Serial Killers - Psychopathic Behavior One of the most common challenges impacting society, is determining when a person is showing psychopathic behavior. In the world of healthcare, these signs can underscore someone who is a serial killer that will strike out at the most vulnerable patients. This is the case with Kristen Gilbert. She was a respected nurse, who was known for her professionalism. However, between 1995 and 1996 over 40 people died on her watch. This raised concerns about her involvement in these incidents. (Farragher, 2000)

After a lengthy investigation, she was sentenced to four consecutive life sentences without the possibility of parole. It uncovered that Kristen was a very cold and calculating person. This led to her targeting veterans who trusted her and were unable to stand up for themselves. To fully understand the way the investigation evolved requires carefully examining the procedures, the role of the community, the levels of communication between stakeholders, the functions of different programs and the impact on the community / law enforcement. Together, these different elements will highlight the way the investigation was conducted and how various segments worked with one another to arrest her. (Farragher, 2000)

Describe the investigation. How did the investigators proceed? Was there any interaction between the killer and the police? How did investigators finally catch the killer?

The investigation involved law enforcement working with the administration, community, coworkers and friends. It started by examining the number of cases and how the cause of death occurred. At the same time, law enforcement looked at her criminal history and the number of complaints they...

This is showing how she has a violent side that is targeted at white males. These insights can be used to establish a motive and opportunity. Once this takes place, is the point surveillance footage will be collected to place her in the room at the time of death. Each incident will add to the total amounts of evidence against Kristen. This is when they can show how her actions were premeditated and designed to avoid detection. There was some interaction, with the police interviewing her several times. The way they were able to catch her was through using all of the evidence to prove her guilt. This is when they can place pressure on Kristen to confess or face the death penalty (during a jury trial). The fact that she was sentenced to life in prison involving four deaths; is showing how a plea bargain occurred. This is an agreement where she agrees to cooperate with investigators in order to avoid a harsher sentence. (Phelps, 2003)
Did the police involve the community in their efforts to find the killer?

Yes. This occurred with them asking the community to share their tips. This meant that friends and family came forward with information about Kristen. This helped them to catch her and decide if a crime was taking place. (Phelps, 2003)

How would you evaluate the level of cooperation or communication between investigators and the community? Were the police able to warn potential victims?

The level of cooperation can be seen in the total number of tips they received. This occurs with them letting the community know about the issues and how they can help. At the same time, they can work with patients, families and the facility to inform them about the problem. This is when they can let everyone know the possible warning signs and what to watch out for. In the future, this will allow the police to set up a sting operation to catch Kristen in the act. (Tynan, 1999)

The evidence that is collected can be used with circumstantial information to understand her role in the crime. This when it is difficult for Kristen to claim how she was at the wrong place and time. Instead, they can demonstrate that the crime is premeditated and targeting the most vulnerable male patients inside the facility. (Tynan, 1999)

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