This chapter describes foundational principles of forensic mental health assessment (FMHA) that have been developed and revised to describe aspects of FMHA that apply to a various kinds of FMHA. Principles are further described as they apply in two contexts: in general, and in a sequence associated with a specific case (preparation, data collection, data interpretation, communication, and testimony). The chapter also distinguishes between standard of care and standard of practice as each applies to legal decision-making and addresses how these FMHA principles might apply to each standard. In highlighting the broader questions of science, ethics, and practice that apply in legal contexts, we hope that both the maturation of FMHA as well as the remaining gaps will become clearer. It is important to pursue continuous improvement in the legal relevance, scientific foundations, ethics specificity, and practice guidance in FMHA.
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