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Biomedical subjects

I N Perr

Publications and source records attributed to I N Perr.

66 records · Page 4Linked to original sources
PubMed1975

A review of rejected police candidates.

This paper reviews the activities of a Civil Service Medical Review Board which has reviewed the appeals of civil service applicants, particularly for police work, who have been rejected for psychiatric reasons by the hiring authority on the grounds of "mental unfitness." In a 1-1/2-year period, 98 cases have been reviewed. The Board has upheld the applicant in 65% of the cases and the hiring authority in 35% of the cases. Some of the factors resulting in the reversal of the decision of the hiring authority have been discussed. These include insufficient and superficial examination, inappropriate use of test material, attitudinal biases by the examiner, and inadequate reports which do not provide the adequate documentation required by law. It has been the hope of the Board that this review of professional judgment will ultimately impress both hiring authorities and examiners with the defects of the procedures utilized and will encourage them to provide higher quality screening which will be upheld on appeal. To a degree this has been accomplished. Hiring authorities were upheld in only 25% of the cases from September 1973 to March 1974 and 18% from March 1974 to September 1974. This changed radically in the September 1974 to December 1974 period, when hiring authorities were upheld in 60% of the appeals. As has been pointed out, such screening primarily involves review of personality disorders which, by their nature, require thoroughness of knowledge and delicacy of judgment for the formulation of a reasonable conclusion. It is hoped that these lessons will ultimately result in the selection of police officers likely to be successful at their tasks, without arbitrary rejection of those who reasonably merit a trial at work so essential to our society.

Evaluation Studies as Topic↗
PubMed1975

Problems surrounding release of persons found not guilty by reason of insanity.

The problem of release from institutionalization of those not guilty by reason of insanity is a most troublesome one. Psychiatric criteria for release are to be balanced by what judges see as the needs and protection of society. In 1972, New Jersey in the Maik decision adopted an extremely stringent rule which, if strictly followed, would condemn most NGIs to life imprisonment. Judge Weintraub's demand for assurance that the underlying or latent condition was no longer present put psychiatric examiners in an untenable position. The psychiatrists of the state took the unusual step of preparing a critique of the Supreme Court decision and distributing it to the legal profession through a law periodical. In the interim, the inequities of the Maik rule were recognized and an evolutionary set of standards laid down in the Carter case which provides some flexibility and set standards for conditional release. This clarification will undoubtedly be of great assistance to both courts and psychiatrists in dealing with a complex issue which can never have simple guidelines.

Adult↗
PubMed1975

Psychiatric screening of civil service candidates with particular reference to police applicants.

This prelimary report has reviewed the activities of a Medical Review Board for a Civil Service Commission. The responsibility of the Board is to review conflicting data in cases where the hiring authority has attempted to exclude a candidate, particularly a police candidate, on the grounds that the applicant is mentally unfit to perform the duties of the position. This rule has been applied primarily to police applicants, secondarily to fireman applicants, and rarely to other. Psychiatrists who participate must be aware of the underlying conflicts within civil service systems, the possibility of manipulation, and the rigidity of the system which is designed to protect the greatest number. Civil service systems have limited discretion on personnel policies. Therefore, psychiatrists must be careful not to act as arbiters for social institutions without a sound and meticulous basis for their participation. For those psychiatrists who participate in the process, the urgent need to do so in accord with professional standards is stressed, recognizing that standards change and that the nature of participation will be scrutinized by many in society outside the profession.

Civil Rights↗