Specifications include, but are not limited to: Activities on Fellowship: The fellow’s duties and responsibilities will vary each week depending on the needs of the institution. The following are the primary activities that will be available for the forensic fellow. Competency and NGRI Evaluations: The most common forensic evaluations at SBH are competency to stand trial/restoration to competency evaluations. However, other competency evaluations are sometimes requested, including competency to be sentenced. Most Not Guilty by Reason of Insanity (NGRI) evaluations are completed by forensic centers in the community, but SBH psychologists are sometimes asked to complete sanity evaluations, particularly if the patient has remained at the hospital under competency maintenance status. Forensic Review Teams: Forensic Review Teams (FRTs) determine patient movement through the hospital. FRTs are usually made up of two individuals from psychiatry, psychology, and/or social work who are not directly associated with the patient’s care. The FRT then reviews the patient’s chart, consults with the treatment team, and interviews the patient to determine the patient’s level of risk. Patients who are at the hospital under various forensic statuses (NGRI, Incompetent to Stand Trial-Unrestorable Criminal Jurisdiction, and Incompetent to Stand Trial-Unrestorable Probate Jurisdiction) and high-profile non-forensic patients are evaluated by the FRT whenever the treatment team is requesting an increase in the patient’s privileges. Supervision: The fellow will receive at least two hours of direct supervision each week from a member of the forensic fellowship faculty. The fellow will also have the opportunity to provide umbrella supervision for externs who are part of the forensic psychology training program. Risk Assessments: The primary risk assessment instrument utilized at SBH is the HCR20. An HCR-20 is completed by each treatment team prior to an FRT being requested. The fellow will have the opportunity to consult with various units in the hospital and complete the HCR-20 for patients who are moving through the level system. Other risk assessment instruments, such as the PCL-R and the STATIC, are used with less frequency. However, the fellow will have an opportunity to be trained in and become familiar with various risk assessment instruments and best practices in risk assessment. Duty to Protect Evaluations: SBH has a branch of the Hamilton County Probate Court on site. The Probate Court oversees many civil issues, including adoptions and trusts. At SBH, the primary focus of the Probate Court tends to be issues of civil commitment, the involuntary administration of medication, and establishing guardianships for patients at SBH. Magistrates and attorneys are on site for cases several times a week. Whenever a patient has made a threat against an identifiable person or place, a Duty to Protect evaluation is requested. As part of the fellowship, the fellow will be trained in how to complete these assessments, including establishing risk management plans if the patient has the intent and ability to carry out the threat. Capacity Assessments: If a patient engages in an illegal action (usually assaulting a peer or a staff member), a Capacity Assessment is requested. The results of these assessments can be shared within the hospital (including with the CEO) and outside of the hospital (with Ohio State Highway Patrol and the Prosecutor). The results of a Capacity Assessment can be used to determine if charges should be brought against the patient. Additional Forensic Assessments: The fellow will also have the opportunity to conduct assessments for other professionals who are completing forensic evaluations. Referrals may include determining cognitive impairment, personality assessment, intellectual functioning, and malingering. Administrative Activities: The fellow will be expected to attend the monthly Forensic Services meeting where individuals from various disciplines gather to discuss forensic topics in the hospital. These meetings are often where policy changes relevant to forensic evaluators are discussed. If the fellow is engaging in competency restoration services, the fellow will also be expected to attend the monthly competency restoration conference where providers throughout the State of Ohio discuss competency restoration services being provided in state facilities. Training/Didactics: Trainings and didactics are offered at SBH throughout the year, including various programs that offer Continuing Education credits. These didactics, many of which are forensic in nature, are free for the fellow to attend and are presented by staff at SBH and other regional psychiatric hospitals in Ohio. Grand Rounds Presentations: The fellow will be expected to provide four grand rounds presentations during the fellowship year. These will be considered part of the forensic lecture series that is hosted at SBH in conjunction with the forensic psychiatry fellowship. Other Activities: Some of the other activities available to the fellow at SBH include observing and providing testimony in the court. The fellow will also be part of the Assaulted Staff Response Team (ASRT). Members of the ASRT respond when staff have been assaulted at the hospital in order to provide trauma-informed care. Unit psychologists provide ASRT services for their respective units, but forensic psychologists and the fellow provide services to staff that are not based on a unit, including campus police officers, medical staff, and housekeeping.