ColumnsForensic Mental Health Assessment as a Critical Intercept for Enhancing Mental Health CareHolliday, Ryan PhD; Desai, Alisha PhD; Clem, Matthew A. PhD; Wortzel, Hal S. MD Author Information HOLLIDAY: Clinical Research Psychologist for the Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) for Suicide Prevention, and Assistant Professor in Psychiatry at the University of Colorado Anschutz Medical Campus, Aurora, CO DESAI: Clinical Research Psychologist for the Rocky Mountain MIRECC for Suicide Prevention, Aurora, CO CLEM: Adjunct Assistant Professor in Psychiatry at the University of Texas Southwestern Medical Center, Dallas, TX WORTZEL: Michael K. Cooper Professor of Neurocognitive Disease, Director of Neuropsychiatry, Associate Professor in Psychiatry, Neurology, and Physical Medicine and Rehabilitation, and Faculty for the Forensic Psychiatry Fellowship at the University of Colorado, and Director of Neuropsychiatric Services for the Rocky Mountain MIRECC, Aurora, CO Supported in part by the Department of Veterans Affairs (VA) and the VA Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention. The views expressed are those of the authors and do not necessarily reflect the position or policy of the VA or the US Government. The authors declare no conflicts of interest. Please send correspondence to: Hal S. Wortzel, MD, G3-185, 1700 North Wheeling Street, Rocky Mountain Regional VA Medical Center, Aurora, CO 80045 (e-mail: [email protected]). Journal of Psychiatric Practice 28(5):p 396-403, September 2022. | DOI: 10.1097/PRA.0000000000000652 Buy Metrics Abstract Rates of psychiatric diagnosis, medical morbidity, and suicide risk are notably high among incarcerated individuals. However, engaging these individuals in community-based health care settings can be a challenge. Among justice-involved individuals who do access services, community-based health care settings may lack available resources to effectively conduct comprehensive assessments that inform evidence-based conceptualization. We propose forensic mental health assessment (FMHA) as a critical opportunity to enhance service delivery for this at-risk population. In particular, within the scope of their role, forensic mental health evaluators are able to conduct a comprehensive review of records across health (eg, inpatient and outpatient health care settings), social (eg, homeless shelter), and correctional (eg, jail or prison) settings. Moreover, FMHA often includes specialized batteries that are able to assess and differentially diagnose myriad clinical presentations that may have overlapping symptomatology. We present 2 case vignettes to illustrate the utility of FMHA for enhancing service delivery. Finally, we conclude by noting challenges to integrating FMHA into conceptualization and necessary next steps in research and programing. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.