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The individual needs of patients in high secure psychiatric hospitals in England
- Authors:
- THOMAS Stuart, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 15(2), June 2004, pp.222-243.
- Publisher:
- Taylor and Francis
A comprehensive assessment of the needs of all high security psychiatric hospital (HSPH) patients in England has not previously been conducted. All inpatients in the three HSPHs in England (Ashworth, Broadmoor and Rampton) were assessed. Factors associated with placement need were modelled using logistic regression, then cluster analysis was used to identify patient subgroups on the basis of their individual needs. Forty percent of the patients could be transferred out of high security, according to the RMOs. While it was possible to identify factors associated with the continued need for high security the false negative rate was high. Patients had very diverse needs that did not fit neatly into clustered sub-groups. Due to the heterogeneity of the individual patients currently in the HSPHs, future service planning will need to focus on individualized treatment packages that are based on individual assessments of need. Such assessments should be considered in the wider framework of risk and accountability.
Crime and victimization among people with intellectual disability with and without comorbid mental illness
- Authors:
- THOMAS Stuart D. M., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 32(5), 2019, pp.1088-1095.
- Publisher:
- Wiley
Background: Accumulating evidence internationally points to an increased risk of crime perpetration and victimization among people with an intellectual disability (ID). This study aimed to examine the impact that comorbid mental illness had on the association between intellectual disability, crime perpetration and criminal victimization. Method: A case linkage methodology involving 2,220 individuals with an intellectual disability from an Australian State. Results: One in four (27%) had contacts with public mental health services; 8.2% had a comorbid mental illness. This “dual disability” group was between 2.97 and 3.22 times more likely than those with intellectual disability alone to have a history of criminal charges, and between 2.76 and 2.97 times more likely to have been a victim of crime. Conclusion: The extent of criminality and victimization found among people with dual disability indicates a potentially multiply stigmatized group for whom the need for a coordinated cross‐agency service response remains paramount. (Edited publisher abstract)
Adolescent sexual offenders: the relationship between typology and recidivism
- Authors:
- CHU Chi Meng, THOMAS Stuart D. M.
- Journal article citation:
- Sexual Abuse a Journal of Research and Treatment, 22(2), June 2010, pp.218-233.
- Publisher:
- Sage
This retrospective study examined the characteristics, criminal versatility, and rates of recidivism from psychological and pre-sentencing reports, charge sheets, statements of facts and previous assessment and treatment reports from a cohort of 156 male, young (12-18 years) sex offenders who were referred for psychological assessments by the courts between 1996 and 2007, in Singapore. Data was coded for socio-demographic, offender and offence characteristics and information about recidivism. Analyses revealed that specialist sex offenders and generalist, criminally versatile offenders differed with respect to offence characteristics (e.g. sexually assaulting familial victims) and recidivistic outcomes. Both groups re-offended at a similar rate consistent with their typology, significantly more of the generalists re-offended violently, sexually and/or violently, non-violently and engaged in any further criminal behaviours, during follow-up. After adjusting for age at first offence and number of offences, Cox regression analysis showed generalists were significantly more likely to re-offend violently than specialist sex offenders, which generally agreed with previous studies. The authors propose a valid typographical distinction with a higher risk trajectory for the generalist offenders, and this should be considered in future clinical assessment, management, and intervention planning for young sex offenders.
Securing employment for offenders with mental health problems: towards a better way
- Authors:
- SAMELE Chiara, KEIL Jo, THOMAS Stuart
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2009
- Pagination:
- 10p., bibliog.
- Place of publication:
- London
This policy paper examines how to improve the employment prospects of offenders with mental health problems. It is based on a review of published literature and discusses the importance of employment, barriers, current initiatives in England and individual placement and support.
HM prison health care needs assessment
- Authors:
- HARTY Mari Anne, THOMAS Stuart, PARROTT Janet
- Journal article citation:
- Journal of Forensic Psychiatry, 12(3), December 2001, pp.639-645.
- Publisher:
- Routledge
Recent government policy has focused on the reform of prison health care services, with a view to achieving equivalence of care with the NHS. Describes a proposed methodology of prison health care needs assessment in the form of a 'toolkit' to be used in all UK prisons for the purpose of service planning. Recommendations are made for future health care needs assessment of the prison population.
Striking the right balance: police experience, perceptions and use of independent support persons during interviews involving people with intellectual disability
- Authors:
- HENSHAW Marie, SPIVAK Benjamin, THOMAS Stuart D. M.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(2), 2018, pp.e201-e211.
- Publisher:
- Wiley
Background: Several jurisdictions mandate the presence of an independent support person during police interviews with vulnerable people. The current study investigated police officers’ experiences and perceptions of these volunteers during interviews with people with intellectual disability(ies) (ID). Methods: The sample comprised 229 police officers who attended a mandatory firearms training course in Melbourne, Australia, in 2010. Results: Participants commonly reported utilising independent support persons and displayed a fair understanding of their role. Overall, volunteers were engaged more frequently than family/friends; police considered the volunteers to be more impartial during interviews, whereas family/friends provided a greater level of emotional support to interviewees. Conclusions: Independent support persons need to demonstrate two quite different types of support to people with intellectual disability(ies) during police interviews; these require quite different skill sets and suggest the need for more tailored training and support for these volunteers. Implications for future research and policy are discussed. (Edited publisher abstract)