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Integrating treatment for offenders with an intellectual disability and personality disorder
- Authors:
- TAYLOR Jon, MORRISSEY Catrin
- Journal article citation:
- British Journal of Forensic Practice, 14(4), 2012, pp.302-315.
- Publisher:
- Emerald
The authors provide an overview of the rationale for appropriate treatment for offenders with personality disorder co-morbid with intellectual disability (ID). They also describe a specific approach to treatment which has drawn upon this evidence. The relevance and validity of the construct of personality disorder in intellectual disability is reviewed. Evidence from treatment of personality disorder in mainstream populations is then summarised. A treatment pathway used in a large high-secure hospital catering for high–risk male offenders with ID in central England is described. This integrates adapted cognitive behavioural programmes with a social milieu approach adapted for those with mild ID. It is argued that this treatment model addresses the criminogenic, psychological and social needs of those with personality disorder and intellectual disability.
Evaluation of a therapeutic community intervention for men with intellectual disability and personality disorder
- Authors:
- MORRISSEY Catrin, TAYLOR Jon, BENNETT Charlene
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(1), 2012, pp.52-60.
- Publisher:
- Emerald
This study evaluated a planned therapeutic community (TC) service intervention in Rampton Hospital, England, for 11 men with mild intellectual disabilities and personality disorder over a period of 12 months. The TC intervention group was compared on repeated measures of violent incidents, seclusion hours, and informant and self-report clinical outcome measures collected six months prior to, six and 12 months post the start of the intervention. Clinical changes in the predicted direction were evident, with the TC group showing comparatively less pathology. The mean number of violent incidents did not reduce over time. There was nevertheless a strong trend towards reduction in seclusion hours, with significant differences between groups also being observed at the six and 12 months stage. The authors concluded that this preliminary evaluation was promising in terms of the TC approach being a potential mode of treatment suitable for a proportion of patients with learning disability in secure conditions.