four
elements
The psychiatrist had a duty of care to
the pts
There was a breach of duty of to the
pts
2. Informed consent
a.
b.
3. Civil commitment
In some circumstances, psychiatry
patients are hospitalized involuntary.
The legal bases for involuntary or civil
commitment are the principles of
parens patriae (ie, The government
may act as father of country to
protect individuals who are unable to
take care of themselves) and
The police power of the state (ie, the
government has the authority to
protect society from dangerous
individuals)
1.
2.
3.
To receive visitors,
4. Confidentiality
The therapeutic relationship gives rise to a
legal and ethical duty of confidentiality,
which requires the physician to hold secret
all information revealed by pts. Breach of
confidentiality can result in action for
damages for defamation, invasion of
privacy, or breach of contract
Assessment of mental
disability
1.
.
2. Personal injury
Courts allow plaintiffs to be
compensated for both physical
and psychologically injuries
Psychiatrists become involved in
these
Cases by evaluating whether a
plaintiff has been psychologically
injured and whether the injury
was the result of negligent act by
defendant
3. Competence
In psychiatry, competence refers to a
persons mental capacity to perform or
accomplish a particular task
In criminal law: to stand trial, to testify,
to be executed
In civil law: to write will, to make a
contract, to vote or hold office, to
manage ones own funds, to care for a
child
In medical practice: to consent to
surgery or ECT, to refuse surgery or
ECT
1.
.
.
2. Criminal responsibility
Involve two separate aspects
whether at the time of the act,
as consequence of mental
disorder, the defendant:
Did not know what she/he was
doing or that it was wrong
Could not conform his or her
conduct to requirements of the
law
a.
3. Prison Psychiatry
Jails and prisons have much
higher proportions of mentally ill
and mentally retarded individuals
than are found in the general
population. Forensic psychiatrist
provide treatment for these
individuals
Forensic Child
Psychiatry
PSYCHIATRISTS AND
THE COURTS
1.CAN ACT AS TWO KINDS OF WITNESS
1. WITNESS OF FACT
2.EXPERT OF WITNESS
2. The written report
Forensic report:
I.
Identifying information: ex. Name,
birth
II.
Referral information: brief
chronology of the situation and the
statement about the circumstances
of the referral and the specific
purpose of the evaluation
DEMI KEADILAN
(PRO JUSTITIA)
SURAT KETERANGAN AHLI KEDOKTERAN JIWA
(VISUM ET REPERTUM PSYCHIATRICUM)
NO:..
Saya yang bertanda tangan dibawah ini:
Nama
: ..
Jabatan/pangkat:..
NIP/NRP :..
Tempat dan alamat observasi:
..........Telepon
Propinsi
Atas permintaan tertulis dari:
Instansi:
Nomor surat:.
Tanggal:
alamat:
Telepon
Telah melakukan observasi dan pemeriksaan terhadap:
tersangka/terdakwa/terpidana
Nama:.
Umur:..
Jenis kelaminn
Agama.
Alamat..
Pendidikan
Status perkawinnan.
Pekerjaan
Status penahanan:DITAHAN/TAHANAN LUAR/TIDAK
DITAHAN
Tuduhan:
a.
b.
VII: Kesimpulan*
kemampuan/ketidakmampuan memaksudkan suatu
tujuan yang sadar
kemampuan/ketidakmampuan mengarahkan
kemauan
Demikianlah Visum et Repertum Psychiatricum ini
dibuat dengan mengingat sumaph sewaktu
menerima jabatan
Nama tempat, tanggal.bulan,tahun
Dokter yang memeriksa
---------------------------------------------NIP/NRP