Category: Mental Health
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Why Mental Health Records Matter in Court Ordered Services
When the court orders a psychiatric evaluation under Iowa Code 812.3, one of the first steps in the process is gathering relevant records. These court-ordered evaluations are commonly referred to as competency evaluations and help the court determine whether an individual is able to understand the legal process and meaningfully participate in their defense. Mental…
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Getting Started with Court-Ordered Services
When court-ordered mental health services are first being arranged, people often have questions about what information is needed and how the process gets started. Courts, attorneys, treatment providers, families, and correctional facilities may all play a role, and figuring out what to gather or who to contact can sometimes feel overwhelming. When information is available…
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In-Custody vs. Out-of-Custody Evaluations
In Iowa, competency evaluations are most often completed as court-ordered psychiatric evaluations under Iowa Code 812.3 when there are pending criminal charges and the court has questions about an individual’s ability to proceed. Through 1st Choice, these evaluations may be completed while an individual is in jail custody or while they remain in the community.…
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When a Private Evaluation May Be Helpful
Questions about a person’s ability to make important decisions can arise in many different situations. While competency evaluations are often associated with court-ordered services in criminal cases, capacity evaluations may also be requested privately when there are concerns about a person’s ability to understand decisions or participate meaningfully in important matters. Capacity evaluations are typically…
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Traumatic Brain Injury: The Silent Epidemic
Traumatic brain injury (TBI) is a “silent epidemic” among those involved in the justice system. Systematic reviews show that 25% to 87% of incarcerated individuals have a history of TBI, often involving loss of consciousness and lasting cognitive changes. The link between TBI and crime is localized in the frontal and temporal lobes, the brain’s…
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Individuals with Intellectual Disability in the Criminal Justice System
Individuals with intellectual disabilities are arrested, charged, and incarcerated at disproportionately high rates. While intellectual disability is not a cause of crime, this population faces systemic barriers that complicate their interaction within the standard legal system. Challenges related to abstract reasoning, communication deficits, and struggles with judgment can substantially impact their right to due process. …
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Dual Diagnosis: The Intersection Between Substance Abuse and Mental Health
The relationship between mental health and substance use is complex. While a connection exists, it is important to recognize that the majority of individuals with mental health conditions do not have a substance addiction. Other variables play a more significant role in substance abuse, such as adverse childhood experiences, socioeconomic disadvantage, and other genetic and environmental…