Search results for ‘Subject term:"secure units"’ Sort:
Results 1 - 5 of 5
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)
Characteristics of male autistic spectrum patients in low security: are they different from non-autistic low secure patients?
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 4(1/2), 2013, pp.24-32.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to describe the characteristics of adult male autistic spectrum disorder (ASD) patients admitted to low secure services and to compare them with non-ASD patients. Design/methodology/approach – Case-control study of admissions to two ASD units and one non-ASD unit at a tertiary referral centre. Subjects were compared on demographic, personal, clinical and offending behaviour variables. Findings – In total, 51 ASD and 43 controls were studied. Median age at diagnosis of ASD was 21 years (range 6-56). The ASD group were younger (median age 27 vs 33 years) and more likely to be single than controls. Their age at first contact with psychiatric services was lower and proportionally more were admitted from prison and courts. Almost three-quarters had psychiatric comorbidity, most commonly schizophrenia, but unlike controls, personality disorder and drug and alcohol disorders were uncommon. Lifetime sexually inappropriate behaviour and physical violence were less common, as was non-compliance with medication. However, 78 per cent had a lifetime history of physical violence and a third had a conviction for GBH or homicide. Offending behaviour was sometimes atypical in nature and some had convictions for unusual offences such as harassment and stalking. Research limitations/implications – The age difference between cases and controls is likely to have confounded the results. Findings cannot be generalised to the NHS. Originality/value – This group of ASD patients in low security differed in several important respects from their non-ASD counterparts, which highlights their differing treatment needs, strengths and weaknesses. (Publisher abstract)
Forensic issues in adolescents with developmental disabilities
- Authors:
- GRALTON Ernest, ed.
- Publisher:
- Jessica Kingsley
- Publication year:
- 2011
- Pagination:
- 287p.
- Place of publication:
- London
The book provides a comprehensive account of forensic issues in adolescents with a wide range of developmental disabilities, including autism spectrum disorders, acquired brain injury, developmental traumatology, and complex comorbidities. It examines the processes involved in working with this client group in forensic settings, and explores the ways in which their needs differ from those of other young people who engage in high risk behaviour or offending. The book covers assessment, intervention and treatment options for adolescents with developmental disabilities. It describes the obstacles, challenges and opportunities to consider when working with this population, and the role played by various professionals, including those working in forensic psychiatry and psychology, occupational therapy, physiotherapy, education, art psychotherapy and social work. The book also outlines the issues to consider when working in secure and community settings as well as the legal aspects of working with this client group, and the complex issues surrounding risk assessment. It is likely to be of interest to a wide range of professionals working with adolescents with developmental disabilities.
Diagnosing pervasive developmental disorders in a forensic adolescent mental health setting
- Authors:
- TIFFIN Paul, SHAH Parag, le COUTEUR Ann
- Journal article citation:
- British Journal of Forensic Practice, 9(3), September 2007, pp.31-40.
- Publisher:
- Emerald
This article describes how an assessment for pervasive developmental disorder (PDD) may be undertaken in a forensic adolescent mental health setting and integrated into the overall needs and risk assessment. Two case histories are summarised to illustrate the advantages and challenges of using this approach as part of the assessment and management of young people. It is likely that a thorough evaluation of social and communication functioning can contribute to developing effective management strategies for patients with offending behaviours and complex needs.
The role of specialist inpatient rehabilitation services for people with intellectual disability, autism and mental health, behavioural or forensic needs
- Authors:
- ODIYOOR Mahesh, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 13(5), 2019, pp.204-215.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a professional consensus position with regard to the provision of specialist inpatient rehabilitation services for people with intellectual disability (ID), autism and mental health, behavioural or forensic needs in the UK. Design/methodology/approach: The concept of rehabilitation is discussed, as well as the functions and goals of specialist inpatient rehabilitation services with regard to the aforementioned contexts. Current use of rehabilitation beds is considered, both on a regional and national scale, as well as various outcome measures, including effectiveness, patient safety and patient experience. Findings: There is a clear need for specialist inpatient rehabilitation services, though historically there have been instances of inappropriate admissions, as well as lengthy inpatient stays that could have been significantly reduced with the right type of community support package. Such services should be subjected to rigorous measurement of outcome measures, to determine that patients within such services are receiving a consistently high standard of care. Additionally, amendments to current legal frameworks should be considered, with a view to accommodating for individuals with capacity who require continuous community-based supervision. Originality/value: To the best of the author’s knowledge, this is the first article detailing a professional consensus position for specialist inpatient rehabilitation services for people with ID, autism and mental health, behavioural or forensic needs. (Edited publisher abstract)