Search results for ‘Subject term:"learning disabilities"’ Sort:
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Inpatient assessment of young people with developmental disabilities who offend
- Author:
- GRALTON Ernest
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(2), 2013, pp.108-116.
- Publisher:
- Emerald
A clinician working provides a brief overview of the needs of young people with developmental disabilities in a secure forensic service setting. The requirements for inpatient assessment and treatment are also discussed. The author highlights the complex nature of this population who are often referred relatively late to inpatient services, often after recurrent failings in residential services where mental disorders are commonly unrecognised. Comprehensive multidisciplinary assessment and treatment are required for this group. This paper will be useful to a range of professionals dealing with adolescents with developmental disabilities who are engaging in offending and other high risk behaviours. (Edited publisher abstract)
Foetal alcohol spectrum disorder (FASD) - its relevance to forensic adolescent services
- Author:
- GRALTON Ernest
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 5(3), 2014, pp.124-137.
- Publisher:
- Emerald
Purpose: There needs to be an increased recognition of foetal alcohol spectrum disorder (FASD) in services that deal with young people with disruptive and offending behaviour, not just those services that deal with adolescents with a recognised intellectual disability. The paper aims to discuss these issues. Design/methodology/approach: This is a general review of the current available evidence on FASD and how it is likely to predispose affected young people to have contact with secure mental health services and the criminal justice system. Findings: FASD is likely to have become a more common cause of intellectual disability and behavioural disturbance but the history of significant alcohol exposure in utero if often missed. There is evidence that the hyperactivity is less responsive to psychotropic medication and may represent a different condition to conventional ADHD. However the majority of those affected are in the low normal IQ range. Research limitations/implications: There is so far very limited research in what is likely to be a relatively common disorder with significant costs to criminal justice, mental healthcare and social services. Epidemiological information from the UK is lacking and urgently needed. Practical implications: Professionals who work with mentally disordered young people need to be more aware of FASD and its potential contribution to the problems and disabilities in their population. Social implications: Social workers, foster carers and adoptive parents need to be more aware of FASD and how it can contribute to the breakdown of social care. Originality/value: There is currently no other review of FASD and the implications for criminal justice, secure mental health and social care for young people. (Edited publisher abstract)
The diagnosis of schizophrenia in the borderline learning-disabled forensic population: six case-reports
- Authors:
- GRALTON Ernest, JAMES Adrian, CROCOMBE Juli
- Journal article citation:
- Journal of Forensic Psychiatry, 11(1), April 2000, pp.185-197.
- Publisher:
- Routledge
Presents six case reports of male patients admitted to an open forensic psychiatric unit for people with mild and borderline learning disability, whose schizophrenia was previously unrecognised. Treatment led to a marked clinical improvement. Highlights the need to be particularly aware of the possibility of schizophrenia in this population.