Category: Criminal Justice / Forensics
Keywords: Criminal Justice | Assessment | PTSD
Presentation Type: Symposium
As veterans with posttraumatic stress disorder (PTSD) are at increased risk for aggression (Kivisto et al., 2009), there exists an urgent need to divert veterans from incarceration to treatment via forensic assessment. Case level data is presented from a midwest Veterans Health Administration (VHA). Patient A is a 37 year-old, male, OEF/OIF combat veteran with PTSD, mild TBI, and MDD, who was referred to VHA following Veterans Treatment Court (VTC) involvement for domestic violence (DV). He was administered the MMPI-2-RF, which was valid and over-reported (F-r=106; Fp-r T = 102), and the STAXI-2 which indicated internalizing dysfunction including depression, somatic complaints, anxiety, introversion (EID T=73; RCd T=75; RC1 T=90; RC2 T=92; AXY T=100; SAV T=80; INTR-r T=90), high trait anger, (T=76; ANP T=73) and suppression (T=64). He completed treatment for DV perpetrators. Patient B, a 29 year-old male OEF/OIF combat veteran with PTSD, moderate TBI, and SUD, was referred by the VTC for evading police. His MMPI-2-RF was valid albeit over-reported (F-r T=92; Fp-r T = 85), and his STAXI-2 indicated high trait anger (T = 68), low anger control (T = 36), interpersonal aggression, impulsivity, and antisocial characteristics (BXD T = 84, RC4 T = 79; ANP T = 80; JCP T = 77; AGG T = 79; AGGR-r T = 74; DISC-r T = 72). He completed anger-specific treatment, but committed a violent offense one year later. Patient C, a 27 year-old male OIF/OEF combat veteran with PTSD and SUD, was referred by VTC for assault. His MMPI-2-RF was invalid due to over-reporting (F-r = 120). Patient C relapsed on carfentanil after 1 session of anger treatment. Patient D, a 47 year old Persian Gulf veteran with PTSD, sought treatment at VHA having previous charges of DUI, drug trafficking, and public intoxication. Similar to Patient C, his MMPI-2-RF was invalid due to over-reporting (F-r = 120). He dropped-out of anger-specific group treatment. These results suggest that veterans with an internalizing, versus externalizing PTSD phenotype, may have reduced rates of drop-out and recidivism, and highlight the potential role of the MMPI-2 and STAXI in working with this population.
University of Cincinnati College of Medicine
Saturday, November 18
8:30 AM – 10:00 AM
Sunday, November 19
10:15 AM – 11:45 AM
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