Quick Reference to Adult and Older Adult Forensics: A Guide for Nurses and Other Health Care Professionals

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Winner of an AJN Book of the Year Award for 2010!

[This book] is a wonderful guide to adult and elder forensics, and an important reference for all health care providers who care for adults and the elderely...Highly recommended.


It's about time this book was written! While excellent instructional texts exist, this book fills a niche for the nonspecialty health professional encountering victims of violence in the routine course of care-This book should not only be on the shelf in every ED, but also in the armamentarium of providers working in the outpatient setting; public health clinics; residential facilities-?and student health clinics.


Nurses and other health care professionals who work with victims and perpetrators of violence are often confronted with issues that they may not have prior training in, such as identifying and managing victims of violent crime. This book is designed to serve as a quick resource for practicing health care providers treating adults and older adults, as well as students or practitioners new to the field.

The book not only has full descriptions of principles of evidence, but also offers detailed guidelines on how to conduct a forensic assessment of adults and older adults. Additionally, the authors examine the concepts of competency and guardianship, and provide guidelines for navigating the justice system. The authors provide current, concise, and easy-to-use information in short chapters that assist practitioners with the prevention of crimes and the identification and management of both victims and offenders.

Key features:

• Presents general principles of forensics, such as assessment and documentation, principles of evidence, and expert witness testimony
• Covers a wide range of classes of adult victims, including victims of intimate partner violence, human trafficking, stalking, and sexual assault
• Discusses various types of offenders, such as long-term offenders, those in correctional facilities, abusive parents, and female offenders
• Includes a section on unnatural deaths, covering suicide, homicide, and medicolegal death investigation

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Product Details

  • ISBN-13: 9780826124227
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 5/20/2010
  • Edition description: New Edition
  • Pages: 480
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.80 (d)

Meet the Author

Mary E. Muscari is Associate Professor at Binghamton University (NY) Dr. Muscari has been a Pediatric NP since 1980 when she earned her MSN/PNP from Columbia University. She earned a post-Master's certificate in psychiatric nursing and a PhD both from Adelphi University; a Post-Master's certificate in Forensic Nursing (2003) from Duquesne University and has additional forensic education as a Sexual Assault Nurse Examiner, a Legal Nurse Consultant and a Medicolegal Death Investigator. She attended the Infant Death Investigation Academy (2007) through the Centers for Disease Control & Prevention. She has taught nursing since 1988, first at Luzerne Comm College (1988-1992), University of Scranton (1997-1004) and Binghamton University (2007 - present) where she is establishing a forensic nursing course. Dr. Muscari has worked clinically as a PNP in a variety of environments and has served on the PA Sex Offender Assessment Board (2005 - present) and as a private consultant on child health/mental health, parenting and forensic issues. She has conducted or participated in research in pornography in relation to adult and juvenile child molesters, partners of Male Pedophiles, disappearance of childhood, and factors of youth violence and resilience. Dr. Muscari has published >60 professional articles, >30 newspaper and consumer articles, three screenplays and has delivered >85 presentations on forensic topics since 1985. Dr. Muscari has published several nursing books including Pediatric Nursing Review (4 editions) and Advanced Pediatric Clinical Assessment (2001); and five consumer books including: Everything Parents Guide to Raising Adolescent Girls; Everything Parents Guide to Raising Adolescent Boys; Let Kids be Kids: Rescuing Childhood (2006); Not My Kid: 21 Steps to Raising a Non-Violent Kid (2002) and Not My Kid 2: Protecting Your Children from the 21 Threats of the 21st Century (2004).

Kathleen M. Brown is Assistant Professor at the University of Pennsylvania School of Nursing as well as a practicing Women's Health NP (X23 years) and a Sexual Assault Nurse Examiner for the Northampton County, PA, Sexual Assault Response Team. Additionally, she is Post-Graduate student of Dr. Robert Sadoff's at the University of Penn School of Medicine in the Applications of Forensic Psychiatry. She has been a co-investigator in 4 funded research studies, including 2 for the Nat Institute of Justice and one for NINR/NIMH. Her dissertation research on leaving abusive relationships was funded by AWHONN. She is the author/co-author of 23 journal articles. Dr. Brown is currently a nurse consultant on rape and sexual assault to prosecutors and defense attorneys throughout the states of PA, NJ and DE, to the US Army via the Judge Advocate General's (JAG) Corp., to the NJ State Attorney General's Office for the development of sate wide protocols and procedures related to the investigation of sex crimes, to Philadelphia Sexual Assault Coalition via the Women Organized Against Rape, to the Am Prosecutors Research Institute (APRI) division of the Nat Institute of Justice on the development of standards for sexual assault nurse examiners; and to the Children's Hospital of Philadelphia (CHOP). She is Board Member for many committees that focus on sexual assault. Lastly, she is an active speaker and workshop trainer throughout NJ & PA.

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Table of Contents

Foreword Ann Wolbert Burgess xiii

Preface xv

Acknowledgments xxi

Section I General Principles

1 The Cycle and Continuum of Violence 3

2 Cultural Aspects of Forensics 9

3 Forensic Assessment and Documentation 21

4 Principles of Evidence 35

5 Navigating the Criminal Justice System 43

6 Expert Witness Testimony 49

7 Competency, Guardianship, and Civil Commitment 59

8 Violence in Health Care Settings 65

9 Professional Stress and Burnout 73

Section II Adults and Older Adults as Victims

10 Effects of Victimization on Adults and Older Adults 85

11 Victimization of Adults and Older Adults With Disabilities 103

12 Intimate Partner Violence in Adults 117

13 Intimate Partner Violence in Older Adults 131

14 Lesbian, Gay, Bisexual, and Transgender Intimate Partner Violence 139

15 Elders Abused by Family Members 147

16 Elders Abused by Health Care Workers 159

17 Female Victims of Sexual Assault 167

18 Male Victims of Sexual Assault 183

19 Elder Victims of Sexual Assault 191

20 Victims of Human Trafficking 199

21 Victims of Personal Injury 207

22 Stalking 217

23 Victim Services 227

Section III Adults and Older Adults as Offenders

24 Substance Abuse and Offending 235

25 Offenders With Mental Illness and Cognitive Impairment 245

26 Violence Risk Assessment 253

27 Long-Term Offenders 259

28 Offenders in Correctional Facilities 265

29 Offenders in the Community 275

30 Perpetrators of intimate Partner Violence 285

31 Abusive Parents 297

32 Perpetrators of Elder Abuse 305

33 Adult Perpetrators of Sexual Violence 315

34 Older Adult Perpetrators of Sexual Violence 337

35 Female Offenders 341

36 Animal Cruelty 351

37 Parenting While Incarcerated 365

Section IV Unnatural Deaths

38 Medicolegal Death Investigation 373

39 Deaths of Elders in Long-Term Care Facilities 387

40 Suicide 391

41 Autoerotic Asphyxia 399

42 Homicide Survivors 405

Appendix A Adult Body Diagrams 413

Appendix B Crime Victim Compensation Programs 415

Forensic Glossary 419

Index 431

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