Long-term outcome from a medium secure service for people with intellectual disability

Journal of Intellectual Disability Research : JIDR
R T AlexanderJ Piachaud

Abstract

The purpose of this paper is to describe long-term outcomes for patients discharged over a 12-year period from a medium secure service for people with intellectual disabilities (ID). A cohort study using case-notes analysis and a structured interview of current key informants. Eleven per cent of the sample was reconvicted. Fifty-eight per cent of the sample showed offending-like behaviour that did not lead to police contact. Twenty-eight per cent of the sample was currently detained in hospital under the Mental Health Act. The presence of a personality disorder, a history of theft or burglary, and young age increased the risk of reconviction. Contact with the police was less likely in those with schizophrenia. Re-admission to hospital was associated with the presence of offending-like behaviours, rather than any specific diagnosis. In terms of reconviction, these results are good compared with those from general forensic services; however, behavioural problems continue for many years and are managed without recourse to the criminal justice system. There is a borderline group whose needs are poorly defined and serviced. Declaration of interests Horizon National Health Service Trust, the managing authority of the service, gave th...Continue Reading

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Citations

Jan 17, 2012·Research in Developmental Disabilities·Karen McKenzieCharlene Hales
Apr 19, 2011·Clinical Psychology Review·Sune BoErik Simonsen
Feb 12, 2009·Journal of Intellectual Disability Research : JIDR·V Herrington
Jan 14, 2012·Behavioral Sciences & the Law·Katarzyna UziebloWalter Magez
Nov 8, 2014·Journal of Applied Research in Intellectual Disabilities : JARID·Fola EsanRegi T Alexander
Oct 22, 2013·The Australian and New Zealand Journal of Psychiatry·Heather HayesOlav B Nielssen
Jul 29, 2006·Current Opinion in Psychiatry·Edward H Chaplin
Sep 1, 2007·Current Opinion in Psychiatry·Julie Beadle-BrownAgnes Kozma
Apr 6, 2019·Journal of Applied Research in Intellectual Disabilities : JARID·Rebecca Fish, Hannah Morgan

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