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The intellectually disabled offender: methodological problems in identification
- Author:
- MCBRIEN Judith
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(2), June 2003, pp.95-105.
- Publisher:
- Wiley
Reliable evidence concerning the prevalence of intellectually disabled offenders that would inform the clinician's approach to the assessment and management of risk is in short supply. This paper aims to assist the clinician in interpreting the available evidence. A literature search was conducted for all years up to January 2003. Each study was first examined for the methods employed to define and measure intellectual disability. Then, the effect of this on prevalence estimates was considered. A wide range of methods has been used to ascertain the presence of intellectual disability - administrative definitions, psychiatric diagnosis, educational background, self-report and direct measurement of IQ and adaptive behaviour. Most studies reviewed used less than adequate ascertainment methods. Reliable answers to two key questions which offenders have intellectual disabilities and which people with intellectual disabilities offend, therefore remain elusive.
Contract currencies in learning disability services: 53 contacts = 1 discharge
- Authors:
- MCBRIEN Judith, MILLER Dianne
- Journal article citation:
- Community Care Management and Planning, 5(4), August 1997, pp.128-131.
- Publisher:
- Pavillion
Existing contract currencies often carry a disincentive to community care and are demotivating for staff. This article describes the opportunities to develop a more sensible approach and an initiative to develop contracts based on outcomes.
Handling complaints: retrospective multidisciplinary clinical audit
- Author:
- MCBRIEN Judith
- Journal article citation:
- Community Care Management and Planning, 4(1), February 1996, pp.6-11.
- Publisher:
- Pavillion
This article looks at a method of investigating complaints and using the information generated to examine and improve practice. Uses a case study of the retrospective multidisciplinary clinical audit used by the Learning Disability Directorate of Plymouth Community Services NHS Trust.
Offending and risky behaviour in community services for people with intellectual disabilities in one local authority
- Authors:
- MCBRIEN Judith, HODGETTES Alison, GREGORY John
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 14(2), September 2003, pp.280-297.
- Publisher:
- Taylor and Francis
Reports on a survey of the total population of adults with intellectual disabilities known to health and social services in one local authority to establish the extent of risky and offending behaviour. Face-to-face structured interviews established that of the 1,326 adults known to services, 26 percent showed risky behaviours that had been or might be construed as offences, just under 10 percent had a history of contact with the criminal justice system and 3 percent had a history of criminal convictions, while under 1 percent had a current conviction. Of the 84 settings surveyed, approximately 50 percent had experienced caring for clients with a history of criminal justice service contact, as had 93 percent of social services or health staff. Some significant differences were found between private and voluntary sector residential homes band between day centres and residential settings. There were also significant differences between individuals with and without criminal justice service contact who had and had not been convicted. Discusses the implications for the assessment and management of risk by learning difficulty services and the further education and training of care staff.