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Autism and Aggression: Assessing the Spectrum of Violence


Course Description

Autism Spectrum Disorder (ASD), first described in the 1940s and included in the DSM-III, has received increasing attention and awareness in recent years. Individuals with ASD represent 1% of the general population, but are overrepresented in criminal justice populations. A number of high-profile criminal cases, such as the Sandy Hook and Marjorie Stoneman Douglas mass shootings, have led to increased attention to the potential relationship of ASD to criminal behavior. While child and adolescent psychiatrists are trained in diagnosis and treatment of ASD, forensic psychiatrists have varying familiarity and comfort with this disorder, structured assessments of ASD, and its relevance in forensic settings. This workshop will review the literature on ASD in justice-involved individuals, including prevalence and comorbid conditions in these settings. We will discuss ASD in the context of certain criminal acts, including sex crimes, impulse control, and the assessment of violence and recidivism risk. Finally, we will review important factors of ASD in forensic assessment, including the use of the Autism Diagnostic Observation Schedule (ADOS) and other commonly used assessment instruments to complement autism assessment. The evaluation for ASD in individuals without a documented history of the diagnosis and potential malingering of this disorder will also be highlighted.

Speakers
Kathleen L. Kruse, MD, Ann Arbor, MI
Camille Tastenhoye, MD, Pittsburgh, PA
Anne McBride, MD, Sacramento, CA
Charles Scott, MD, Sacramento, CA


Accreditation Statement

The American Academy of Psychiatry and the Law is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Academy of Psychiatry and the Law designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Learning Objectives
Participants will identify the impact of an Autism Spectrum Disorder diagnosis in various aspects of juvenile and criminal justice system involvement, including the forensic evaluation, interventions and treatment in the justice system, specific criminal behaviors, and risk assessment.

Disclosure
All meeting planners, Program and Education Committee Members, in control of content for the meeting have signed disclosures indicating that they have no relevant financial relationships with any ineligible companies.

All presenters of this activity have also signed disclosures indicating that they have no relevant financial relationships with any ineligible companies.