PART F – Reporting
41
PART F
REPORTING
Following the compilation of all the necessary evaluations the clinican should prepare
an accurate written report promptly.
When writing a comprehensive report on the
psychological evaluation, all the basic principles in reporting should be followed. The
report format should be in accordance with
the Istanbul Protocol (See Annex IV “Guidelines for the medical evaluation of torture
and ill-treatment” in the Istanbul Protocol).
These guidelines are not intended to be a
fixed prescription, but should be applied
following an assessment of the available
resources, taking the purpose of the evaluation into account.
In most cases, the reports are not prepared
by a cooperating team, or the physical evaluation and the psychological evaluation
are made by different clinicians at different times and under different conditions.
In these cases, the clinician who makes the
psychological evaluation has to prepare an
independent report reflecting all information gathered during the assessment and
his/her own opinion of the situation.
Indeed, since evaluations of torture allegations are not necessarily considered only by
specialized health professionals, the language used in the report should be understandable for a larger public. The medical
report should be factual and carefully worded. Making the report easy to read and understand is important. Medical or technical
jargon should be avoided. If the use of technical terms is unavoidable, their meanings
should be explained in parenthesis. (Allnutt
& Chaplow, 2000; Istanbul Protocol, § 162).
“[...]The physician should not assume that
the official requesting a medical-legal evaluation has related all the material facts. It is
the physician’s responsibility to discover and
report upon any material findings that he or
she considers relevant, even if they may be
considered irrelevant or adverse to the case
of the party requesting the medical examination. Findings that are consistent with torture
or other forms of ill treatment must not be excluded from a medical-legal report under any
circumstance” (Istanbul Protocol, § 162).
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