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Links between juvenile sexually abusive behaviour and emerging severe personality disorder traits in childhood
- Authors:
- HICKEY Nicole, et al
- Publisher:
- Great Britain. Department of Health; Great Britain. Home Office. National Offender Management Service
- Publication year:
- 2006
- Pagination:
- 78p., bibliog.
- Place of publication:
- London
Juvenile sexual abusers are responsible for a significant minority of sexual offences against children and adults. A detailed study of 280 juvenile sexual abusers referred to a specialist Child and Adolescent Mental Health Service was conducted in order to provide a detailed description of this population. Clinical, policy and research implications are discussed in this document. This study was designed to investigate two questions. Firstly, is the age at which sexually abusive behaviour emerges associated with distinct developmental trajectories? Secondly, is it possible to identify a group of juvenile sexual abusers most at risk for developing emerging severe personality disorder (ESPD) traits?
The development of the Medium Security Recidivism Assessment Guide (MSRAG): an actuarial risk prediction instrument
- Authors:
- HICKEY Nicole, YANG Min, COID Jeremy
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 20(2), April 2009, pp.202-224.
- Publisher:
- Taylor and Francis
The majority of patients in medium secure services in the UK have a primary diagnosis of major psychosis. Currently available actuarial risk prediction instruments have limited application, having been developed in different jurisdictions on samples with different characteristics. The Medium Security Recidivism Assessment Guide (MSRAG) was developed to assess risk of acquisitive and serious offending in patients with schizophrenia and delusional disorder. It assesses static predictor variables and is designed for use at the pre-discharge stage of rehabilitation. Results indicate the MSRAG has good predictive accuracy, and acquisitive and serious offending scales were cross-validated. Dynamic risk factors occurring post-discharge interact with four levels of ascribed risk, impacting especially on those at high risk. The MSRAG can be easily scored from case file information, does not require extensive training, and can be used to screen patients routinely prior to discharge. Observed interactions with dynamic factors after discharge can guide clinical risk management.
Is there an optimum model of practice for the newly developed child and adolescent primary mental health worker posts?
- Authors:
- HICKEY Nicole, KRAMER Tami, GARRALDA Elena
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 4(4), December 2007, pp.10-18.
- Publisher:
- Emerald
This study uses a large representative sample of primary mental health workers (PMHW) and operationalises practice models according to the PMHWs self-reported location and team alignment thus identifying three models (CAMHS outreach, primary care based, and dedicated PMHW team). Comparisons between the models are made in relation to organisation and management, interagency links, and job satisfaction with the aim of exploring the strengths and weaknesses of each model. The results suggest that each model meets the aims of the role and there is a greater similarity than dissimilarity between models. However, it also indicates that attention should be paid to improving the working environments and training and development opportunities for all PMHWs irrespective of model, but with consideration given to improving the support available to PMHWs working in primary care based models.
Primary mental health workers (PMHWs) in child and adolescent mental health services: a survey of PMHWs perceptions about organisation, management and role: executive summary
- Authors:
- HICKEY Nicole, KRAMER Tami, GARRALDA Elena
- Publisher:
- Imperial College London
- Publication year:
- 2008
- Pagination:
- 16p.
- Place of publication:
- London
The Primary Mental Health Workers (PMHWs) work with children in the 0-18 age group and their families. They communicate with specialist child and adolescent mental health services and universal services, such as professionals in schools, nursery staff or youth workers. They work in the community and can see children and families.
Primary mental health workers (PMHWs) in child and adolescent mental health services: a survey of PMHWs perceptions about organisation, management and role
- Authors:
- HICKEY Nicole, KRAMER Tami, GARRALDA Elena
- Publisher:
- Imperial College London
- Publication year:
- 2008
- Pagination:
- 99p., bibliog.
- Place of publication:
- London
The Primary Mental Health Workers (PMHWs) work with children in the 0-18 age group and their families. They communicate with specialist child and adolescent mental health services and universal services, such as professionals in schools, nursery staff or youth workers. They work in the community and can see children and families.
Comparison of outcomes following after-care from forensic and general adult psychiatric services
- Authors:
- COID Jeremy, HICKEY Nicole, YANG Min
- Journal article citation:
- British Journal of Psychiatry, 190(6), June 2007, pp.509-514.
- Publisher:
- Cambridge University Press
Forensic psychiatry services are expanding in England and Wales but require support from general services for patient after-care. The aim was to compare outcomes following community after-care from forensic or general adult psychiatry services. An observational comparison was made of case management following discharge from medium security in seven pre-reorganisation health regions of England and Wales, by forensic services (n=409) and general adult services (n=652). Criminal convictions, hospital readmissions and deaths were compared over a mean follow-up period of 6.2 years, adjusting for difference in case mix. Forensic services did not supervise more high-risk patients in the community. Neither service was superior in outcome. More patients managed by general services died from natural causes. Neither service was superior on measures of subsequent offending or hospitalisation. Specialist forensic after-care conveyed no added benefit. Case management may have been the same in both services.
Developmental trajectories associated with juvenile sexually abusive behaviour and emerging severe personality disorder in childhood: 3 – year study
- Authors:
- VIZARD Eileen, HICKEY Nicole, MCCRORY Eamon
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s27-s32.
- Publisher:
- Cambridge University Press
Little is known about the developmental trajectories of juveniles presenting with sexually abusive behaviour or emerging severe personality disorder traits. The aim was to investigate whether `age at onset' of sexually abusive behaviour and whether emerging severe personality disorder traits are associated with specific developmental profiles. A retrospective file review of 280 juveniles presenting with sexually abusive behaviour was conducted and follow-up Offenders Index data were analysed. Juveniles with early onset (less than 11 years) of sexually abusive behaviour had higher levels of psychosocial adversity and early childhood antisocial behaviour compared with those with late onset. Emerging severe personality disorder traits were associated with higher levels of psychosocial adversity, antisocial behaviour, convictions and predatory sexually abusive behaviour. Preliminary evidence supports the existence of distinct developmental trajectories within this population and points to a key role for traits of emerging severe personality disorder.