At Stein Forensic Hospital (Stein), the fellow will become skilled in the practice of writing reports for the court and working in a forensic setting. Stein is one of the two forensic facilities in Nevada and is part of the Southern Nevada Adult Mental Health Services (SNAMHS) system.
At Stein, the fellow will carry a caseload of patients and learn how treating patients for competency restoration differs from treating patients in a civil setting. The fellow will be responsible for diagnosis, medication management, assessing the progress of individual patients receiving competency restoration instruction, and documentation. The fellow will also lead a treatment team consisting of a psychologist, social worker, and other professionals.
The fellow will assess patients for competency to continue with adjudication and prepare and submit reports to the court. As part of this process, the fellow will learn the legal and philosophical components defining competency, learn to complete an effective interview, and learn the art of writing clear and concise reports.
The fellow will also write or assist with writing the annual risk assessment on patients committed to the facility under Nevada Revised Statute (NRS) 178.461. Such clients are committed long-term and require a yearly assessment for dangerousness to determine the need for continued treatment in a locked forensic setting. The exercise will introduce the fellow to the concept of risk assessments and assessing for dangerousness.
When indicated, the fellow will testify in court and learn how to present information in a clear format within the scope of practice.