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PRAMS: a systematic method for evaluating penal institutions under litigation.

Cheryl D Wills1

  • 1Tulane University School of Medicine, New Orleans, LA, USa. cwforensic@earthlink.net

The Journal of the American Academy of Psychiatry and the Law
|March 29, 2007
PubMed
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Forensic psychiatrists can use the new PRAMS method to systematically review and present data in mental health litigation cases. This structured approach aids in evaluating the impact of confinement conditions on institutionalized individuals.

Area of Science:

  • Forensic Psychiatry
  • Mental Health Law
  • Corrections Medicine

Background:

  • Forensic psychiatrists act as expert witnesses in legal cases concerning institutional confinement.
  • Evaluating the impact of confinement conditions on mental health requires reviewing extensive data.

Purpose of the Study:

  • To introduce PRAMS, a systematic method for reviewing and presenting data in mental health litigation.
  • To enhance the organization and analysis of findings for forensic psychiatric expert opinions.

Main Methods:

  • The PRAMS method involves five stages: paper review, real-world view, aggravating circumstances, mitigating circumstances, and supplemental information.
  • This systematic approach structures the examination process for complex mental health care systems.

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Main Results:

  • PRAMS provides a framework for constructing and presenting a comprehensive view of an institution's care system.
  • The method improves the organization, analysis, and publication of salient findings.

Conclusions:

  • PRAMS facilitates forensic psychiatrists' expert testimony and reporting in mental health litigation.
  • This systematic approach aids in delivering expert opinions on complex institutional mental health care.