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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Implementation and Evaluation of Videoconferencing for Forensic Competency Evaluation.

David D Luxton1,2, Jason Niemi3

  • 1Office of Forensic Mental Health Services, Washington State Department of Social and Health Services, Olympia, Washington, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|October 16, 2019
PubMed
Summary
This summary is machine-generated.

Videoconferencing (VC) offers a feasible solution to lengthy wait times for court-ordered forensic evaluations. This technology can improve the efficiency of competency evaluations for defendants awaiting trial.

Keywords:
assessmentcompetencyevaluationforensictelemedicinevideoconferencing

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Area of Science:

  • Forensic Psychiatry
  • Telemedicine
  • Mental Health Services

Background:

  • Increasing demand for court-ordered pretrial forensic evaluations has led to significant waitlists.
  • Concerns exist regarding civil liberties, particularly for defendants with severe mental illness or intellectual disabilities.
  • Existing services face challenges meeting the growing need for timely evaluations.

Purpose of the Study:

  • To evaluate the implementation and results of using videoconferencing (VC) for adult forensic evaluation services.
  • To assess the feasibility, safety, and efficiency of VC in conducting competency to stand trial evaluations.
  • To explore additional benefits of VC in forensic mental health services.

Main Methods:

  • A program evaluation was conducted using secure videoconferencing links connecting multiple correctional and treatment facilities.
  • Four county jails, two state hospitals, two competency restoration facilities, and two state offices were included.
  • Attorneys could join sessions via three-way conference; data were collected during and after each VC session.

Main Results:

  • Fifty competency to stand trial evaluations were completed in the first year.
  • Psychotic symptoms did not impede interviews, though some technical network issues were noted.
  • Initial results support the feasibility and safety of delivering forensic competency evaluations via VC.

Conclusions:

  • Videoconferencing can enhance the efficiency of pretrial competency to stand trial evaluations.
  • VC offers additional benefits, including training, meetings, and supervision for forensic evaluators.
  • This technology has the potential to address the rising demand for forensic evaluation services in Washington and other states.