Outcomes of an Inner City Forensic Intellectual Disability Service

Journal article


Wooster, L, McCarthy, J and Chaplin, E (2018). Outcomes of an Inner City Forensic Intellectual Disability Service. Journal of Intellectual Disabilities and Offending Behaviour.
AuthorsWooster, L, McCarthy, J and Chaplin, E
Abstract

Introduction National policy in England is now directed towards keeping patients with intellectual disability (ID) presenting with forensic problems for time limited treatment. The result is that secure hospital services are expected to work much more proactively to discharge patients to community-based services. However, there is little evidence in recent years on the outcome of discharged patients with ID from secure hospitals. This study describes the outcomes of a patient group discharged from a specialist forensic ID service in London, England. Method This is a descriptive retrospective case note study of patients with ID admitted to and discharged from a secure service with both low and medium secure wards, over a six-year period from 2009 to 2016. The study examined patient demographic, clinical and outcome variables, including length of stay, pharmacological treatment on admission and discharge, offending history, and readmissions to hospital and re-offending following discharge. Results The study identified 40 male patients, 29 of which were admitted to the medium secure ward. 27 patients (67.5%) were discharged into the community with 14 patients having sole support from the community intellectual disability services and four from the community forensic services. 20% of patients were readmitted within the study period and 22.2% of patients received further convictions via the Criminal Justice System following discharge. Conclusion This was a complex group of patients with ID discharged into the community with a number at risk of requiring readmission, and of reoffending. Community based services providing for offenders with ID must have sufficient expertise and resourcing to manage the needs of such a patient group including the ongoing management of risks. The national drive is significantly to reduce the availability of specialist in-patient services for this group of patients but this must occur alongside an increase in both resources and expertise within community services.

KeywordsCommunity intellectual disability teams; Forensic services; Intellectual disability; Reconvictions; Reoffending; Transforming Care
Year2018
JournalJournal of Intellectual Disabilities and Offending Behaviour
PublisherLondon South Bank University
Digital Object Identifier (DOI)doi:http://doi.org/10.1108/JIDOB-08-2017-0016
Publication dates
Print01 Jan 2018
Publication process dates
Deposited08 Dec 2017
Accepted26 Oct 2017
Accepted author manuscript
License
CC BY 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/86w55

  • 3
    total views
  • 35
    total downloads
  • 0
    views this month
  • 2
    downloads this month

Related outputs

Evaluating a peer support model of community wellbeing for mental health: A coproduction approach to evaluation
Hardy, S, Chaplin, E and Hallett, N (2019). Evaluating a peer support model of community wellbeing for mental health: A coproduction approach to evaluation. Mental Health & Prevention. 13, pp. 149-158.
Learning disabilities: supporting people in the criminal justice system
Marshall-Tate, K., Chaplin, E., Ali, S. and Hardy, S. (2019). Learning disabilities: supporting people in the criminal justice system. Nursing Times. 115 (7), pp. 22-26.
A Clinician's Guide to Mental Health Conditions in Adults with Autism Spectrum Disorders: Assessment and Interventions
Chaplin, E., Spain, D. and McCarthy, C. (2019). A Clinician's Guide to Mental Health Conditions in Adults with Autism Spectrum Disorders: Assessment and Interventions. Jessica Kingsley.
Prisoners With Neurodevelopmental Difficulties: Vulnerabilities For Mental Illness & Self-Harm
McCarthy, C., Chaplin, E., Forrester, A., Underwood, L., Hayward, H., Sabet, J., Young, S., Mills, R., Asherson, P. and Murphy, D. (2019). Prisoners With Neurodevelopmental Difficulties: Vulnerabilities For Mental Illness & Self-Harm. Criminal Behaviour and Mental Health.
Commentary on “diagnosis and treatment of ASD in women in secure and forensic hospital”
Chaplin, E and McCarthy, J (2018). Commentary on “diagnosis and treatment of ASD in women in secure and forensic hospital”. Advances in Autism. 5 (1), pp. 77-79.
Attention Deficit Hyperactive Disorder (ADHD)
Chaplin, E and Mccarthy, J (2018). Attention Deficit Hyperactive Disorder (ADHD). in: Hemmings, C (ed.) Mental Health in Intellectual Disabilities 5th edition handbook resource for support staff and managers in learning disability services. Pavilion.
Supporting the physical health needs of people with learning disabilities
Francis, R, Chaplin, E and Marshall-Tate, K Hardy, S, Chaplin, E and Woodward, P (ed.) (2016). Supporting the physical health needs of people with learning disabilities. Hove Pavilion.
Learning disability today fourth edition: The essential handbook for support staff, service providers, families and carers
Chaplin, E, Jennings, M, Concannon, G, Francis, R, Delree, J and Bedford, L (2018). Learning disability today fourth edition: The essential handbook for support staff, service providers, families and carers. Hove Pavilion.
Crossing the divide: a longitudinal study of effective treatments for people with autism and attention deficit hyperactivity disorder across the lifespan.
Murphy, D, Glaser, K, Hayward, H, Cadman, T, Findon, J, Woodhouse, E, Ashwood, K, Beecham, J, Bolton, P, McEwan, F, Wilson, E, Ecker, C, Wong, I, Simonoff, E, Russell, A, McCarthy, J, Chaplin, E, Young, S and Asherson, P (2018). Crossing the divide: a longitudinal study of effective treatments for people with autism and attention deficit hyperactivity disorder across the lifespan. Programme Grants for Applied Research. 6 (2), pp. 1-240.
Anxiety disorders
McCarthy, J and Chaplin, E (2016). Anxiety disorders. in: Hemmings, C and Bouras, N (ed.) Psychiatric and Behavioral Disorders in Intellectual and Developmental Disabilities: Third Edition Cambridge. pp. 89-98
Social anxiety in adult males with autism spectrum disorders
Spain, D, Happe, F, Johnston, P, Campbell, M, Sin, J, Daly, E, Ecker, C, Ansom, M, Chaplin, E, Glaser, K, Mendez, A, Lovell, K, Murphy, DG and MRC Aims Consortium (2016). Social anxiety in adult males with autism spectrum disorders. Research in Autism Spectrum Disorders. 32, pp. 13-23.
Is “transforming care” failing people with autism?
Marshall-Tate, K, Chaplin, E and McCarthy, J (2017). Is “transforming care” failing people with autism? Advances in Autism. 3 (2), pp. 1-7.
Editorial
Chaplin, E (2016). Editorial. Advances in Mental Health and Intellectual Disabilities. 10 (6), pp. 313-314.
Editorial
Chaplin, E (2016). Editorial. Advances in Mental Health and Intellectual Disabilities. 10 (5), pp. 273-274.
Editorial
Chaplin, E and McCarthy, J (2017). Editorial. Advances in Autism. 3 (1), pp. 1-2.
Editorial
Chaplin, E and McCarthy, J (2018). Editorial. Advances in Autism. 4 (2), pp. 37-38.
Editorial
Chaplin, E and McCarthy, J (2018). Editorial. Advances in Autism. 4 (1), p. 1.
Working with Children and Young People with Learning Disabilities and Comorbid Mental Health/ Autism/ Challenging Behaviour Conditions: A Workforce Development Project
Hardy, SE, Chaplin, E and Tolchard, B (2018). Working with Children and Young People with Learning Disabilities and Comorbid Mental Health/ Autism/ Challenging Behaviour Conditions: A Workforce Development Project. London South Bank University. doi:10.18744/PUB.002105
Screening for co-occurring conditions in adults with autism spectrum disorder using the strengths and difficulties questionnaire: A pilot study
Findon, J, Cadman, T, Stewart, CS, Woodhouse, E, Eklund, H, Hayward, H, De Le Harpe Golden, D, Chaplin, E, Glaser, K, Simonoff, E, Murphy, D, Bolton, PF and McEwen, F (2016). Screening for co-occurring conditions in adults with autism spectrum disorder using the strengths and difficulties questionnaire: A pilot study. Autism Research. 9 (12), pp. 1353-1363.
Autism Spectrum Disorders and Hate Crime
Chaplin, E and Mukhopadhyay, S (2018). Autism Spectrum Disorders and Hate Crime. Advances in Autism. 4 (1).
Autism spectrum disorder traits among prisoners
Underwood, L, McCarthy, J, Chaplin, E, Forrester, A, Mills, R and Murphy, D (2016). Autism spectrum disorder traits among prisoners. Advances in Autism. 2 (3), pp. 106-117.
Outcomes for Adults with Autism Spectrum Disorders and Intellectual Disability
Underwood, L, McCarthy, J and Chaplin, E (2017). Outcomes for Adults with Autism Spectrum Disorders and Intellectual Disability. in: Barahona Correa, B and Vander Gaag, R-J (ed.) Autism Spectrum Disorder in Adults Switzerland Springer International Publishing. pp. 111-128
Characteristics of prisoners with intellectual disabilities
Chaplin, E, McCarthy, J, Underwood, L, Forrester, A, Hayward, H, Sabet, J, Mills, R, Young, S, Asherson, P and Murphy, D (2017). Characteristics of prisoners with intellectual disabilities. Journal of Intellectual Disability Research. 61 (12), pp. 1185-1195.
Personal experiences of autism and secure units
Ghosh, S and Chaplin, E (2016). Personal experiences of autism and secure units. Advances in Autism. 2 (3), pp. 147-150.
Commentary on 'Autism, mental health and offending behaviour: a mother's quest for healthcare'
Chaplin, E and McCarthy, J (2016). Commentary on 'Autism, mental health and offending behaviour: a mother's quest for healthcare'. Advances in Autism. 2 (4), pp. 215-216.
Defendants with Autism Spectrum Disorders: What is the role of Court Liaison and Diversion?
Chaplin, E, McCarthy, J and Forrester, A (2017). Defendants with Autism Spectrum Disorders: What is the role of Court Liaison and Diversion? Advances in Autism.
Screening and Diagnostic Assessment of Neurodevelopmental Disorders and Mental Health Comorbidity in a Male Prison
Chaplin, E, McCarthy, J and Underwood, L (2017). Screening and Diagnostic Assessment of Neurodevelopmental Disorders and Mental Health Comorbidity in a Male Prison. Journal of Mental Health Research in Intellectual Disabilities. 10 (S1).
Feeling down and understanding depression
Cronin, P, Peyton, L and Chaplin, E (2017). Feeling down and understanding depression. Advances in Mental Health and Intellectual Disabilities. 11 (1).
The case for Guided Self Help for People with Intellectual Disabilities
Chaplin, E and Marshall-Tate, K (2017). The case for Guided Self Help for People with Intellectual Disabilities. Advances in Mental Health and Intellectual Disabilities. 11 (3), pp. 126-130.
The SAINT: A Guided Self-Help Approach for People With Intellectual Disabilities
Chaplin, E, Craig, T, McCarthy, J and Bouras, N (2017). The SAINT: A Guided Self-Help Approach for People With Intellectual Disabilities. Journal of Mental Health Research in Intellectual Disabilities. 10 (3), pp. 237-252.
A Systematic Review of the Effectiveness of Psychological Approaches in the Treatment of Sex Offenders with Intellectual Disabilities
Jones, E and Chaplin, E (2017). A Systematic Review of the Effectiveness of Psychological Approaches in the Treatment of Sex Offenders with Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities.
The SAINT: a guided self-help intervention for people with intellectual disabilities
Chaplin, E, Craig, T, McCarthy, J and Bouras, N (2017). The SAINT: a guided self-help intervention for people with intellectual disabilities. Journal of Mental Health Research in Intellectual Disabilities.