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There are no easy answers: the provision of continuing care and treatment to adults with learning disabilities who sexually abuse others
- Editors:
- CHURCHILL James, et al
- Publisher:
- Association for Residential Care
- Publication year:
- 1997
- Pagination:
- 191p.,bibliog.
- Place of publication:
- Chesterfield
Explores issues around sexual abuse and learning difficulty and addresses issues of definition, assessment, treatment and management of people with learning difficulties who sexually abuse others. Section one looks at terminology, sets the context and examines the consequences of inaction. Section two examines issues from the literature, including: definitions of abusive behaviour; definitions of learning difficulty; the extent of sexual offending; men with learning difficulties who sexually offend; women abusers; clinical interventions; pharmacological interventions; work with staff and other carers; and ethical issues; section three defines sexual consent and the duty to report. Section four deals with the responsibilities of commissioners, purchasers and providers and includes chapters on: learning from things going wrong; designing better service responses; keeping people safe; and confidentiality. Section five looks at boundaries with criminal justice and other legal systems. Section 6 examines decision making. Section seven looks at assessment and establishing an understanding of an offender. Sections eight and nine are on assessing risk, treatment and risk management. Section ten deals with managing the service on a day to day basis.