Forman Howard L, Preven David W
Dr. Forman is Assistant Professor of Psychiatry and Dr. Preven is Clinical Professor of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
J Am Acad Psychiatry Law. 2016 Dec;44(4):422-424.
Booth and his colleagues have made an important contribution to the emerging evidence base that shows education in forensic psychiatry topics can improve attitudes toward the field. Given the desinstitutionalization of those with severe mental illness from state psychiatric facilities and the incarceration of many individuals with severe mental illness in correctional facilities, the need to train many more psychiatrists with competence in correctional settings is clear. Simply training more forensic psychiatrists will not both meet the psychiatric needs of incarcerated patients and fulfill the essential roles forensic psychiatrists play in the justice system. Therefore, it is essential that all psychiatry residency programs include time allotted to forensic psychiatry just as time is allotted to the other major subspecialties, including child and adolescent psychiatry, addiction psychiatry, geriatric psychiatry, and psychosomatic medicine. It is likely that the only way to achieve this necessary outcome is through advocacy for the Accreditation Council for Graduate Medical Education (ACGME) to mandate a rotation in forensic psychiatry, for psychiatry residency programs to be accredited.
布斯及其同事为新出现的证据库做出了重要贡献，该证据库表明法医精神病学主题的教育可以改善对该领域的态度。鉴于患有严重精神疾病的人从州立精神病院非机构化，以及许多患有严重精神疾病的人被监禁在惩教机构中，显然需要培训更多在惩教环境中有能力的精神科医生。仅仅培训更多的法医精神科医生既无法满足被监禁患者的精神科需求，也无法履行法医精神科医生在司法系统中所扮演的重要角色。因此，至关重要的是，所有精神科住院医师培训项目都应像为其他主要亚专业（包括儿童和青少年精神病学、成瘾精神病学、老年精神病学和身心医学）分配时间一样，为法医精神病学分配时间。实现这一必要结果的唯一途径可能是通过倡导研究生医学教育认证委员会（ACGME）强制要求精神科住院医师培训项目进行法医精神病学轮转，以便这些项目获得认证。
