FORENSIC SERVICES

Criminal Forensic Evaluations
Psychiatric Disability
Evaluations for Tort Claims

Employment Related Evaluations
Correctional & Psychiatric Institutions
Capacities

Certification & Licensure

Diplomate, American Board of Psychiatry and Neurology
  • Added qualifications in forensic psychiatry 12/94
    * recertified 12/04, 4/12
  • Certificate in psychiatry 11/87
Diplomate, American Board of Forensic Psychiatry 10/92
Medical Liscensure
  • Pennsylvania 3/02
  • Florida 2/02
  • Maryland 8/82

Honors

Paul R. McHugh Teaching Award, Department of Psychiatry
  • Johns Hopkins University School of Medicine 6/06
Distinguished Fellow
  • American Psychiatric Association 1/03
Fellow
  • American Psychiatric Association 12/95
Rappeport Fellow
  • American Academy of Psychiatry & the Law Appointed 1985

Current Teaching Appointments

Associate Professor of Psychiatry
  • Johns Hopkins University School of Medicine, Baltimore, Maryland
Clinical Professor of Psychiatry
  • University of Maryland School of Medicine, Baltimore, Maryland

Postgraduate Training

University of Maryland Hospital

Baltimore, Maryland

  • Fellow in Forensic Psychiatry 7/86-6/87
Johns Hopkins Hospital

Baltimore, Maryland

  • Resident in Psychiatry 7/85-6/86
  • Assistant Resident in Psychiatry 7/83-6/85
Baltimore City Hospitals (now Johns Hopkins Bayview Medical Center)

Baltimore, Maryland

  • Psychiatry Intern 7/82-6/83

Education

Johns Hopkins University

Baltimore, Maryland

  • M.D. 5/82
  • B.A. with Honors 5/79
Emory University

Atlanta, Georgia

  • Student 1975-1977

Current Clinical Practice

Attending Physician

Johns Hopkins University School of Medicine, Baltimore, Maryland

  • Director of Program in Psychiatry & the Law
  • Inpatient attending physician on the Community Psychiatry Service
Co-Director:
Fellowship in Forensic Psychiatry
  • University of Maryland School of Medicine, Baltimore, Maryland

PROFESSIONAL ORGANIZATIONS

American Academy of Psychiatry & Law
American Psychiatric Association

American Board of Psychiatry & Neurology
Maryland Psychiatric Society

SELECTED PUBLICATIONS

Transferring juvenile defendants from adult to juvenile court: How Maryland forensic evaluators and judges reach their decisions
Competency to practice and licensing
Reducing inpatient suicide risk: Using human factors analysis to improve observation practices
Resource document on the use of restraint and seclusion in correctional mental health care
Lies and coercion: Why psychiatrists should not participate in police and intelligence interrogations
Diversion to the Mental Health System: Emergency Psychiatric Evaluations
Practice guideline: Forensic psychiatric evaluation of defendants raising the insanity defense
Reply to Shafer: Exploitation of criminal suspects by mental health professionals is unethical
Resource document on peer review of expert testimony
Group dynamics in forensic pretrial decision-making
Insanity defense pleas in Baltimore City: An analysis of outcome

Clinicians’ judgment of competency of nursing home patients to give informed consent
The Mental Health System and the Law
Competency assessment of medical and psychiatric patients under the Health Care Decisions Act
The Munchausen Syndrome in civil forensic psychiatry
The request for assistance in dying: The need for psychiatric consultation
Prevalence of advance directives and guardianship in nursing home patients
The Hopkins Competency Assessment Test: A brief method for evaluating patients’ capacity to give informed consent
The emergency petition process in Maryland
Assessing competency in the elderly
Defendants pleading insanity: An analysis of outcome
Psychiatrists’ accuracy in predicting violent behavior on an inpatient unit
Munchausen Syndrome in a mother and daughter: An unusual presentation of folie à deux
Assessment of risk in research on children

SELECTED LECTURES & PRESENTATIONS

2014

  • AAPL as Amicus Curiae
    • American Academy of Psychiatry and the Law, Annual Meeting, Chicago, Illinois
  • Management of violence on an inpatient psychiatric unit, Grand Rounds
    • Saint Joseph’s Hospital Department of Psychiatry, Baltimore, Maryland
  • Civil commitment and medication over objection, The Maryland experience
    • Saint Elizabeths Hospital Annual Forensic Conference: Involuntary Civil Commitment, Updates and Controversies,Washington, DC
  • Suicide risk assessment and prevention, Grand Rounds
    • Department of Psychiatry, Johns Hopkins Hospital, Baltimore, Maryland

2013

  • Inpatient violence: Risk mitigation strategies
    • American Academy Psychiatry and the Law, Annual Meeting, San Diego, California
  • Involuntary hospitalization and treatment
    • NAMI of Metropolitan Baltimore, Baltimore, Maryland
  • Psychiatric inpatients and violence towards staff
    • Buffalo Psychiatric Center, SUNY at Buffalo Grand Rounds, Buffalo, New York
  • Reducing Suicide Risk, Grand Rounds
    • St. Josephs Medical Center, Towson, Maryland

2012

  • Updating the AAPL Practice Guidelines on the Insanity Defense
    • American Academy Psychiatry and the Law, Annual Meeting, Montreal, Canada
  • Developments in forensic psychiatry in the United States and France: Vive la difference!
    • American Psychiatric Association, Annual Meeting, Philadelphia, Pennsylvania
  • Psychiatry and the Courts: Hot issues
    • American Psychiatric Association, Annual Meeting, Philadelphia, Pennsylvania

2011

  • Reducing inpatient suicide risk
    • Caro Center, Caro, Michigan
  • The DRE Program: Junk science masquerading as expertise in the courtroom
    • Maryland Public Defenders Training Seminar Series, Baltimore, Maryland
  • Psychiatric inpatients and violence towards staff
    • Grand Rounds, Department of Psychiatry, Johns Hopkins Hospital, Baltimore, Maryland

2010

  • Suicide risk assessment and prevention
    • Grand Rounds, Spring Grove Hospital Center, Baltimore, Maryland

2009

  • Juvenile waivers: Which factors influence decisions
    • American Academy of Psychiatry and the Law, Annual Meeting, Baltimore, Maryland
  • National security, the Hippocratic oath, and the war on terror
    • American Psychiatric Association, Annual Meeting, San Francisco, California
  • Reducing inpatient suicide risk: Improving observation practices
    • Grand Rounds, Department of Psychiatry, Johns Hopkins Hospital, Baltimore, Maryland

2008

  • Mandated outpatient care in NYC: Two roads more traveled by
    • American Academy of Psychiatry and the Law, Annual Meeting, Seattle, Washington
  • President's address: Reducing inpatient suicide risk: Improving observation practices
    • American Academy of Psychiatry and the Law, Annual Meeting, Seattle, Washington
  • The ethics of coercion
    • Ethics Forum, Baltimore County Medical Association and The Maryland Psychiatric Society, Towson, Maryland
  • Psychopathy
    • Maryland Psychiatric Society Personality Disorder Symposium, Towson, Maryland

2007

  • Forensic psychiatry fellowships: Faculty competencies
    • American Academy of Psychiatry and the Law, Annual Meeting, Miami, Florida
  • Operationalizing the insanity defense
    • ASTAR National Judges Science School – Neuroscience & Bio-Behavioral Technologies, Baltimore, Maryland
  • Suicide and violence risk assessment
    • Grand Rounds, Sinai Hospital, Baltimore, Maryland
  • Lies and coercion: Why psychiatrists should not participate in police and intelligence interrogations
    • Grand Rounds, Department of Psychiatry, Johns Hopkins Hospital, Baltimore, Maryland

2006

  • Disciplinary actions against psychiatrists in Maryland
    • American Academy of Psychiatry and the Law, Annual Meeting, Chicago, Illinois
  • Competency assessment instruments: The state of the art
    • Maryland Judiciary Workshop for ASTAR judges, Baltimore, Maryland

2005

  • Update on forensic psychiatry ethical issues
    • APA Ethics Workshop, Washington, D.C.
  • The impact of Department of Juvenile Services interventions on future juvenile delinquency
    • American Academy of Psychiatry and the Law, Annual Meeting, Montreal, Canada
  • Psychiatric malpractice
    • Grand Rounds, Department of Psychiatry, Johns Hopkins Hospital, Baltimore, Maryland
  • Suicide and violence to others risk assessment
    • Annual Meeting, National Commission on Correctional Health Care, Las Vegas, Nevada

2004

  • Emergency evaluations: Clinical outcomes
    • APA Ethics Workshop, Washington, D.C.
  • Assessing competency in medical and surgical patients
    • Medical Grand Rounds, St. Joseph Medical Center, Towson, Maryland

2003

  • Confidentiality and privacy
    • APA Ethics Workshop, Washington, D.C.
  • Civil commitment: From court to hospital
    • American Academy of Psychiatry and the Law, Annual Meeting, San Antonio, Texas
  • Current psychiatry and the law issues at the APA
    • American Academy of Psychiatry and the Law, Annual Meeting, San Antonio, Texas

2002

  • Involuntary hospitalization and treatment
    • Mid-Shore Health Systems, Chesapeake College, Wye Mills, Maryland
  • Capital punishment, the insanity defense and psychiatry
    • Department of Psychiatry Grand Rounds, Johns Hopkins Hospital, Baltimore, Maryland

2001

  • Capital defendants: Psychological mitigating factors
    • American Academy of Psychiatry and the Law, Annual Meeting, Boston, Massachusetts
  • Mental illness and dangerousness to others
    • Department of Psychiatry Grand Rounds, Johns Hopkins Hospital, Baltimore, Maryland

2000

  • Practice guidelines for not criminally responsible evaluations
    • American Academy of Psychiatry and the Law, Annual Meeting, Vancouver, B.C., Canada
  • When patients say no to needed treatment: From persuasion to coercion
    • Guttmacher Forensic Institute, Baltimore, Maryland
  • Crucial training in emergency petitions and involuntary hospitalizations
    • Chesapeake College, Wye Mills, Maryland
  • Safely managing psychiatric patients in the emergency room
    • Kent and Queen Anne’s Hospital, Chestertown, Maryland

1999

  • Models of overturning the right to refuse treatment
    • American Academy of Psychiatry and the Law, Annual Meeting, Baltimore, Maryland
  • Espionage, psychological exploitation and entrapment
    • American Academy of Psychiatry and the Law, Annual Meeting, Baltimore, Maryland

1998

  • Competency and advance directives
    • Caring for Patients with dementia, Perry Point VA Hospital Education Series, Perry Point, Maryland
  • Procedures in involuntary admissions and involuntary medication
    • Guttmacher Forensic Institute & Maryland Mental Hygiene Administration, Linthicum Heights, Maryland

1997

  • Prediction of inmates' early adjustment to prison
    • American Academy of Psychiatry and the Law, Annual Meeting, Denver, Colorado
  • Safety issues during commitment hearings
    • Educational series for Administrative Law Judges, State of Maryland
  • Antisocial personality disorder, sociopathy, and psychopathy
    • Grand Rounds, Department of Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • Ethics Committees: The good, the bad, and the ugly
    • American Psychiatric Association Annual Meeting, San Diego, California
  • Assessing and managing risk of violence
    • Symposium on Mental Disability and the Law, Maryland Department of Mental Hygiene, Jessup, Maryland

1996

  • Pre-trial diversion for Baltimore's mentally ill
    • American Academy of Psychiatry and theLaw, Annual Meeting, San Juan, Puerto Rico
  • The Insanity Defense: Perception vs. Reality
    • Grand Rounds, Department of Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland

1995

  • Practical aspects of running a forensic fellowship
    • American Academy of Psychiatry and the Law, Annual Meeting, Seattle, Washington
  • Defendants pleading insanity: An Analysis of Outcome II
    • American Academy of Psychiatry and the Law, Annual Meeting, Seattle, Washington
  • Judicial decision making after Foucha: Perry v. Louisiana
    • American Academy of Psychiatry and the Law, Annual Meeting, Seattle, Washington
  • Peer review of expert psychiatric testimony
    • Component Workshop, American Psychiatric Association Task Force on Peer Review of Expert Testimony, American Psychiatric Association Annual Meeting, Miami, Florida

1994

  • Model forensic psychiatry curriculum for general psychiatry residents
    • American Academy of Psychiatry and the Law, Annual Meeting, Maui, Hawaii
  • Competency assessment of nursing home patients
    • American Academy of Psychiatry and the Law, Annual Meeting, Maui, Hawaii
  • MacArthur treatment competence study
    • American Academy of Psychiatry and the Law, Annual Meeting, Maui, Hawaii

1993

  • The Munchausen Syndrome in civil forensic psychiatry
    • American Academy of Psychiatry and the Law, Annual Meeting, San Antonio, Texas

1991

  • Changes in forced medication law in Maryland
    • American Academy of Psychiatry and the Law, Annual Meeting, Orlando, Florida
  • Group dynamics in forensic pre-trial decision making
    • American Academy of Psychiatry and the Law, Annual Meeting, Orlando, Florida

1990

  • Civil commitment and the right to refuse treatment
    • Grand Rounds, Department of Psychiatry, Bethesda Naval Hospital, Bethesda, Maryland
  • Validity of a screening tool for assessment of clinical competency
    • American Academy of Psychiatry and the Law, Annual Meeting, San Diego, California

1989

  • The emergency petition process in Maryland
    • American Academy of Psychiatry and the Law, Annual Meeting, Washington, D.C.
  • Breach of confidentiality or duty to warn? An expanding Legal Duty
    • Medical & Chirurgical Faculty of Maryland, Annual Meeting, Ellicott City, Maryland
  • The insanity defense: Perception and reality
    • University of Alabama School of Medicine, Department of Psychiatry - Birmingham, Alabama and Brice State Hospital, Tuscaloosa, Alabama

1988

  • Defendants' pleading insanity: An analysis of outcome
    • American Academy of Psychiatry and the Law, Annual Meeting, San Francisco, California
  • Evaluation of forensic psychiatric populations
    • Grand Rounds, Southwestern State Hospital, Marion, Virginia