Case Vignette for Comprehensive Examination Please read the vignette carefully. Based on information provided in the vignette, please compose a well-written andorganized response to each of the questions that follow: Identifying Information: Mr. George Huey Adams is a sixty-two year old Caucasian man born and raised in the AppalachianMountains of northeast Georgia. Huey, as he prefers to be called, was apprehended by the Gilmer county police from histwenty-three-acre home on the evening of the 11th of May 2015. He has been held at the county prison for several weeksafter being charged with Aggravated Assault for allegedly attempting to shoot three minors that were trespassing on hisproperty. Huey denies culpability for the charges that have been brought against him. Although he admits to shootinghis high-velocity rifle in the direction the teenagers were walking on his property, he adamantly states that hisintention was to scare them rich and delinquent city boys away for good but never to hurt them as they are saying now.Huey appears very anxious, preoccupied and pessimistic about his future. He sees himself as a good patriotic man thatlikes to mind his own business and that expects others to do the same. He feels that he is being falsely accused. At thistime, Huey appears to be most inclined to speak with his assigned Forensic Case Manager Specialist (FCMS). He appearsvery agitated, but hopes that the FCMS can assist him in getting the right medication to calm my nerves. Sources of Information: The information offered in this initial report was gathered from Huey?s two Vietnam Veteranfriends, medical and psychological records from North Georgia Veterans? Hospital, physical examination, self-report,ongoing clinical interviews from Psychological Services and police reports. It is important to note that Huey appears tobe inconsistent as an informant. He has been, however, fairly cooperative with the ongoing investigation andpsychosocial treatment. Family/Psychosocial History: Mr. George Huey Adams is a sixty-two year-old Caucasian man born on the 4th of July 1952 inEast Ellijay, Georgia. He described himself as a real American, proudly emphasizing that he is one-eighth Cherokee onhis paternal side. He stated, with evident bitterness, that neither the United States government nor the Cherokee Nationhas acknowledged his Native American heritage. According to his background records, his parents, grandparents andgreat-grandparents were all born in North Georgia. He said that his family never had much money or property except forthe land his family home has sat on for several generations. Huey reported no prenatal, perinatal or postnatal complications. Per self-report, all developmental milestones werereached within expected range. He reported a relatively happy childhood for him and his older sister until age 10, whenhis father died suddenly. Huey tearfully recalled that he never found out what really happened to his father and thathis mother avoided talking about it. He remembered that his sister (six years his senior) had said on several occasionsthat their father had died because he drank too much and had stopped taking his nerve pills. Huey would become a bitemotional only when he spoke about his father, emphasizing that he never developed the same closeness with his motherthat he had enjoyed for ten years with his father. Huey suffered another traumatic event when he became the victim ofsexual abuse at fourteen years of age. It was one incident that he kept hidden until he reached adulthood because oflingering feelings of shame and guilt. He never developed close relationships with anyone after his father?s death andidentified his older sister as the only significant person remaining in his life. He finally disclosed this traumaticevent to his sister, who he described as very supportive in helping him deal effectively with this burden. After joining the United States Army in 1970, Huey finished high school and earned a GED in 1972. He said that he feltrejected by the army when he unexpectedly received an honorable discharge after serving only nine months of his originalone-year duty in Vietnam. He described Vietnam as a frightening experience which he survived by smoking marijuanaevery day. He acknowledged that he was also introduced to LSD in Vietnam adding that everyone was doing it. His dutiesin Vietnam mostly consisted of doing minor clerical work. Huey indicated that the work was senseless, but preferable tohaving to work in the kitchen with a lot of angry people that were hard to please (his first assignment that lasted twoweeks) or having to fight the North Vietnamese in the jungle. Huey never saw battle during his relatively brief stay inVietnam. The things that he loved the most about his experience in the army, however, are that it gave him theopportunity to serve his country and become an expert in handling a rifle. In early 1973, he returned to Georgia and briefly settled in Atlanta holding several jobs as a construction worker,security guard and as a cook for chain restaurants. He did not like living in the city, claiming that he always feltisolated, misunderstood and anxious. By 1977, he had saved a significant amount of money. He returned home to theAppalachians to live with his ailing mother who had developed serious health issues related to type 2 diabetes. Althoughhe never felt completely accepted by his mother, he indicated that for once he felt good taking care of her. Themother-and-son relationship improved significantly at that time and he took care of his mother until she died in 1995.During this time, Huey supported himself and his mother by relying on his savings, his mother?s pension and SocialSecurity, his seasonal work in construction, and steady work as a handy-man. He liked to garden and loved to cook all ofthe meals for himself and his mother. Throughout this time, Huey did not develop any close friendships, but he did enjoygoing hunting by himself or with one or two Vietnam Veterans that he knew from Gilmer County. Huey recounted that he was very distraught after his mother?s death. He took his sister?s recommendation to move back toAtlanta in search of a new life and seek a well-paying job in construction. Atlanta was the host of the 1996 OlympicGames and, based on his extensive experience in construction, he readily found many opportunities and a lucrative job.Based on his negative prior experience living in a congested city, he chose to rent a small house in the outside ofAtlanta in Douglas County. He immediately liked the house because it sat on an acre of land with tall trees that obscuredhis view of the surrounding houses in the neighborhood. During this time, he met Robert who he calls the only real loveof my life. Huey had known for many years that he was gay, but it was not until he met Robert, a biracial man eightyears his senior, that he fully acknowledged his sexual orientation. Robert, an electrician, moved in with him and theyremained a couple until December 2001. The relationship deteriorated once Huey insisted on moving back to his old familyhome in the mountains. Robert had a good paying job with Georgia Power and was unwilling to relocate and lose 40% of hiseventual pension. Huey indicated that he was heartbroken and depressed, but that he knew he could no longer continuedealing with the congestion and traffic in metropolitan Atlanta. The suburbs were growing in population and he neededspace. Huey has been living alone and leading a very isolated life since leaving Robert. He indicated that although he hasfaith in God, he dislikes attending the local Baptist church because the preacher and the parishioners get into mybusiness and try to run my life. For the past several years, he has fixed the old mountain family home and spends mostof his days fishing, hunting, lifting weights, attending to his garden and doing odd jobs as a handy-man. He hardlysocializes with the exception of a couple of Vietnam friends that he sees occasionally to share a beer or smoke a reeferor two. He still misses Robert and was hopeful, until very recently, that some day they would get together again. Hishopes for a reconciliation were shattered when he learned that Robert had been married after same-sex marriages waslegalized in Alabama, Robert?s home state. Huey reported feeling rejected and hopeless. After some probing, hehesitantly admitted that he had been drinking and using marijuana more frequently during the past month. Psychological/Legal History: Prior to the arrest, Huey vehemently denied ever receiving mental health treatment orsuffering from a mental disorder. No serious physical or medical incidents other than the usual childhood diseases werereported in his history. No prior legal problems were reported or evidenced at this time. Although he denied substanceabuse or addiction, he did acknowledge using alcohol, and preferably, marijuana to ease his pain and alleviate hisanxiety. It is important to note that during a brief phone call from his sister, the Forensic Case Manager Specialist (FCMS)learned that Huey had received treatment for anxiety and marijuana dependency at the Veteran?s Hospital in Atlanta duringthe early 1970s. When he was confronted about this, Huey minimized its importance explaining that when he was actuallyneeding help (i.e., during the nine months he served in Vietnam), no one seemed to care or offered any assistance. Infact, he reported that he was able to reduce the use of alcohol and marijuana substantially a few months after his returnfrom Vietnam. He added that he was working long hours, sometimes six days a week, with little time left to do anythingelse. Circumstances that led to the criminal charges: Based on the preliminary police investigation and collateral information, on Saturday the 11th of May, one of the parentscalled the Gilmer County Police Department and reported that their lunatic neighbor (i.e., George Huey Adams), hadattempted to shoot her two sons Peter and Paul (ages 15 and 13) and nephew Mario (age 15). Peter and Paul?s motherconfirmed that the three boys had not been actually shot, but reported that Peter had been rushed to the hospital with apossible broken leg (later confirmed) and severe hearing loss in his left ear. According to the mother, my son Peterbroke his leg as he tried to run from a spray of bullets that were being fired in his direction, and added that her sonsand nephew identified the shooter as Mr. Adams that lived up the hill in the forested area next to their new subdivision.She demanded from the police that Mr. Adams be apprehended immediately, adding that he presented a threat to theircommunity. Subsequently, both parents have pressed criminal charges claiming that their sons have been emotionallyscarred and physically injured. According to the continuing investigation, the youngest son (Paul), continues underpsychological treatment for anxiety and sleep disorder. Huey?s account of the incident is substantially different. According to Huey, the boys (i.e., Peter, Paul and Mario)had been trespassing and loitering on his property during the weekends (mostly on Saturdays) for the past two months. Hereiterated that he avoided the issue as much as possible because he did not want to get into a conflict with a neighbor.Huey described himself as a peaceful man that avoids confrontation. He indicated that he had very nicely tried to reasonwith the boys about three times to stay off my property and respect my privacy, but to no avail. He added that hesuspected the boys had been letting his chickens loose and had been trampling over his garden. He tearfully admittedthat they finally caught me on a bad day and I lost my temper and I warned them that I was going to grab my rifle ifthey insisted disrespecting me on my own piece of land. He recalled feeling aggravated and running after them whileshooting his rifle close but not precisely in their direction. Huey strongly denied that he had any intention or plan ofhurting the young men, I just wanted to scare them away once and for all. Huey appeared very emotional, overwhelmedand even confused as he tried to recall all the details that led to the incident. Course in Investigation: The police have apprehended Mr. Huey George Adams as the shooter after the he was clearlyidentified by the two older boys Peter and Mario. Originally, based on his clean legal record, Huey was going to beallowed to post bail and required to report to a court hearing at a later date. Judge Douglas, that has known Huey fromelementary school, changed her mind at the last minute after recognizing that Huey did not appear to be himself. Thejudge is concerned about his current mental status and has requested a psychological evaluation that will specificallyoffer an opinion on the following questions. These questions involve (1) whether Mr. Adams has psychological andpsychiatric problems; (2) what caused Mr. Adams to do the things he did and if his condition had any impact on hisconduct; (3) does Mr. Adams have a history of emotional problems. Task Identification You have a master?s degree in forensic psychology. You work as a Forensic Case Manager Specialist and are being asked toconduct a pre-trial evaluation of Huey for the court. More specifically, you are to act as a forensic mental healthevaluator and produce a written report addressing the following questions:Based on the vignette provided, please compose a well-written and organized response to each of the following questions.When writing your responses, please: ? Use APA (6th edition) style, with 1-inch margins, double-spaced, 12 point font, with a reference list at the end. ? Write clearly and concisely. ? Cite appropriate, and especially current, literature (empirical and/or theoretical). ? Avoid all sexist idioms and allusions. ? Remember to demonstrate your multicultural competence where appropriate.Forensic Psychology Comprehensive Examination QuestionsPsychological Theory and PracticeA. What assessments would you conduct to enhance your understanding of the client?s problems and how would yourchoice of assessment(s) inform your diagnostic formation and treatment planning? Assessments may include structured orunstructured interviews, valid and reliable assessment measures, and/or formalized assessment procedures that may beconducted by yourself or by someone else referred by you.B. Provide your diagnostic impressions (based on either the DSM-5 or DSM-IV-TR) for this individual. In narrativeform, please describe how the individual meets the diagnostic criteria for the disorder(s) chosen in addition to thedifferential diagnostic thought process that you used to reach your hypotheses. Be sure to include any additional(missing) information that is needed to either rule out or confirm your differential diagnoses.Legal Theory and ApplicationA. Explain the background, current presentation, and behavior of the client utilizing theories of offender and/orvictim psychology and personality/psychological theories to support your position. Do not simply restate the client?spresentation from the vignette. Instead, provide a theoretical-based discussion of the client?s behaviors as presented inthe vignette.B. Describe the psycholegal standards and/or definitions for each of the following: competence to stand trial, riskof dangerousness, and insanity. Identify and describe one or more landmark case(s) for each standard (at least three cases total). Describe the elementsor issues that a mental health professional usually focuses on when assessing a person?s adjudicative competence, riskand insanity, and any additional items that might be especially important to focus on in the provided vignette.Research and EvaluationA. Describe tests or assessment procedures you would employ to address the psycholegal issues of (competence tostand trial, risk of dangerousness, and insanity). You may refer to these from the Psychological Theory and AssessmentSection A if you already covered them there. Discuss what the anticipated conclusions would be based upon informationprovided in the vignette.B. Develop one empirically supported therapeutic treatment plan for the client in the vignette. Please make sure yousummarize the empirical evidence with appropriate citations to support your treatment choice(s) in working with yourclient. Be sure to discuss the effectiveness and limitations in working with this particular client, including thisclient?s background, using the above treatment plans.Interpersonal Effectiveness A. What diversity factors, cultural considerations, or other demographic variables pertaining to this client wouldyou take into account in rendering diagnoses, choosing assessment measures, forming case conceptualizations, anddesigning the treatment plan? Be sure to discuss cultural/diversity factors that could apply even if they are notexplicitly mentioned in the vignette.B. Your writing, use of citations, ability to form a logical argument, and proper APA Style, including the use ofparaphrasing, will be evaluated as a measure of your interpersonal effectiveness. No response is required for B. Leadership, Consultation, and Ethics A. Describe how you would work within a professional treatment team to consult, triage, and treat this case. Includea description of the various members of the professional team with whom you would be likely to interact. Additionally,explain the roles and responsibilities of each member of the treatment team.B. What are the ethical and legal dilemmas this vignette introduced? What would be your immediate steps and why?Please be specific and make sure that you describe your process of ethical decision making and the solutions/consequencesto which this process might lead. Your discussion should be informed by the American Psychological Association?s EthicsCode as well as the Specialty Guidelines for Forensic Psychologists.:
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