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Effectiveness of group cognitive-behavioural treatment for men with intellectual disabilities at risk of sexual offending
- Authors:
- MURPHY Glynis H., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(6), November 2010, pp.537-551.
- Publisher:
- Wiley
This paper presents results from a study providing treatment for men with intellectual disabilities who had shown signs of sexually abusive behaviours. It also evaluated the effects of such treatment in terms of the men’s knowledge, attitudes, beliefs and re-offending rates. Forty-six men participated. Results showed that 83% had engaged in more than one incident of sexually abusive behaviour but only 57% of the men who came for treatment were required by law to attend. Ninety two percent of the men who began treatment completed treatment 1 year later, indicating considerable motivation amongst the men to get treatment for their difficulties. The men showed statistically significant increases in sexual knowledge and victim empathy, as well as reductions in cognitive distortions. Few men showed further sexually abusive behaviour during the 1-year period when they were attending treatment or during the 6-month follow-up period. Only the presence of autistic spectrum disorders seemed related to re-offending. This trial provided some evidence of the effectiveness of such treatment for men with intellectual disabilities. However, there remains a need for a randomised controlled trial.
The development of a sex offender assessment and treatment service within a community learning disability team (the SHEALD project): part 2
- Authors:
- OLSEN Angela, RAVEY Michael
- Journal article citation:
- Tizard Learning Disability Review, 16(3), 2011, pp.17-20.
- Publisher:
- Emerald
This article presents a commentary on the previous paper in Tizard Learning Disability Review (16(3)) on "The development of a sex offender assessment and treatment service within a Community Learning Disability Team (the SHEALD project): part 2". The authors examine the nature of traditional service delivery for people with learning and intellectual disabilities and the potential that services have for the physical, emotional and sexual abuse of these vulnerable people. The article argues that effective community based treatment and support is best delivered in a way that acknowledges and employs the range of skills offered by practitioners from health and social care backgrounds. The SHEALD (Sexual Harm Exhibited by Adults with Learning Disabilities) project is an example of a community treatment programme which shows that a person-centred approach supported by a dedicated team of practitioners may be an effective way of addressing complex, high-risk behaviours in those with learning disabilities.
The development of a sex offender assessment and treatment service within a community learning disability team (The SHEALD Project): part 2
- Authors:
- NEWTON Liam, et al
- Journal article citation:
- Tizard Learning Disability Review, 16(3), 2011, pp.6-16.
- Publisher:
- Emerald
This is the second of two papers outlining the development of a sex offender assessment and treatment service for men with intellectual disability (ID) within a community ID service. It describes one community service's response to the complex needs of this client group - The SHEALD Project (Sexual Harm Exhibited by Adults with Learning Disabilities). The first paper described the mapping of need, the assessment methods and results. This paper describes the decision making process relating to whether or not to enrol 20 assessed men on group treatment, and presents the treatment group and outcomes. Findings revealed that none of the 7 men who completed treatment had committed a further sexual offence at 12-24 months follow-up. Other outcomes are discussed including the outcomes for the men who did not start or complete treatment. However, the available measures were not sufficiently sophisticated to detect change in individuals. In conclusion, this paper contributes to the literature that describes the assessment and treatment of men with an ID who have committed sexually harmful behaviours.
A group treatment for men with intellectual disabilities who sexually offend or abuse
- Authors:
- ROSE John, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(2), 2002, pp.138-150.
- Publisher:
- Wiley
Describes a group intervention for men with an intellectual disability who have sexually offended or abuse others. The group was in response to referrals to psychology department. The majority of these individuals had not subject to legal proceedings. Attitudes consistent with offending reduced after participation for most participants, however, these tended to revert to pre-group levels over time. Knowledge tended to increase after the group, however, problems with the questionnaire used made interpretation of the results difficult. No further incidents of sexual abuse have been recorded by any of the five group members who completed the group.
The treatment of six men with a learning disability convicted of sex offences with children
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- British Journal of Clinical Psychology, 37(1), February 1998, pp.83-98.
- Publisher:
- Wiley
Describes a cognitive therapy for men with a learning disability convicted of sex offences with children. Methods are described which focus the session, emphasise confidentiality, ensure that the patient accepts responsibility for the offence, and deal with issues of intent, harm done to the victim and sequences of offending behaviour. Methods for producing cognitive change are described. The study attempts to address two major problems in work with sex offenders: the difficulty of employing a controlled treatment design and the importance of a long follow-up period.
The treatment of two stalkers with intellectual disabilities using a cognitive approach
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 11(4), 1998, pp.333-344.
- Publisher:
- Wiley
This article reviews the classification of the sex offence of stalking and describes two men with an intellectual disability who have been convicted of offences consistent with stalking. Outlines issues and describes a treatment method described. Outlines and compares the processes of cognitive change for both men by assessing attitudes across the offending areas of rape, voyeurism, exhibitionism and dating abuse. The outcomes are discussed in terms of both individual participants and the population of sex offenders with an intellectual disability.
Male mentally handicapped sex offenders
- Author:
- DAY Kenneth
- Journal article citation:
- British Journal of Psychiatry, 165, November 1994, pp.630-639.
- Publisher:
- Cambridge University Press
Sex offences are over represented in the mentally handicapped, but information about the characteristics and offence behaviour of this group is limited. A retrospective case note survey was made of male patients referred for antisocial sexual behaviour. Categorical analysis differentiated a 'sex offences only' group from a 'sex plus other offences' group in the areas of psychopathology, offence behaviour and outcome. The finding of two subgroups of mentally handicapped male sex offenders has important implications for prevention, assessment and treatment.
Sterilisation
- Author:
- HARRIS Peter
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(9), May 2000, p.315.
- Publisher:
- Pavilion
A man with learning disabilities cannot be sterilised; a women can. The decision rests on the balance of risk to their physical and mental health. Discusses the law using a case example.
Practice issues in working with young abusers who have learning disabilities
- Author:
- O'CALLAGHAN David
- Journal article citation:
- Child Abuse Review, 7(6), November 1998, pp.435-448.
- Publisher:
- Wiley
This article reflects on one service's (G-MAP) experience in developing provision for young people with learning disabilities whose sexual behaviour is abusive. Reviews available data concerning prevalence, along with perspectives on routes into sexual offending. Learning-disabled young abusers present a number of particular challenges to practitioners and agencies. Key considerations in treatment and risk management are identified. An overview at one specialist group programme is given and comparisons drawn with others' experience of groupwork with the learning disabled. A principal theme identified is the need for intervention to be supported via an effective network, with well co-ordinated interagency working.
A problem-solving intervention for sex offenders with an intellectual disability
- Author:
- O'CONNOR Wendy
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 21(3), September 1996, pp.219-235.
- Publisher:
- Taylor and Francis
Reports on the use of a problem-solving approach to intervention with adult male sex offenders with an intellectual disability. The approach facilitates interventions which target the participant's internal control over offending behaviour as well as addressing the social and environmental context of behaviour. Most participants were able to respond to strategies developed for the non-disabled offender. As a result of individual assessment and intervention most participants achieved more community access. Characteristics of the participants are described, issues related to intervention are discussed and suggestions for future research are given.