Comprehensive Examination

Comprehensive Examination

Read the vignette carefully Based on information provided in the vignette, compose a well-written and organized response to each of the questions that follow:

Presentation of the Problem: Marcus Philips has been arrested for assault, property destruction, and resisting arrest. Police were called to his home by a neighbor in
the next apartment. They reported crashes, yelling, and a woman screaming. When police arrived they heard a woman yelling, “Let me out of here. I’m going to get you
arrested for kidnapping if you don’t let me out.” Through the window they saw Philips throw a large bowl at his mother from his position next to the door. Inside, the
television screen was smashed and there broken shards strewn across the floor. Philips’ mother had her arms up defensively, had a gash on an arm, and had a couple of
old bruises on her arm and face. Philips was disheveled, but not harmed. Philips struggled as two officers restrained him, cursing and yelling at his mother, “You have
no idea how hard it is.” In his initial interview by police, he is reported to have paced constantly and continued yelling rapidly. He frequently broke off one
sentence and started another before finishing the first sentence. It was difficult to follow his logic. He has been at the County Jail since this time. Psychosocial
History: Philips is 19 years old He lives with both biological parents and a younger sister and brother. His mother is Guatemalan American and his father is African
American. His father works overnight as a security guard and his mother works during the day as a motel maid. He claimed good relations with his mother except when she
“expects too much of me.” He said that he has good relations with his father because he doesn’t see him much. Philips graduated from high school recently, with a grade
point average of C-, and has begun looking for a job. Prior to his arrest, Philips had been without sleeping for 40 hours. Philips’ mother said that she is scared of
him because she cannot predict his moods. She said he’s moody. Sometimes he is fine, “Like he always was,” and other times, maybe about once a month for a couple of
days, he is “wild,” goes without sleep and food, and explodes into violence over little things. She has never called the police even though he has hit her and thrown
things at her in the past. She repeatedly, “…just can’t believe it will happen again.” She reported that Philips has not attacked his father or his siblings, to her
knowledge, but she has noticed that the siblings stay away from him when they can. She said that the first of these rages was about four years ago, but was relatively
minor, involving only yelling. She thinks that the rages are getting more intense and more frequent with time. Philips’ mother seemed frightened, reasonable and
concerned. She described several strategies that she and her husband have used to try to put an end to Philips’ rages. Philips said that he has a drink or two with
friends on some weekend evenings. He denied using any other recreational drugs. Task Identification You are a forensic case manager being asked to conduct a pre-trial
evaluation with recommended services and referral as a part of the present investigation. You are to act as a forensic mental health evaluator and produce a written
case report addressing the questions below. The report will be submitted to the appropriate supervisor and may be presented to the court. Behavioral Observations When
you met with Philips, he had been incarcerated for three weeks. He seems oriented to time, place, person, and the situation. When asked questions he paused for several
seconds, then spoke slowly in response. He made some eye contact, but mostly looked at his knees.
Exam Questions
Based on the vignette provided above, compose a well-written and organized response to each of the following questions.
• Use APA (6th Edition, Second Printing) Style, with 1-inch margins, double-spaced, 12 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.

Psychological Theory and Practice
A. What assessments (general and specific) would you conduct to enhance your understanding of the client’s problems and how would your choice of assessment(s) inform
your diagnostic impression and treatment planning? Assessments may include structured or unstructured interviews, valid and reliable assessment measures, and/or
formalized assessment procedures that may be conducted by yourself or by someone else referred by you.
B. Provide your diagnostic impressions (based on the DSM-5) for this individual. In narrative form, please describe how the individual meets the diagnostic criteria
for the disorder(s) chosen in addition to the differential 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 impressions.

Legal Theory and Application
A. Explain the background, current presentation, and behavior of the client utilizing theories of offender and/or victim psychology and personality/psychological
theories to support your position. Do not simply restate the client’s presentation from the vignette. Instead, provide a theoretical-based discussion of the client’s
behaviors as presented in the vignette.
B. Describe the psycholegal standards and/or definitions for each of the following: competence to stand trial, risk of dangerousness, and insanity. Identify and
describe one or more landmark case(s) for each standard (at least three cases total). Describe the elements or issues that a mental health professional usually focuses
on when assessing a person’s adjudicative competence, risk and insanity, and any additional items that might be especially important to focus on in the provided
vignette.
Research and Evaluation
A. Describe tests or assessment procedures you would employ to address the psycholegal issues of (competence to stand trial, risk of dangerousness, and insanity). You
may refer to these from the Psychological Theory and Assessment Section “A” if you already covered them there. Discuss what the anticipated conclusions would be based
upon information provided in the vignette.
B. Develop one empirically supported therapeutic treatment plan for the client in the vignette. Please make sure you summarize the empirical evidence with appropriate
citations to support your treatment choice(s) in working with your client. Be sure to discuss the effectiveness and limitations in working with this particular client,
including this client’s background, using the above treatment plans.
Interpersonal Effectiveness A. What diversity factors, cultural considerations, or other demographic variables pertaining to this client would you take into account in
rendering a diagnostic impression, choosing assessment measures, forming case conceptualizations, and designing the treatment plan? Be sure to discuss
cultural/diversity factors that could apply even if they are not explicitly mentioned in the vignette.
B. Your writing, use of citations, ability to form a logical argument, and proper APA Style, including the use of paraphrasing, 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. Include a 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/consequences to which this process might lead. Your discussion should be informed by the American
Psychological Association’s Ethics Code as well as the Specialty
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