Academic literature on the topic 'Forensic psychiatry – South Africa'

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Journal articles on the topic "Forensic psychiatry – South Africa"

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Wynchank, Sinclair, and Jill Fortuin. "Telepsychiatry in South Africa – present and future." South African Journal of Psychiatry 16, no. 1 (2010): 4. http://dx.doi.org/10.4102/sajpsychiatry.v16i1.231.

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The recent progress in telepsychiatry results from advancing technology and videoconferencing as an effective alternative to classic face-to-face psychiatric interaction, in terms of both results and cost-effectiveness. The wide range of applications of telepsychiatry is outlined – in particular, emergency, forensic, prison and adolescent psychiatry. Attitudes of patients and the providers of psychiatric services are discussed, and a short account is given of the place of tele-education in psychiatric teaching. The advantages of telepsychiatry are outlined and its limitations. Lastly, the limited experience and relevance of telepsychiatry in South Africa (and hence for other developing countries) are presented. The conclusion is that telepsychiatry is well established, its successes documented, and that it should be applied in planning future public health services in South Africa.
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Lynch, Virginia A., and Cinnette Strampe. "O51. Forensic nursing: a national crime prevention strategy in South Africa." Journal of Clinical Forensic Medicine 6, no. 3 (1999): 204–5. http://dx.doi.org/10.1016/s1353-1131(99)90149-9.

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Houidi, Ahlem, and Saeeda Paruk. "Profile of forensic state patients at a psychiatric unit in KwaZulu Natal, South Africa: demographic, clinical and forensic factors." Journal of Forensic Psychiatry & Psychology 29, no. 4 (2018): 544–56. http://dx.doi.org/10.1080/14789949.2018.1425471.

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Sukeri, Kiran, Orlando A. Betancourt, Robin Emsley, Mohammed Nagdee, and Helmut Erlacher. "Forensic mental health services: Current service provision and planning for a prison mental health service in the Eastern Cape." South African Journal of Psychiatry 22, no. 1 (2016): 5. http://dx.doi.org/10.4102/sajpsychiatry.v22i1.787.

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<strong>Objectives:</strong> No research data exists on forensic psychiatric service provision in the Eastern Cape, Republic of South Africa. The objective of this research was to assess current forensic psychiatric service provision and utilisation rates at Fort England Hospital. This is important in improving and strengthening the service. A related objective was to develop a model for a provincial prison mental health service. <strong></strong><p><strong>Methodology:</strong> This study is a situational analysis of an existing forensic psychiatric service in the Eastern Cape. The design of the study was cross sectional. An audit questionnaire was utilised to collate quantitative data, which was submitted to Fort England Hospital, Grahamstown. A proposed prison mental health service was developed utilising prevalence rates of mental illness among prisoners to calculate bed and staff requirements for an ambulatory and in-patient service. <strong></strong></p><p><strong>Results:</strong> During the study period a total of 403 remand detainees were admitted to the forensic psychiatry division of Fort England Hospital. The average length of stay was 494 days and the bed utilisation rate was determined at 203.54%. We estimate that to provide a provincial prison mental health service to treat psychotic illnesses and major depression the province requires a 52 bedded facility and a total staff complement of approximately 31. <strong></strong></p><p><strong>Conclusions:</strong> Forensic psychiatric services include the assessment, management and treatment of mentally disordered persons in conflict with the law and prisoners requiring psychiatric assessments. The Eastern Cape Province does not have plans or policies to assess and manage mentally ill offenders, resulting in an increased load on available services. We recommend that an inter-departmental task team, which includes Health, Justice and Constitutional Development and Correctional Services, should be established in the province, to develop a strategy to assist in the development of an effective and efficient forensic psychiatric service. This should be driven by the provincial Department of Health.</p>
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Bhui, Kamaldeep, Phillip Brown, Tim Hardie, J. P. Watson, and Janet Parrott. "African–Caribbean men remanded to Brixton Prison." British Journal of Psychiatry 172, no. 4 (1998): 337–44. http://dx.doi.org/10.1192/bjp.172.4.337.

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BackgroundAfrican–Caribbean men are over-represented in psychiatric and forensic services and in the prison population. A failure of community services to engage mentally ill African–Caribbean men and their presentation through the criminal justice system culminates in a repeated pattern of forensic service and criminal justice system contact.MethodWe carried out a cross-sectional survey during a one-year period of a sample of potentially mentally ill men remanded to HMP Brixton in south London. Men were interviewed to establish their place of birth, first language, socio-demographic profile, ethnicity, psychiatric diagnosis, levels of alcohol and substance misuse, criminality, violence involved in their index offence, past psychiatric and forensic contacts and outcome of court appearance.ResultsTwo hundred and seventy-seven men were interviewed. In comparison with White men, African–Caribbean men were more often diagnosed as having schizophrenia and were more often sent to hospital under a mental health act order. African–Caribbean men were remanded in custody despite more stable housing conditions and more favourable indices of lifetime criminality, substance misuse and violence.ConclusionsCommunity services, including diversion schemes, should be especially sensitive to African–Caribbean men with schizophrenia who ‘fall out of care’, who are not diverted back into care and are therefore unnecessarily remanded.
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Khoele, Kwena B., Paul H. De Wet, Hermanus W. Pretorius, and Jaqui Sommerville. "Case series of females charged with murder or attempted murder of minors and referred to Weskoppies Hospital in terms of the Criminal Procedure Act over a period of 21 years." South African Journal of Psychiatry 22, no. 1 (2016): 7. http://dx.doi.org/10.4102/sajpsychiatry.v22i1.887.

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Women charged with murder or attempted murders of children are usually sent for forensic psychiatric evaluation. In South Africa research and literature on this population is scarce. A case series was studied of forensic files of 32 females charged with murder or attempted murder of children. These files contained information of such females. The forensic psychiatric observation was mainly to establish whether a psychiatric diagnosis could be made, and whether they were triable and accountable. Files from 01 Jan 1990 to 31 Dec 2010 (21 years) were obtained of cases observed in Weskoppies Hospital. The aim of describing these case series was to attempt to find a psychiatric profile of such cases, as well as to find other information e.g. Demographics. The findings, after forensic observation regarding their ability to follow court proceedings and their ability to contribute meaningfully to their defence (triability) as well as their ability to distinguish between right and wrong, and their ability to act in accordance with the said appreciation (accountability) at the time of the alleged offence were also reported. This information could contribute to make medical practitioners and mental health care workers aware of risk factors involving such cases and to encourage them to enquire about these risk factors.
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Oosthuizen, Hennie, and Teuns Verschoov. "029. Liability for the wrongful discharge of psychiatric patients in South Africa." Journal of Clinical Forensic Medicine 6, no. 3 (1999): 195. http://dx.doi.org/10.1016/s1353-1131(99)90127-x.

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Janse van Rensburg, Bernard. "The South African Society of Psychiatrists (SASOP) and SASOP State Employed Special Interest Group (SESIG) position statements on psychiatric care in the public sector." South African Journal of Psychiatry 18, no. 3 (2012): 16. http://dx.doi.org/10.4102/sajpsychiatry.v18i3.374.

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<p><strong>Executive summary.</strong> National mental health policy: SASOP extends its support for the process of formalising a national mental health policy as well as for the principles and content of the current draft policy.</p><p><strong> Psychiatry and mental health:</strong> psychiatrists should play a central role, along with the other mental health disciplines, in the strategic and operational planning of mental health services at local, provincial and national level.</p><p><strong>Infrastructure and human resources:</strong> it is essential that the state takes up its responsibility to provide adequate structures, systems and funds for the specified services and facilities on national, provincial and facility level, as a matter of urgency.</p><p><strong>Standard treatment guidelines (STGs) and essential drug lists (EDLs)</strong>: close collaboration and co-ordination should occur between the processes of establishing SASOP and national treatment guidelines, as well as the related decisions on EDLs for different levels.</p><p><strong>HIV/AIDS in children:</strong> national HIV programmes have to promote awareness of the neurocognitive problems and psychiatric morbidity associated with HIV in children.</p><p><strong>HIV/AIDS in adults:</strong> the need for routine screening of all HIV-positive individuals for mental health and cognitive impairments should also be emphasised as many adult patients have a mental illness, either before or as a consequence of HIV infection, constituting a ‘special needs’ group.</p><p><strong> Substance abuse and addiction:</strong> the adequate diagnosis and management of related substance abuse and addiction problems should fall within the domain of the health sector and, in particular, that of mental health and psychiatry.</p><p><strong>Community psychiatry and referral levels:</strong> the rendering of ambulatory specialist psychiatric services on a community-centred basis should be regarded as a key strategy to make these services more accessible to users closer to where they live.</p><p><strong>Recovery and re-integration:</strong> a recovery framework such that personal recovery outcomes, among others, become the universal goals by which we measure service provision, should be adopted as soon as possible.</p><p><strong> Culture, mental health and psychiatry:</strong> culture, religion and spirituality should be considered in the current approach to the local practice and training of specialist psychiatry, within the professional and ethical scope of the discipline.</p><p><strong> Forensic psychiatry:</strong> an important and significant field within the scope of state-employed psychiatrists, with 3 recognised groups of patients (persons referred for forensic psychiatric observation, state patients, and mentally ill prisoners), each with specific needs, problems and possible solutions.</p><p><strong> Security in psychiatric hospitals and units:</strong> it is necessary to protect public sector mental healthcare practitioners from assault and injury as a result of performing their clinical duties by, among others, ensuring that adequate security procedures are implemented, appropriate for the level of care required, and that appointed security staff members are appropriately trained and equipped.</p>
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Setlaba, Nkomile Ntswaki Clourinah, Nathaniel Lehlohonolo Mosotho, and Gina Joubert. "Demographic, clinical and social characteristics of forensic patients diagnosed with schizophrenia at the Free State Psychiatric Complex, Bloemfontein, South Africa." Psychiatry, Psychology and Law 27, no. 2 (2020): 192–201. http://dx.doi.org/10.1080/13218719.2019.1618751.

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Meel, B. L. "Certification of deaths at Umtata General Hospital, South Africa." Journal of Clinical Forensic Medicine 10, no. 1 (2003): 13–15. http://dx.doi.org/10.1016/s1353-1131(03)00002-6.

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Dissertations / Theses on the topic "Forensic psychiatry – South Africa"

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Du, Toit Emile. "An evaluation of the MMPI-2 using South African pre-trial forensic patients : prediction of criminal responsibility and assessment of personality characteristics." Thesis, Rhodes University, 2004. http://eprints.ru.ac.za/57/1/dutoit-msocsc.pdf.

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This study examines the utility of the MMPI-2 in predicting responsibility in pre-trial forensic patients, using a post hoc sample of 94 offenders from Sterkfontein Psychiatric Hospital in Gauteng. Firstly, the overall characteristics of the pre-trial forensic patients are discussed, following an analysis of demographic, clinical, criminal and MMPI-2 pre-trial data, as well as an overview of the Megargee typological classification of offenders. The sample is classified into Criminally Responsible (CR), Diminished Criminal Responsibility (DCR) and Not Criminally Responsible (NCR), and the CR and DCR groups are collapsed (CR/DCR) for many of the analyses when comparing them to the NCR group. Secondly, the variance of variables with responsibility is discussed, after examining one-way ANOVA’s of demographic, clinical, criminal and MMPI-2 variables, as well as an overview of high point pairs. Thirdly, discriminant analyses were conducted of demographic, clinical and MMPI-2 variables. When comparing the collapsed CR/DCR group to the NCR group, psychiatric diagnosis, presence of psychosis, the MMPI-2 Pa and Es scales, as well as race and substance abuse each had unique predictive power and created a substantial discriminative equation (F (6,70) = 45.732, p <0.0005) with a successful prediction rate of 96%. Using only MMPI-2 variables to predict responsibility showed significant unique contributions for the Pa, Es, MAC-R and Mf scales, with the BIZ scale not quite significant, and a fairly significant overall discriminant equation (F (5,73) = 6.474, p < 0.0005), with an overall successful prediction rate of 82%, with the MMPI-2 variables adding an additional 3% to the predictive power of the demographic and clinical variables. Similarly, when examining the more complex 3 group responsibility classification of CR, DCR and NCR, it was found that the demographic, clinical and MMPI-2 variables of psychiatric diagnosis, psychosis, race, substance abuse, and the Pa, Es and Ma scales all had significant contributions to a powerful discriminant analysis (F (14, 136) = 19.758, p < 0.0005) that was capable of correctly reclassifying almost 95% of the sample, and the MMPI-2 variables providing an increase in predictive power of 8%. Differences in responsible and not responsible pre-trial forensic patients are discussed, as well as the role of the MMPI-2 in assessing these differences, and the fact that it is highly likely that it adds more to the forensic assessment of responsibility than a 3% (CR/DCR versus NCR) or 8% (CR versus DCR versus NCR) increase in predictive power. Limitations of the study are discussed, together with recommendations for future research with the MMPI-2 for assessment of criminal responsibility. The suggestion is made that the MMPI-2 can become a valuable tool in South African forensic settings, not only in the assessment of responsibility and malingering, but also in the placement, management, follow-up and treatment of offenders, to maximize the limited resources in South Africa allocated for the rehabilitation of offenders, and minimize the risk of recidivism or rehospitalization.
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Engel, Alexander Adolf. "Die afbakening van die rol en funksies van die forensiese psigiatriese verpleegpraktisyn in 'n geselekteerde forensiese psigiatriese eenheid in die Wes-Kaap." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53366.

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Thesis (MCur)--Stellenbosch University, 2003.<br>ENGLISH ABSTRACT: No clear description exists in S.A. of the role and functions of a forensic psychiatric nurse. The researcher conducted a research project based on more than 20 years of practice experience to define and describe the role and functions of the forensic nurse practitioner. A non-experimental descriptive study was done. Questionnaires and checklists were compiled to determine the perceptions of forensic psychiatric patients/clients (n =24) and nursing staff (n = 15) .The nursing activities in a selected forensic psychiatric unit was evaluated through nonparticipative observation. Results indicated that: • Patients experienced their environment as isolated and has a need for better support by the nursing staff; • Nursing staff indicated their need for more specific training in forensic psychiatric nursing; and • A need exists for specific protocols and procedures to guide his/her practice. The recommendations are made that: • A special training program for forensic psychiatric nursing needs to be planned and implemented; and • Procedures and guidelines must be established to guide the practice of the nurse practitioner.<br>AFRIKAANSE OPSOMMING: Daar bestaan in S.A. geen duidelike omskrywing van die rol en funksies van die forensiese psigiatriese verpleegkundige nie. Die navorser het gegrond op meer as 20 jaar praktykervaring 'n navorsingsprojek gedoen om die rol en funksies van die verpleegpraktisyn te definieer en te omskryf. 'n Nie-eksperimentele, beskrywende studie is gedoen. Vraelyste en kontrolelyste is opgestel om die persepsies van forensiese psigiatriese pasiënte/kliënte (n=24) en verpleegpersoneel (n=15) te bepaal. Die verpleegaktiwiteite in 'n geselekteerde forensiese psigiatriese eenheid is deur nie-deelnemende observasie geëvalueer. Resultate het daarop gedui dat: • Pasiënte hulle omgewing as geïsoleerd ervaar en het 'n behoefte aan beter ondersteuning deur die verpleegpersoneel; • Verpleegpersoneel het aangedui dat hulle 'n behoefte het aan spesifieke opleiding in forensiese psigiatriese verpJeging;en • Daar 'n behoefte is aan spesifieke protokolle en prosedures om sy/haar praktyk te rig . Die aanbevelings word gemaak dat: • 'n Spesiale opleidingsprogram vir forensiese psigiatriese verpleging beplan en geïmplementeer word; en • Prosedures en riglyne daargestel moet word om die praktyk van die verpleegpraktisyn te rig.
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Higgins, Jane Marie. "Card games and containment : forensic psychiatric patients' experiences of a student-led initiative." Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1013314.

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Despite South African forensic psychiatric institutions operating well over capacity, the urgent need for rehabilitation guidelines is neglected through lack of research in this area. This is further compounded by the constrained financial and professional resources available to the sector. The Fort England Hospital Buddy Programme (FEHBP) is a voluntary social and activity-based initiative involving 2 hourly visits between students and male forensic psychiatric patient volunteers. Through the use of Interpretative Phenomenological Analysis (Smith, 1996), the participants’ experience of the programme was further contextualised within their lives pre and post admission. While further exploration through research is required, it appeared that within institutional confines the FEHBP acted in a substitutionary and surrogacy capacity, as a space for the development of social competence. While participants appeared to experience a sense of protectiveness from the programme, the limitations and restrictions are acknowledged as an increased number and variety of social network links would be required for a more sustainable sense of subjective wellbeing to develop. The FEHBP demonstrates the use of non-professional (community involved) interventions within a forensic psychiatric context.
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Lerer, Leonard Brian. "Forensic epidemiology : the interface between forensic science and public health." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/25827.

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Swartz, Leslie. "Aspects of culture in South African psychiatry." Doctoral thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/15869.

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Bibliography: pages 351-389.<br>A review of the South African psychiatric literature reveals that the concept of culture is commonly reified. It is also used by the South African state to legitimate apartheid. The concept of cultural relativism, though often associated with liberal views internationally, is linked with state policies in South Africa. Some South African social scientists, therefore, strongly question the notion of relativism. This reaction unfortunately does not engage with the social reality of the widespread perception of cultural differences, in psychiatric settings and elsewhere. Issues of race and culture in psychiatric practice were explored in a psychiatry department of a liberal South African university. Observation of ward-rounds in a psychiatric casualty (emergency) facility over six months revealed that, as elsewhere in the world, a major cultural factor influencing clinicians is the relationship between psychiatry and general medicine. A cultural understanding of South African psychiatry must take account of this relationship. Ward-rounds in a facility treating Black psychiatric patients were observed over fifteen months. Black and white clinicians in these rounds were often in conflict over constructions of the concept of culture. Some appeared deeply ambivalent about cultural relativism. Psychiatric registrars (residents) attached to the department under study participated in loosely structured interviews exploring issues of race and culture in their work. They also responded to vignettes dealing with white, coloured and Black patients. Registrars felt uncomfortable about the role of the concept of cultural difference in affecting the welfare of Black patients, and in maintaining discrimination. Their own socialisation as practitioners in an individualising and medicalising discipline seems a major factor contributing to their ongoing reproduction of this discrimination. The study reveals the importance of exploring the views and experiences of practitioners. South African work focussing on the need for fundamental change in mental health care has generally glossed over details of extant practice. This dissertation shows, however, that a major site for mobilisation for change in South African mental health-care must be the psychiatric institution itself.
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Van, Romburgh Johannes Daniel. "The training of a forensic accountant in South Africa / J.D. van Romburgh." Thesis, North-West University, 2008. http://hdl.handle.net/10394/1861.

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Although the financial and social implications of the recent major corporate scandals like Enron, Parmalat and Fidentia (Cameron, 2007) were extremely severe and the reputation of the external auditor scarred, one could state that never before was the role of the external auditor so much under the spotlight and the global focus on fraud and corruption so intense. So, for example was the passing of the Sarbanes Oxley Act and S AS 99 in the United States merely as a direct consequence of a post-Enron remedial action (Silverstone and Sheetz, 2004:11-14). Not only globally, but also in South Africa, the focus shifted from mere expressions of opinions on financial statements to a greater awareness, detection and control of commercial crime. This is substantiated by what appears to be the large growth in private forensic investigative and accounting groups, increasing governmental investigative units and extensive media coverage of fraud and corruption scandals (i.e. Shaik, Leisurenet and Fidentia). The objective of this study is to highlight the important role(s) and prominence of South African forensic accountants through a conceptualization and clarification of: • the term "forensic accountant", • the services rendered by forensic accountants and the demand for forensic-related services, and • the importance of perceived benefits of forensic accounting training. The main objective of this study is therefore to determine a core curriculum content of topics of knowledge and skills required, which is essential to the training of a forensic accountant in South Africa. From the literature review and empirical survey, a definition for a forensic accountant is proposed, it was found that the future demand and interest in forensic-related services will increase, that benefits obtained from forensic accounting education were significant and a core curriculum of 46 forensic accounting topics were identified and ranked in terms of importance.<br>Thesis (M.Com. (Management Accounting))--North-West University, Potchefstroom Campus, 2009.
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Lund, Crick. "Mental health service norms in South Africa." Doctoral thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/10620.

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Bibliography: p. 297-335.<br>This thesis includes four main aspects. Firstly, a situation analysis was conducted of current national public sector mental health services in South Africa, using nine service indicators. Secondly, a model was developed for estimating the mental health service needs of people with psychiatric conditions in a local South African population. Thirdly, a set of service norms was proposed for each of the nine service indicators, informed by data from the situation analysis. Fourthly, a practical user-friendly planning manual was developed, using the situation analysis, model and norms to provide guidelines for the planning of mental health services by local and provincial planners.
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De, Bruin Mauritz. "The application of Forensic Geomorphology in rhinoceros poaching (South Africa)." Diss., University of Pretoria, 2016. http://hdl.handle.net/2263/51385.

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A prevalence of wildlife poaching with escalations has occurred since 2008, especially regarding rhinoceros poaching. It is essential to protect southern Africa’s heritage by developing/adapting new research methods and techniques that can assist prosecutors to improve their successes in achieving convictions. The aim of the study was to investigate the use of forensic geomorphology in the context of a poached rhino to assist in the prosecution of suspected poachers. This study was conducted at two experimental study sites which mimicked the aspects of the landscape of rhinoceros by utilising the landscape through a variety of physical, chemical and biological techniques. Trace evidence was removed from the suspects that moved through the mimicked landscape in order to verify if any significant similarities could be identified. The study concluded that a linkage could be recognized between the selected landscape and the trace evidence collected from the suspects’ belongings in both experimental studies. The results from the first experimental study site illustrated that a definite linkage could be made between the suspects and the landscape, whereas the second experimental study site suggested that there was a possibility that a linkage could be made.<br>Dissertation (MSc)--University of Pretoria, 2016.<br>Geography, Geoinformatics and Meteorology<br>MSc<br>Unrestricted
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Laing, Samantha Robyn. "The constitutionality of the Criminal Law (Forensic Procedures) Amendment Act." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/18619.

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The Criminal Law (Forensic Procedures) Amendment Act 37 of 2013 came into operation in January 2015. The Act makes provision for the establishment of a National Forensic DNA Database, which will store DNA profiles of certain groups of people. This research will discuss the establishment of a forensic DNA database in South Africa. The legal position in the United States of America will also be considered, with specific reference to the states of Maryland, California and New York. This research will focus predominantly on the collection of DNA samples and profiles from arrestees. When such samples are allowed to be collected, what offences warrant the collection of such samples and the period within which the DNA samples need to be destroyed. Collecting DNA samples and profiles from certain persons could potentially violate particular rights in the Bill of Rights. The rights to privacy, bodily integrity, equality and human dignity are discussed as well as the approach the courts have adopted in dealing with such infringements or possible infringements. This research furthermore deals with the historical developments of DNA evidence and contains a brief discussion on expert evidence. This research also deals with the evidential value of DNA evidence, as well as possible problems faced by prosecutors and defence attorneys when dealing with DNA evidence. The Criminal Law (Forensic Procedures) Amendment Act is still very new, and therefore, there is not yet much case law in South Africa specifically dealing with the sections of the said Act. This research makes submissions and recommendations regarding certain sections of the Act, as well as the overall constitutionality of the Act.
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Torline, John Ross. "Inpatient referrals to consultation-liaison psychiatry at a tertiary hospital in South Africa." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/23045.

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Introduction. Consultation-liaison psychiatry is the subspeciality that provides for the psychiatric assessment and management of patients in a hospital setting, serving as an interface between psychiatry and other medical disciplines. This study aimed to provide an analysis of the Consultation-liaison psychiatry service at Groote Schuur Hospital. It was hypothesised that the hospital has a large burden of psychiatric illness amongst inpatients with unique characteristics and high rates of referrals related to HIV, alcohol and methamphetamine use. Methods. A retrospective review was performed of all inpatients referred for psychiatric consultation from other departments over a period of thirteen months. Patients referred by the emergency medical and surgical departments were excluded from this study, as they are seen by the department of emergency psychiatry. Results. A total of 452 patients (males n=174; females n=278) between the ages of 12 and 90 years were consulted, with the majority of the patients (82%, n=360) belonging to the age group of 18 to 59 years (mean age of 37 years). The referral rate to Consultation-liaison psychiatry was 0.95% (when combined with emergency psychiatry referrals the combined referral rate was 4.7%). Most referrals were from the department of medicine (56%, n=252), with the highest number of medical subspeciality referrals from neurology (6%, n=29). Request of a general review (69%) of current psychiatric symptoms (87%) occurred most frequently. The most common symptoms noted by the referring non-psychiatrist were mood symptoms (n=159; 36%), followed by suicidal behaviour (23%, n=102) and behavioural problems (21%, n=94). The mean number of psychiatric diagnoses following assessment was one (SD 1; 0:5), and most patients were assigned a definitive diagnosis (78%, n=342). Alcohol use disorder was diagnosed in 9% (n=41). Methamphetamine use was identified in 5% (n=22) of patients, with the majority being diagnosed with methamphetamine abuse. The use of other substances was identified in 9% (n=38). The HIV status was confirmed positive in 16% (n=70), with the majority of this group being female (67%). Most subjects had psychosocial and environmental problems (55%, n=249). Registrars performed a mean number of one consultation and the majority of patients were seen within 24 hours of the referral. Medication was initiated in 31% (n=139) of cases. The majority (65%, n=292) of patients were discharged from psychiatric care, and 14% (n=61) required admission to an inpatient psychiatric unit. Conclusion. The combined referral rate (consultation-liaison and emergency psychiatry) compares favourably to that of high-income countries, and is higher than any other published studies of this nature in low-income and middle-income countries. There was no substantial agreement between psychiatrist and non-psychiatrist diagnoses. As expected, mood disorders were the most common diagnoses, with only fair agreement between psychiatrist and non-psychiatrist clinicians. A high proportion of referred patients were substance users, but methamphetamine rates were lower than expected and the rate of HIV was higher than anticipated. The results presented here may facilitate improvements in the practice of Consultation-liaison psychiatry.
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Books on the topic "Forensic psychiatry – South Africa"

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Psychiatry, mental institutions, and the mad in apartheid South Africa. Routledge, 2012.

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Kill yourself & count to 10. Penguin Books, 2014.

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South Africa. Office of the Auditor-General. Report of the Auditor-General to the Free State Provincial Legislature on the forensic audit investigation into alleged irregularities at Ditswakotleng Fresh Farm Production Project administered by the Department of Agriculture in terms of a financing agreement with the European Commission. Government Printer, 2003.

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White plague, black labor: Tuberculosis and the political economy of health and disease in South Africa. University of California Press, 1989.

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Packard, Randall M. White plague, black labor: Tuberculosis and the political economy of health and disease in South Africa. University of Natal Press, 1990.

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Peterson, Gilbert. Advances in Digital Forensics VIII: 8th IFIP WG 11.9 International Conference on Digital Forensics, Pretoria, South Africa, January 3-5, 2012, Revised Selected Papers. Springer Berlin Heidelberg, 2012.

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Z, Kaliski S., ed. Psycholegal assessment in South Africa. Oxford University Press, 2006.

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Kaliski, Sean. Psycholegal Assessment in South Africa. Oxford University Press, USA, 2006.

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Textbook of Psychiatry for Southern Africa. Oxford University Press, South Africa, 2014.

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Jones, Tiffany Fawn. Psychiatry, Mental Institutions, and the Mad in Apartheid South Africa. Taylor & Francis Group, 2014.

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Book chapters on the topic "Forensic psychiatry – South Africa"

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Mayer, Claude-Hélène. "Forensic Trace Recovery in Green Criminology." In Combating Wildlife Crime in South Africa. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-05891-3_3.

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van Wyk, Christa. "Legal Medicine and Drug-Resistant TB in South Africa." In Legal and Forensic Medicine. Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-32338-6_55.

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Oosthuizen, Hennie. "Legal and Ethical Issues in Stem Cell Research in South Africa." In Legal and Forensic Medicine. Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-32338-6_80.

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L'Abbé, Ericka N., and Maryna Steyn. "The Establishment and Advancement of Forensic Anthropology in South Africa." In A Companion to Forensic Anthropology. John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781118255377.ch30.

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Nienaber, W. Coen. "The archaeological investigation of crime scenes and humanitarian cases that involve graves and human remains in South Africa." In Forensic archaeology. John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118745977.ch39.

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Bernitz, Herman, Michael Kenyhercz, Burgert Kloppers, et al. "The History and Current Status of Forensic Science in South Africa." In The Global Practice of Forensic Science. John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118724248.ch23.

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Bernitz, Herman. "Legal Aspects Related to Healthcare Insurance, Dental Practitioners, and Forensic Odontologists in South Africa." In Forensic and Legal Dentistry. Springer International Publishing, 2013. http://dx.doi.org/10.1007/978-3-319-01330-5_11.

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Marks, Shula. "The Microphysics of Power: Mental Nursing in South Africa in the First Half of the Twentieth Century." In Psychiatry and Empire. Palgrave Macmillan UK, 2007. http://dx.doi.org/10.1057/9780230593244_4.

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Rodewald, A., G. Schaekel, H. Cleve, E. Schwender, S. Weidinger, and C. Glavce. "Blood groups, serum proteins and red cell isoenzymes - a population genetic study on South Africa/Mocambique." In Advances in Forensic Haemogenetics. Springer Berlin Heidelberg, 1988. http://dx.doi.org/10.1007/978-3-642-73330-7_118.

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Thomas, Eileen, Jacqueline Hoare, and Dan J. Stein. "Psychosomatic Medicine in South Africa: Concepts and Practices in a Low-and Middle-Income Country." In Global Psychosomatic Medicine and Consultation-Liaison Psychiatry. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-12584-4_22.

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Conference papers on the topic "Forensic psychiatry – South Africa"

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Trenwith, Philip M., and H. S. Venter. "Digital forensic readiness in the cloud." In 2013 Information Security for South Africa. IEEE, 2013. http://dx.doi.org/10.1109/issa.2013.6641055.

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Olivier, Martin S. "Towards a digital forensic science." In 2015 Information Security for South Africa (ISSA). IEEE, 2015. http://dx.doi.org/10.1109/issa.2015.7335077.

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Hauger, Werner K., and Martin S. Olivier. "Forensic attribution in NoSQL databases." In 2017 Information Security for South Africa (ISSA). IEEE, 2017. http://dx.doi.org/10.1109/issa.2017.8251777.

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Valjarevic, Aleksandar, and Hein S. Venter. "Harmonised digital forensic investigation process model." In 2012 Information Security for South Africa (ISSA). IEEE, 2012. http://dx.doi.org/10.1109/issa.2012.6320441.

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Hauger, Werner K., and Martin S. Olivier. "The state of database forensic research." In 2015 Information Security for South Africa (ISSA). IEEE, 2015. http://dx.doi.org/10.1109/issa.2015.7335071.

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Weston, Peter, and Stephen D. Wolthusen. "Forensic entropy analysis of microsoft windows storage volumes." In 2013 Information Security for South Africa. IEEE, 2013. http://dx.doi.org/10.1109/issa.2013.6641056.

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Charles, T., and M. Pollock. "Digital forensic investigations at universities in South Africa." In 2015 Second International Conference on Information Security and Cyber Forensics (InfoSec). IEEE, 2015. http://dx.doi.org/10.1109/infosec.2015.7435506.

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Pooe, Antonio, and L. Labuschagne. "A conceptual model for digital forensic readiness." In 2012 Information Security for South Africa (ISSA). IEEE, 2012. http://dx.doi.org/10.1109/issa.2012.6320452.

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Valjarevic, Aleksandar, and H. S. Venter. "Implementation guidelines for a harmonised digital forensic investigation readiness process model." In 2013 Information Security for South Africa. IEEE, 2013. http://dx.doi.org/10.1109/issa.2013.6641041.

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Van Staden, F. R., and H. S. Venter. "Adding digital forensic readiness to the email trace header." In 2010 Information Security for South Africa (ISSA). IEEE, 2010. http://dx.doi.org/10.1109/issa.2010.5588258.

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