Search results for ‘Subject term:"mental health problems"’ Sort:
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Medium secure care: forensic aspects of autism and Asperger's syndrome
- Authors:
- BARKHAM Elizabeth, GUNASEKARAN Santhana, LOVELOCK Caroline
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 4(1/2), 2013, pp.9-16.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to offer a general review of care for individuals on the autism spectrum, including Asperger's syndrome within a medium secure setting. Design/methodology/approach – The authors undertook a review of the current literature relating to pathways to care, offending characteristics and treatment interventions. They examined the available evidence and current practice. Findings – Available evidence suggests offending characteristics of individuals with autism are different to those of mental disorders such as schizophrenia. Limited evidence in treatment interventions and in risk management for those with autism presents a challenge to clinicians. The heterogeneity makes a strong case for an individualised case formulation approach to treatment and risk management. Originality/value – This paper offers an overview of the current evidence base relating to the treatment of individuals with autism spectrum disorders within medium secure settings (Publisher abstract)
Diverted to where? What happens to the diverted mentally disordered offender
- Authors:
- ROWLANDS Robert, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 7(2), September 1996, pp.284-296.
- Publisher:
- Routledge
Describes a court diversion scheme in a provincial city using a forensic community psychiatric nurse specialist. Results found that failure to secure continued psychiatric follow-up was significantly more likely for those who had substance dependence problems or personality disorders. The study demonstrates that diversion schemes can run successfully with the nurse as the main focus, but that there is a high default rate among mentally disordered offenders who receive outpatient management. Argues that there is a need for greater availability of secure beds for the minority of mentally disordered offenders who present as severely disordered.
Barred from services
- Author:
- MAPP Sue
- Journal article citation:
- Community Care, 23.6.94, 1994, pp.21-23.
- Publisher:
- Reed Business Information
Too many mentally disordered offenders are ending up in prison when they should not be there at all. It is rare that their problems are spotted before sentence and unless their behaviour is disruptive, their problems may not be recognised or treated in prison. The problem is compounded by the fact that many of this disadvantaged group of offenders are also homeless and they will commit 'nuisance' offences with an expressed intention to obtain the shelter, warmth, food, and so forth which results from being detained in policy custody. Argues that few prisons are equipped to help mentally disordered offenders and that they are not receiving the treatment and services they are entitled to. Also provides examples of good practice and support for these prisoners.
Crime and punishment
- Author:
- FOGARTY Maggie
- Journal article citation:
- Social Work Today, 12.3.92, 1992, pp.16-17.
- Publisher:
- British Association of Social Workers
Should people with psychopathic disorders be sent to prison or treated in hospital? Reports on challenges to current practice and the legal and service implications.
Should the prison medical service develop its role in the treatment of mentally ill offenders
- Author:
- RICHER A.D.
- Journal article citation:
- Prison Service Journal, 81, Winter 1990, pp.15-18.
- Publisher:
- Her Majesty's Prison Service of England and Wales
Argues that however preferable it is to treat the mentally ill in hospital, nonetheless many do find their way into prison and therefore, proper provision should be made.
Violent offender treatment in a medium secure unit
- Authors:
- HOWDEN Sharon, MIDGLEYJayde, HARGATE Rebecca
- Journal article citation:
- Journal of Forensic Practice, 20(2), 2018, pp.102-111.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to conduct a preliminary evaluation of a Violent Offender Treatment Program (VOTP) adapted for use in a medium secure unit (MSU). The patient population is adult male mentally disordered offenders. Design/methodology/approach: Patient outcomes are explored using the Reliable Change Index and Clinical Significance Criterion. Outcomes are assessed using VOTP facilitators violence risk assessment (VRS), multi-disciplinary team violence risk assessment (HCR-20 and GAS-V), and patient self-report using two measures (FAVT and STAXI-2). Findings: There was evidence of improved outcomes for some participants in some areas related to risk of violence. Research limitations/implications: Consideration is given to using varied risk assessments to evaluate outcomes of an adapted VOTP for a MSU. Originality/value: There is limited development and evaluation of psychological treatment programmes that aim to reduce risk of violence for male offenders within MSUs. Outcomes of this evaluation could influence treatment delivery and evaluation in other services. (Edited publisher abstract)
Physical health conditions and intimate partner violence perpetration among offenders with alcohol use diagnoses
- Authors:
- CRANE Cory A., EASTON Caroline J.
- Journal article citation:
- Journal of Interpersonal Violence, 32(11), 2017, p.1678–1691.
- Publisher:
- Sage
Intimate partner violence (IPV) is prevalent among samples with diagnosed alcohol use disorders (AUDs), but few studies have evaluated the factors that account for this increased risk, and none have systematically evaluated the risk posed by comorbid physical health conditions. The present study evaluated the likelihood of perpetrating IPV among alcohol diagnosed offenders with medical health problems relative to healthy counterparts. Physical health and partner violence data provided by 655 criminal offenders with AUDs diagnosed during a court-ordered substance abuse evaluation were examined. One third of participants (35.3%) endorsed a physical health condition, and 46.4% reported perpetrating physical IPV. The odds of perpetrating IPV among participants with a physical health condition were 2.29 times larger than among healthy participants. Specific conditions emerged as risk factors for IPV, including brain injury, cardiac issues, chronic pain, liver issues, gastrointestinal symptoms, hepatitis, and recent injury. Findings highlight the importance of identifying and managing physical health conditions that may complicate IPV treatment efforts. Integrated behavioural and medical health treatment approaches may increase treatment compliance and reduce the risk of future partner violence among offenders with co-occurring issues, such as mental illness, addiction, and physical health conditions. (Edited publisher abstract)
“Why can’t they be in the community?” a policy and practice analysis of transforming care for offenders with intellectual disability
- Authors:
- ALEXANDER Regi T., et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(3), 2015, pp.139-148.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe key policy and practice issues regarding a significant subgroup of people with intellectual disability – those with offending behaviour being treated in forensic hospitals. Design/methodology/approach: The reasons why psychiatrists continue to be involved in the treatment of people with intellectual disability and mental health or behavioural problems and the factors that may lead to patients needing hospital admission are examined. Using two illustrative examples, three key questions – containment vs treatment, hospital care vs conditional discharge and hospital treatment vs using deprivation of liberty safeguards usage in the community are explored. Findings: Patients with intellectual disability, mental health problems and offending behaviours who are treated within forensic inpatient units tend to have long lengths of stay. The key variable that mediates this length of stay is the risk that they pose to themselves or others. Clinicians work within the framework of mental health law and have to be mindful that pragmatic solutions to hasten discharge into the community may not fall within the law. Originality/value: This paper makes practical suggestions for the future on how to best integrate hospital and community care for people with intellectual disability, mental health and offending behaviours. (Publisher abstract)
Preliminary evaluation of a forensic dual diagnosis intervention
- Authors:
- TIBBER Marc Samuel, PIEK Nicola, BOULTER Sara
- Journal article citation:
- Advances in Dual Diagnosis, 8(1), 2015, pp.42-56.
- Publisher:
- Emerald
Purpose: This study is a post hoc service level investigation into the efficacy of a forensic dual diagnosis intervention. The treatment programme incorporated the principles of cognitive behavioural therapy and Motivational Interviewing, and was comprised of three stages: psycho-education into the links between mental/physical health, substance use and offending, the cultivation of coping strategies and relapse prevention planning. The paper aims to discuss these issues. Design/methodology/approach: Treatment outcome was tracked using pre- and post- stage 1 and 2 measures, and included self-report questionnaires that probed service users readiness for change, motivations for treatment and perceived effectiveness of coping strategies (n=80 and 37 patients for stages 1 and 2, respectively). In addition, service users undertook a knowledge quiz, which probed information retention. Findings: The results show that whilst psycho-education (stage 1) increased service users' knowledge of key issues, this had no parallel effects on other measures. In contrast, completion of stage 2 led to an increase in external motivation for treatment, although this did not translate into a shift in service users' readiness for change. Research limitations/implications: These findings are consistent with the Motivational Interviewing literature and highlight the need for a shift in internalised motivation for treatment if change is to be elicited. Further, they point towards the viability of using self-report measures to monitor treatment outcome in a secure forensic setting. Originality/value: These findings have a number of implications for the design and on-going evaluation of forensic dual diagnosis services, an area of research that is currently under-represented in the literature. (Publisher abstract)
“Staying Well”: a psychoeducational group for people with an intellectual disability, co-morbid mental illness and offending behaviour
- Authors:
- DOUDS Fergus, et al
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 5(1), 2014, pp.54-59.
- Publisher:
- Emerald
Purpose: UK best practice guidelines for the treatment for people with schizophrenia recommend the use of psychoeducational approaches. The purpose of this paper is to describe the introduction of psychoeducational groups for people with an intellectual disability and co-morbid mental illness within forensic settings. Design/methodology/approach: “Staying Well”, a psychoeducational programme for people with an intellectual disability and co-morbid mental illness was based in part on a group programme from Ashworth Hospital, but adapted and developed to be suitable for people with intellectual disability. Input from a very experienced speech and language therapist was of great importance. Five groups with a total of 20 participants (15 different individuals) with mild to moderate intellectual disability and co-morbid mental illness were run over a two-year period. At the end of each group, an individualised “Staying Well Plan” was devised, to reduce the risk of future relapses. Findings: The group was very positively welcomed in the two pilot hospitals, by participants and members of the clinical teams. The key measure of the success of the programme is that the “Staying Well Plans” developed for the individuals are still in place two years after the completion of the first groups. Practical implications: The authors believe that this approach is of benefit to both the participants and their carers, stimulating positive engagement, open discussion about mental illness and reinforcing strategies for “Staying Well”. Originality/value: This paper shows how a psychoeducational approach to severe mental illness in individuals with an intellectual disability is both possible and well received. (Publisher abstract)