the differences between forensic assessment and therapeutic assessment: Standard Psychological Tests Used in Forensic Assessment A wide variety of assessment instruments and procedures are used in forensic assessments. These may include three major categories: Forensic Assessment Instruments (FAIs), Forensically Relevant In- the differences between forensic assessment and therapeutic assessment: Standard Psychological Tests Used in Forensic Assessment A wide variety of assessment instruments and procedures are used in forensic assessments. These may include three major categories: Forensic Assessment Instruments (FAIs), Forensically Relevant In-AAPL Practice Guideline for the Forensic Assessment J Am Acad Psychiatry Law. 2015 Jun;43(2 Suppl):S3-53. Epub 2015 Jun 8. Authors Graham D Glancy ...Forensic assessment is one of the basic building blocks that form the foundation of the practice of psychiatryandthelaw,inadditiontoreport-writing and giving testimony in court. Similar to any foun- dation, the integrity of the process depends on how well each brick is laid upon the other. FORENSIC MENTAL HEALTH ASSESSMENT Re: Defendant's Name Date of Report: Page 3 of4 evaluator should remain cognizant of the applicable ethical standards of his or her profession and the legal standards regarding the use of tests. DSM-IV Diagnoses Relevant to the Referral Questions. [Include the following statement before reporting diagnoses].Forensic Report 12.1.07. 2013. 5. Personality Assessment Instrument (PAI) was used to determine that Salinger most likely minimized her symptoms at the time in order to portray a more positive and desirable portrait of herself. 6. Historical Clinical Risk-20 (HCR-20) Instant Offense Several days before the incident, Salinger was suffering insomnia. Jan 1, 2004 · Forensic mental health assessment (FMHA) is a form of evaluation performed by a mental health professional to provide relevant clinical and scientific data to a legal decision maker or the ... The specialization of forensic mental health assessment (FMHA) has incorporated important advances during the last two decades. As scientific advances, specialized tools, and relevant ethical guidelines have become core elements of FMHA, however , the question of how to regulate poor practice has assumed increasing importance.Jun 4, 2018 · Problems with forensic reports can be identified via two types of empirical studies: either from surveys and feedback from legal professionals on the quality of reports, or by evaluations of the extent to which reports comply with certain principles of appropriate forensic mental health assessment (Goodman-Delahunty & Dhami, 2013). that can inform forensic assessment. In 2010, Griffith and colleagues4 conceptualized the forensic psychiatric report as a performative nar-rative. Although their article concentrated on the written report, it suggested that psychiatrists “lis-tened hard to the voices they heard” (Ref. 4, p 42). The authors also drew attention to aspects of theDepartment of Forensic Sciences, Washington, DC, who is involved in the development of forensic analytical methods of evidential materials. Dr. Bartick completed a Ph.D. at the Institute of Materials Science at U. Connecticut in 1978. He has worked for pharmaceutical, instrument, and a materials production companies doing analytical development.Assessment Tools in Forensic Settings! Forensic Assessment Tools for Competency, Malingering and Neuropsychological Screening Presentation for Legal Competency and Restoration Training for Mental Health Experts Paul Simpson, Ed.D., [email protected], February 23, 2012 I. “Why bother with testing?” 1) The tectonic shift of Daubert & Rule ... Forensic Report 12.1.07. 2013. 5. Personality Assessment Instrument (PAI) was used to determine that Salinger most likely minimized her symptoms at the time in order to portray a more positive and desirable portrait of herself. 6. Historical Clinical Risk-20 (HCR-20) Instant Offense Several days before the incident, Salinger was suffering insomnia.forensic psychology is defined broadly as the application of psychological research, theory, practice, and traditional and specialized methodology (e.g., interviewing, psycho-logical testing, forensic assessment, and forensically rel-evant instruments) for the express purpose of providing assistance to the legal system. A BRIEF HISTORY OF FORENSICforensic psychology is defined broadly as the application of psychological research, theory, practice, and traditional and specialized methodology (e.g., interviewing, psycho-logical testing, forensic assessment, and forensically rel-evant instruments) for the express purpose of providing assistance to the legal system. A BRIEF HISTORY OF FORENSICThe M-FAST is a brief 25-item screening interview for individuals ages 18 years and older that provides preliminary information regarding the probability that an individual is feigning psychiatric illness. Most malingering and symptom validity instruments assess malingered cognitive and/or neuropsychological deficits. The Personality Assessment Inventory (Morey, 1991) is increasingly being used in psychological assessment in the forensic arena. The paper presents an overview of the validation of the negative ...About this book. The first handbook to explore forensic assessment from psychiatric and psychological perspectives. "The editors have assembled a magnificent collaboration between psychiatrists and psychologists to bring forth critical knowledge and insight to the core competency of forensic assessment. This handbook is essential reading and a ...Formal Forensic violence or sex offending risk assessments can help to identify violence or sexual offending risk factors and recidivism rates or likelihood to offend or reoffend. While assessments can vary from individual to individual, most times they include testing, interviews, observation, and consultation with one of Insight’s trained ...Formal Forensic violence or sex offending risk assessments can help to identify violence or sexual offending risk factors and recidivism rates or likelihood to offend or reoffend. While assessments can vary from individual to individual, most times they include testing, interviews, observation, and consultation with one of Insight’s trained ... broadly, it aims to help forensic scientists enhance their vision of ways forensic science might develop in the future and thereby facilitate continuing incremental improvements in forensic science standards and practice. This document is an OSAC Technical Series Publication2 rather than a standard or guideline. ItApr 15, 2003 · Third-party information in forensic assessment is obtained from sources other than the individual being evaluated, most often from relevant records or interviews of collateral observers. Although ... 20% Discount with this flyer until December 31, 2015 Forensic Psychological Assessment in Practice Case Studies Corine de Ruiter and Nancy Kaser-Boyd, Geffen School of Medicine, UCLA Series: International Perspectives on Forensic Mental Health Forensic Psychological Assessment in Practice: Case Studies presents a set of forensic criminal cases ... Miller Forensic Assessment of Children (MFAC) is a comprehensive assessment process designed to provide a comprehensive evaluation of the child's mental health and functioning. It is used to assess the child's current functioning, identify the child's needs, and to help develop an appropriate treatment plan. Abstract. Violence risk assessment tools are increasingly used within criminal justice and forensic psychiatry, however there is little relevant, reliable and unbiased data regarding their predictive accuracy. We argue that such data are needed to (i) prevent excessive reliance on risk assessment scores, (ii) allow matching of different risk ...The influence of demographic, ethnic, and cultural variables on the Minnesota Multiphasic Personality Inventory—2 (MMPI–2) has been a source of extensive inquiry and research because these factors may modify the way in which psychopathology will be manifested or is interpreted by the examiner. These factors are particularly relevant in ...Forensic Psychological Assessment in Practice: Case Studies presents a set of forensic criminal cases as examples of a scientist-practitioner model for forensic psychological assessment. The cases address forensic issues, such as criminal responsibility, violence risk assessment, treatment planning, and referral to long term forensic care.Forensic Report 12.1.07. 2013. 5. Personality Assessment Instrument (PAI) was used to determine that Salinger most likely minimized her symptoms at the time in order to portray a more positive and desirable portrait of herself. 6. Historical Clinical Risk-20 (HCR-20) Instant Offense Several days before the incident, Salinger was suffering insomnia. The Forensic Psychologist’s Casebook explores the complexities surrounding offender profiling and police investigations. The book contains 16 chapters divided into two parts, with Chapters 1–8 dealing with the context of criminal investigations and Chapters 9–16 providing practical advice to investigators.20% Discount with this flyer until December 31, 2015 Forensic Psychological Assessment in Practice Case Studies Corine de Ruiter and Nancy Kaser-Boyd, Geffen School of Medicine, UCLA Series: International Perspectives on Forensic Mental Health Forensic Psychological Assessment in Practice: Case Studies presents a set of forensic criminal cases ... In our article, we outline standard methods for the assessment of psychopathy, its association with antisocial personality disorder (ASPD), and its implications for clinical and forensic issues ...Diego Rosas Wellmann. Forensic risk assessment refers to the attempt to predict the likelihood of future offending in order to identify individuals in need of intervention. Risk assessment protocols have been implemented in mental health and criminal justice settings around the globe to prioritize risk reduction strategies for those most at need.The influence of demographic, ethnic, and cultural variables on the Minnesota Multiphasic Personality Inventory—2 (MMPI–2) has been a source of extensive inquiry and research because these factors may modify the way in which psychopathology will be manifested or is interpreted by the examiner. These factors are particularly relevant in ...Abstract. Forensic assessment videoconferencing (VC) is gradually gaining popularity among forensic mental health practitioners. Given the profound impacts of the characteristics of VC on forensic ...Apr 4, 2020 · This study examined the psychometric properties of a widely used measure of symptom exaggeration, the Miller Forensic Assessment of Symptoms Test (M-FAST, Miller, 2001), in a sample of 209 (83.7% male) trauma-exposed veterans (57.9% probable current posttraumatic stress disorder; PTSD). Apr 13, 2021 · This study analyzes the questions on aspects of child custody, visitation rights, or child endangerment that judges pose to forensic psychologists in family law proceedings. Before conducting a psychological evaluation, the legal question in the referral has to be translated into case-specific, forensically relevant issues. The only overarching principle guiding this process is the “best ... Jun 4, 2018 · Problems with forensic reports can be identified via two types of empirical studies: either from surveys and feedback from legal professionals on the quality of reports, or by evaluations of the extent to which reports comply with certain principles of appropriate forensic mental health assessment (Goodman-Delahunty & Dhami, 2013). Assessment Tools in Forensic Settings! Forensic Assessment Tools for Competency, Malingering and Neuropsychological Screening Presentation for Legal Competency and Restoration Training for Mental Health Experts Paul Simpson, Ed.D., [email protected], February 23, 2012 I. “Why bother with testing?” 1) The tectonic shift of Daubert & Rule ...Formal Forensic violence or sex offending risk assessments can help to identify violence or sexual offending risk factors and recidivism rates or likelihood to offend or reoffend. While assessments can vary from individual to individual, most times they include testing, interviews, observation, and consultation with one of Insight’s trained ... To evaluate the practical utility and face validity of a new risk assessment guideline, the Short-Term Assessment of Risk and Treatability (START), within a forensic mental health service. Staff attended training and subsequently used the START to assess and formulate risk.Request PDF | Forensic assessment of criminal maturity in juvenile homicide offenders in the United States | The United States Supreme Court in Jones vs. Mississippi (2021) reinforced the Miller ...need further forensic review or assessment. 7. Additionally, financial forensics may be used as an integral part of the Investigative Office’s fraud deterrence efforts or mandate to detect fraud or other prohibited practices in high integrity-risk situations. They may also be used to quantify the economic losses or impact Gold standard forensic assessment conducted using all available information (file + interview) 20 items rated on 3-point scale Absent = 0; Possible/partial = 1; Present = 2 Glibness/superficial charm 0 1 2 Grandiose sense of self-worth 0 1 2 Lack of remorse or guilt 0 1 2Miller Forensic Assessment of Symptoms Test (M-FAST at PAR) The M-FAST is a brief 25-item screening interview for individuals ages 18 years and older that provides preliminary information regarding the probability that an individual is feigning psychiatric illness. need further forensic review or assessment. 7. Additionally, financial forensics may be used as an integral part of the Investigative Office’s fraud deterrence efforts or mandate to detect fraud or other prohibited practices in high integrity-risk situations. They may also be used to quantify the economic losses or impactEvaluative reviews are given of specialized forensic assessment instruments for each of several legal competencies. Individual chapters cover problems in assessments for legal competenies, ways to improve the legal relevance of assessments, and legal standards for forensic assessments. They also focus on competency to stand trial, the waiver of ... This documentary revolved around a tragic event that occurred on May 7, 2000. In the walkway of the Ramada Inn in Jacksonville, Florida, Mary Ann Stephens, a 65-year-old tourist, was shot at ...This chapter provides an overview of forensic mental health assessments in criminal, civil, and juvenile and family court settings. We begin with a general discussion of the nature and method of forensic assessment, highlighting the various data sources on which a forensic assessment is based and the hypothesis testing nature of the evaluation process.Forensic assessment is a part of the broader category of psychological assessment. The purpose of forensic assessment is distinct from that of traditional therapeutic assessment, and as such forensic evaluators have different training and practice guidelines. The settings in which forensic evaluations occur are vast, including law enforcement, correctional, and civil and criminal court ...Risk assessment and management: forensic methods, human results† John Baird & Ruth Stocks SummaRy Risk assessment and management is an integral part of modern clinical practice. In this article we discuss best practice in the assessment and management of risk of harm to others. Unstruc tured clinical judgement methods have been Jun 1, 2015 · 3. Quality Improvement in Forensic Practice. Several studies and articles have assessed the quality of forensic psychology and psychiatry practice. 10, –, 16 A review of the literature concluded that the level of practice falls short of professional aspirations for the field, although there have been incremental improvements during the 1990s. 12 No studies to date have observed forensic ... In our article, we outline standard methods for the assessment of psychopathy, its association with antisocial personality disorder (ASPD), and its implications for clinical and forensic issues ...In some cases, however, the application of a risk assessment tool will benefit the assessed individual. There are at least three ways in which it could confer such a benefit. First, the risk assessment may be used to identify beneficial treatments. Second, the use of a risk assessment tool may facilitate an earlier release or discharge.Apr 15, 2003 · Third-party information in forensic assessment is obtained from sources other than the individual being evaluated, most often from relevant records or interviews of collateral observers. Although ... Aug 23, 2020 · January 2005 · The American journal of forensic psychiatry. J. Barbera. L. Tanser. C.M. Shapiro. This article presents a forensic case seen in the context of a sleep clinic. The patient/defendant ... some consideration in virtually all forensic evalua-tions, and has the potential to greatly impact the forensic interview process itself. This article highlights a range of issues that complicate the assessment of individuals from diverse backgrounds, including the influence of culture on the interview, the use and Forensic Report 12.1.07. 2013. 5. Personality Assessment Instrument (PAI) was used to determine that Salinger most likely minimized her symptoms at the time in order to portray a more positive and desirable portrait of herself. 6. Historical Clinical Risk-20 (HCR-20) Instant Offense Several days before the incident, Salinger was suffering insomnia.Forensic assessment instruments must become increasingly sophisticated and must account for differences in measurement risk assessment by gender, age, culture, ability, and sexual orientation. Evaluation of female risk for violence, dangerousness, sexual offending, and recidivism remains relatively uncharted.Assessment Tools in Forensic Settings! Forensic Assessment Tools for Competency, Malingering and Neuropsychological Screening Presentation for Legal Competency and Restoration Training for Mental Health Experts Paul Simpson, Ed.D., [email protected], February 23, 2012 I. “Why bother with testing?” 1) The tectonic shift of Daubert & Rule ...Abstract. Violence risk assessment tools are increasingly used within criminal justice and forensic psychiatry, however there is little relevant, reliable and unbiased data regarding their predictive accuracy. We argue that such data are needed to (i) prevent excessive reliance on risk assessment scores, (ii) allow matching of different risk ...tication of forensic assessment instruments and forensically relevant instruments1 has increased significantly across these four decades. Since 1A forensic assessment instrument (FAI) is a tool used for the collection of information about a litigant's capacities that are directly relevant to a legal standard, such as "understanding" 4 Jul 18, 2011 · The first handbook to explore forensic assessment from psychiatric and psychological perspectives. "The editors have assembled a magnificent collaboration between psychiatrists and psychologists to bring forth critical knowledge and insight to the core competency of forensic assessment. This handbook is essential reading and a …. of the Forensic Assessment Interview Technique (FAINT), a validated and highly effective criminal investigation tool. The article also provides a step-by-step implementation guide and a sample internal control questionnaire that incorporates the use of FAINT. Interview or Interrogation? The distinction between an interview and an interrogation Abstract. Violence risk assessment tools are increasingly used within criminal justice and forensic psychiatry, however there is little relevant, reliable and unbiased data regarding their predictive accuracy. We argue that such data are needed to (i) prevent excessive reliance on risk assessment scores, (ii) allow matching of different risk ...Jun 1, 2015 · 3. Quality Improvement in Forensic Practice. Several studies and articles have assessed the quality of forensic psychology and psychiatry practice. 10, –, 16 A review of the literature concluded that the level of practice falls short of professional aspirations for the field, although there have been incremental improvements during the 1990s. 12 No studies to date have observed forensic ... Dec 2, 2021 · Forensic mental health is the interface between mental disorder and the courts and embraces a wide range of risk and clinical need assessments related to medical, psychological and social therapies. This chapter describes the nature and purposes of forensic mental health assessments in different settings (community, prison, hospital) and at ... Services agency attorneys (ATT); child forensic evaluators, primarily psychologists self-identified as evaluators (CFE); and child forensic interviewers from a variety of settings including child advocacy centers (CFI). CPS workers comprised 37.5% of the overall sample with LE being the second largest subgroup at 20.3%.Diego Rosas Wellmann. Forensic risk assessment refers to the attempt to predict the likelihood of future offending in order to identify individuals in need of intervention. Risk assessment protocols have been implemented in mental health and criminal justice settings around the globe to prioritize risk reduction strategies for those most at need.This study analyzes the questions on aspects of child custody, visitation rights, or child endangerment that judges pose to forensic psychologists in family law proceedings. Before conducting a psychological evaluation, the legal question in the referral has to be translated into case-specific, forensically relevant issues. The only overarching principle guiding this process is the “best ...Jul 16, 2014 · This documentary revolved around a tragic event that occurred on May 7, 2000. In the walkway of the Ramada Inn in Jacksonville, Florida, Mary Ann Stephens, a 65-year-old tourist, was shot at ... Dr. Zapf is the author of Best Practices in Forensic Mental Health Assessment: Evaluation of Competence to Stand Trial; editor of Forensic Assessments in Criminal and Civil Law: A Handbook for Lawyers; and associate editor of the Encyclopedia of Psychology and Law. She served on the National Judicial College's Mental Competency: Best Practices ... Jul 18, 2011 · The first handbook to explore forensic assessment from psychiatric and psychological perspectives. "The editors have assembled a magnificent collaboration between psychiatrists and psychologists to bring forth critical knowledge and insight to the core competency of forensic assessment. This handbook is essential reading and a …. Dec 2, 2021 · Forensic mental health is the interface between mental disorder and the courts and embraces a wide range of risk and clinical need assessments related to medical, psychological and social therapies. This chapter describes the nature and purposes of forensic mental health assessments in different settings (community, prison, hospital) and at ... Psychopathy: Assessment and Forensic Implications Robert D Hare, PhD1; Craig S Neumann, PhD2 Key Words: psychopathy, antisocial personality disorder, assessment, violence risk, treatment Psychopathy was the first personality disorder to be recognized in psychiatry. The concept has a long historical and clinical tradition, and in the last decadeServices agency attorneys (ATT); child forensic evaluators, primarily psychologists self-identified as evaluators (CFE); and child forensic interviewers from a variety of settings including child advocacy centers (CFI). CPS workers comprised 37.5% of the overall sample with LE being the second largest subgroup at 20.3%. The M-FAST is a brief 25-item screening interview for individuals ages 18 years and older that provides preliminary information regarding the probability that an individual is feigning psychiatric illness. Most malingering and symptom validity instruments assess malingered cognitive and/or neuropsychological deficits. Apr 4, 2020 · This study examined the psychometric properties of a widely used measure of symptom exaggeration, the Miller Forensic Assessment of Symptoms Test (M-FAST, Miller, 2001), in a sample of 209 (83.7% male) trauma-exposed veterans (57.9% probable current posttraumatic stress disorder; PTSD). The specialization of forensic mental health assessment (FMHA) has incorporated important advances during the last two decades. As scientific advances, specialized tools, and relevant ethical guidelines have become core elements of FMHA, however , the question of how to regulate poor practice has assumed increasing importance.
Forensic assessment is one of the basic building blocks that form the foundation of the practice of psychiatryandthelaw,inadditiontoreport-writing and giving testimony in court. Similar to any foun- dation, the integrity of the process depends on how well each brick is laid upon the other.. Class wp user meta session tokens meta
that can inform forensic assessment. In 2010, Griffith and colleagues4 conceptualized the forensic psychiatric report as a performative nar-rative. Although their article concentrated on the written report, it suggested that psychiatrists “lis-tened hard to the voices they heard” (Ref. 4, p 42). The authors also drew attention to aspects of theForensic Report 12.1.07. 2013. 5. Personality Assessment Instrument (PAI) was used to determine that Salinger most likely minimized her symptoms at the time in order to portray a more positive and desirable portrait of herself. 6. Historical Clinical Risk-20 (HCR-20) Instant Offense Several days before the incident, Salinger was suffering insomnia.forensic psychology is defined broadly as the application of psychological research, theory, practice, and traditional and specialized methodology (e.g., interviewing, psycho-logical testing, forensic assessment, and forensically rel-evant instruments) for the express purpose of providing assistance to the legal system. A BRIEF HISTORY OF FORENSICDiego Rosas Wellmann. Forensic risk assessment refers to the attempt to predict the likelihood of future offending in order to identify individuals in need of intervention. Risk assessment protocols have been implemented in mental health and criminal justice settings around the globe to prioritize risk reduction strategies for those most at need.Jan 1, 2011 · Request PDF | Forensic psychological assessment versus clinical assessment: Proposals and challenges for the future | The main aims of this theoretical study were to review and identify some ... Dr. Zapf is the author of Best Practices in Forensic Mental Health Assessment: Evaluation of Competence to Stand Trial; editor of Forensic Assessments in Criminal and Civil Law: A Handbook for Lawyers; and associate editor of the Encyclopedia of Psychology and Law. She served on the National Judicial College's Mental Competency: Best Practices ... Formal Forensic violence or sex offending risk assessments can help to identify violence or sexual offending risk factors and recidivism rates or likelihood to offend or reoffend. While assessments can vary from individual to individual, most times they include testing, interviews, observation, and consultation with one of Insight’s trained ...Forensic Report 12.1.07. 2013. 5. Personality Assessment Instrument (PAI) was used to determine that Salinger most likely minimized her symptoms at the time in order to portray a more positive and desirable portrait of herself. 6. Historical Clinical Risk-20 (HCR-20) Instant Offense Several days before the incident, Salinger was suffering insomnia. It presents forensic assessments based on psychophysiology, and assessments on the basis of non-verbal behavior. The book also covers interview and interrogation preparation, as well as question formulation. It discusses the Morgan Interview Theme Technique or MITT, and the Forensic Assessment Interview or FAINT.The Miller Forensic Assessment of Symptoms Test (M-FAST) is a screening instrument created to assess for potential malingering. The aim of this study was to conduct a meta-analysis to evaluate the extent to which the M-FAST total score can differentiate overreporters from comparison groups. Research reports were located through searching ...All forensic evaluations are assumed to be conducted from an impartial stance. An evaluator is neither an advocate for the defense or prosecution. The role of the forensic evaluator is to assist the trier of fact by providing impartial, well described, and quantified data and opinions. While the opinions of Forensic Evaluators are ultimately theirGold standard forensic assessment conducted using all available information (file + interview) 20 items rated on 3-point scale Absent = 0; Possible/partial = 1; Present = 2 Glibness/superficial charm 0 1 2 Grandiose sense of self-worth 0 1 2 Lack of remorse or guilt 0 1 2partner and a forensic peer specialist. Criminal justice partners . typically come from local law enforcement, pretrial services, or probation and parole agencies. FACT teams maintain close coordination with their criminal justice partners and may involve them in case decision-making. Forensic peer specialists . are A trusted reference in the field of psychology, offering more than 25,000 clear and authoritative entries. Jan 2, 2018 · To evaluate the practical utility and face validity of a new risk assessment guideline, the Short-Term Assessment of Risk and Treatability (START), within a forensic mental health service. Staff attended training and subsequently used the START to assess and formulate risk. The Structured Interview of Reported Symptoms (SIRS) is a fully structured interview that is designed to assess feigned mental disorders and related response styles. Each of its eight primary scales was constructed to evaluate well-established detection strategies for differentiating between malingered and genuine psychopathology.Miller Forensic Assessment of Children (MFAC) is a comprehensive assessment process designed to provide a comprehensive evaluation of the child's mental health and functioning. It is used to assess the child's current functioning, identify the child's needs, and to help develop an appropriate treatment plan.May 27, 2015 · Abstract. Forensic assessment videoconferencing (VC) is gradually gaining popularity among forensic mental health practitioners. Given the profound impacts of the characteristics of VC on forensic ... The M-FAST is a brief 25-item screening interview for individuals ages 18 years and older that provides preliminary information regarding the probability that an individual is feigning psychiatric illness. Most malingering and symptom validity instruments assess malingered cognitive and/or neuropsychological deficits. Formal Forensic violence or sex offending risk assessments can help to identify violence or sexual offending risk factors and recidivism rates or likelihood to offend or reoffend. While assessments can vary from individual to individual, most times they include testing, interviews, observation, and consultation with one of Insight’s trained ....