Journal of Learning Disabilities and Offending BehaviourTable of Contents for Journal of Learning Disabilities and Offending Behaviour. List of articles from the current issue, including Just Accepted (EarlyCite)https://www.emerald.com/insight/publication/issn/2042-0927/vol/3/iss/4?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestJournal of Learning Disabilities and Offending BehaviourEmerald Publishing LimitedJournal of Learning Disabilities and Offending BehaviourJournal of Learning Disabilities and Offending Behaviourhttps://www.emerald.com/insight/proxy/containerImg?link=/resource/publication/journal/82b318b2f4caac86ff4d9c4cfafabc3d/UNKNOWNhttps://www.emerald.com/insight/publication/issn/2042-0927/vol/3/iss/4?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestTiered model of learning disability forensic service provisionhttps://www.emerald.com/insight/content/doi/10.1108/20420921211327338/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestTraditionally, services for people with learning disabilities (LD) and forensic needs are underdeveloped. This paper aims to describe the setting up of a tiered model of LD forensic service provision in Leicester, Leicestershire and Rutland, facilitated and driven by a core team of professionals who have the skills and expertise in this area. With no dedicated funding, this team is virtual in nature and provides support for the community and in‐patient teams in the assessment and management of offenders with LD. A care pathway including a process map is included to represent a visual idea of the referral, assessment, intervention and disposal strategies across the four tiers of service delivery. The service has a unique partnership arrangement with the independent sector that allows for staff training in order to deliver quality outcomes. The virtual team can support patients with learning disabilities and forensic needs in the community and in‐patient settings, both by avoiding unnecessary in‐patient admissions and by improving the treatment outcomes of those discharged from in‐patient settings. Further research is required to demonstrate the clinical and social outcomes for offenders with LD using the tiered model of care and care‐pathway. The virtual team and the LD forensic care pathway were developed because of a gap in service that was identified as part of a mapping exercise and stakeholder discussion. In the current economic climate, additional resources to address this gap in service may not be readily available; therefore, an innovative way of addressing this gap in service was by developing a care pathway for use by community LD teams based on lean principles and evidence‐based medicine and the pooling of specialist skills to develop the virtual team to enable and support the implementation of the care pathway.Tiered model of learning disability forensic service provision
John Devapriam, Regi T. Alexander
Journal of Learning Disabilities and Offending Behaviour, Vol. 3, No. 4, pp.175-185

Traditionally, services for people with learning disabilities (LD) and forensic needs are underdeveloped. This paper aims to describe the setting up of a tiered model of LD forensic service provision in Leicester, Leicestershire and Rutland, facilitated and driven by a core team of professionals who have the skills and expertise in this area.

With no dedicated funding, this team is virtual in nature and provides support for the community and in‐patient teams in the assessment and management of offenders with LD. A care pathway including a process map is included to represent a visual idea of the referral, assessment, intervention and disposal strategies across the four tiers of service delivery. The service has a unique partnership arrangement with the independent sector that allows for staff training in order to deliver quality outcomes. The virtual team can support patients with learning disabilities and forensic needs in the community and in‐patient settings, both by avoiding unnecessary in‐patient admissions and by improving the treatment outcomes of those discharged from in‐patient settings.

Further research is required to demonstrate the clinical and social outcomes for offenders with LD using the tiered model of care and care‐pathway.

The virtual team and the LD forensic care pathway were developed because of a gap in service that was identified as part of a mapping exercise and stakeholder discussion. In the current economic climate, additional resources to address this gap in service may not be readily available; therefore, an innovative way of addressing this gap in service was by developing a care pathway for use by community LD teams based on lean principles and evidence‐based medicine and the pooling of specialist skills to develop the virtual team to enable and support the implementation of the care pathway.

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Tiered model of learning disability forensic service provision10.1108/20420921211327338Journal of Learning Disabilities and Offending Behaviour2012-11-30© 2012 John DevapriamRegi T. AlexanderJournal of Learning Disabilities and Offending Behaviour342012-11-3010.1108/20420921211327338https://www.emerald.com/insight/content/doi/10.1108/20420921211327338/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2012
Arson treatment programmes for offenders with disability: a systematic review of the literaturehttps://www.emerald.com/insight/content/doi/10.1108/20420921211327347/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThe purpose of this paper is to identify and evaluate treatment for adult fire setters with an intellectual disability, given the specific risks they present, the complexities of criminal proceedings associated with their behaviour, and subsequent rehabilitation. However, the review also took into account programmes for fire setters in the wider population, including those for children and adolescents, given that such research might also inform the development of programmes for offenders with an intellectual disability. A systematic review of the literature was undertaken. Only four studies which evaluated treatment programmes specifically for arsonists with an intellectual disability were identified. Although each of these studies reported a reduction in fire‐setting behaviour following programme completion, all employed relatively weak research designs. An additional 12 studies investigating programmes for arsonists without intellectual disability were also identified. It is concluded that there is a lack of evidence regarding treatment programme outcomes for arsonists with an intellectual disability. The extent to which such programmes can be adapted to suit adult offenders with an intellectual disability is discussed, with recommendations made for the design and evaluation of arson treatment programmes for offenders with intellectual disabilities. Currently, minimal treatments programs exist for fire setting in offenders with intellectual disability. This review highlights the importance of further research into treatment programs for this specialised population.Arson treatment programmes for offenders with disability: a systematic review of the literature
Ashlee Curtis, Keith McVilly, Andrew Day
Journal of Learning Disabilities and Offending Behaviour, Vol. 3, No. 4, pp.186-205

The purpose of this paper is to identify and evaluate treatment for adult fire setters with an intellectual disability, given the specific risks they present, the complexities of criminal proceedings associated with their behaviour, and subsequent rehabilitation. However, the review also took into account programmes for fire setters in the wider population, including those for children and adolescents, given that such research might also inform the development of programmes for offenders with an intellectual disability.

A systematic review of the literature was undertaken.

Only four studies which evaluated treatment programmes specifically for arsonists with an intellectual disability were identified. Although each of these studies reported a reduction in fire‐setting behaviour following programme completion, all employed relatively weak research designs. An additional 12 studies investigating programmes for arsonists without intellectual disability were also identified. It is concluded that there is a lack of evidence regarding treatment programme outcomes for arsonists with an intellectual disability. The extent to which such programmes can be adapted to suit adult offenders with an intellectual disability is discussed, with recommendations made for the design and evaluation of arson treatment programmes for offenders with intellectual disabilities.

Currently, minimal treatments programs exist for fire setting in offenders with intellectual disability. This review highlights the importance of further research into treatment programs for this specialised population.

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Arson treatment programmes for offenders with disability: a systematic review of the literature10.1108/20420921211327347Journal of Learning Disabilities and Offending Behaviour2012-11-30© 2012 Ashlee CurtisKeith McVillyAndrew DayJournal of Learning Disabilities and Offending Behaviour342012-11-3010.1108/20420921211327347https://www.emerald.com/insight/content/doi/10.1108/20420921211327347/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2012
Occupational therapy in a medium secure intellectual disability and personality disorder servicehttps://www.emerald.com/insight/content/doi/10.1108/20420921211327356/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThe purpose of this paper pertains to the implementation of an occupational therapy service within a newly‐established medium secure service for 16 men with intellectual disabilities and additional diagnosis of personality disorder located in the North West of England. This is a general review, providing a descriptive account of the development and implementation of an occupational therapeutic provision for men residing in a medium secure unit with a dual diagnosis of intellectual disability and personality disorder and a service user account of its efficacy. The paper seeks to illustrate the efficacy of occupational therapy implemented by a specifically recruited and trained staff team, describing engagement in meaningful, bespoke programmes of occupation used to assist service users to address deficit areas via mutual engagement in activities, serving to facilitate the formation and development of positive and trusting relationships between service users and staff. The impact of the service is described from a service user's perspective. There is very little literature relating to those with intellectual disability also diagnosed with personality disorder. There appears to be no specific study of occupational therapy amongst those with dual diagnosis of intellectual disability and personality disorder. This paper is therefore unique in its approach and provides an overview of both the process and method used to implement occupational therapy, as well as a service user perspective and an illustration of its efficacy in a medium secure setting.Occupational therapy in a medium secure intellectual disability and personality disorder service
Paul Withers, Natalie Boulton, James Morrison, Amanda Jones
Journal of Learning Disabilities and Offending Behaviour, Vol. 3, No. 4, pp.206-218

The purpose of this paper pertains to the implementation of an occupational therapy service within a newly‐established medium secure service for 16 men with intellectual disabilities and additional diagnosis of personality disorder located in the North West of England.

This is a general review, providing a descriptive account of the development and implementation of an occupational therapeutic provision for men residing in a medium secure unit with a dual diagnosis of intellectual disability and personality disorder and a service user account of its efficacy.

The paper seeks to illustrate the efficacy of occupational therapy implemented by a specifically recruited and trained staff team, describing engagement in meaningful, bespoke programmes of occupation used to assist service users to address deficit areas via mutual engagement in activities, serving to facilitate the formation and development of positive and trusting relationships between service users and staff. The impact of the service is described from a service user's perspective.

There is very little literature relating to those with intellectual disability also diagnosed with personality disorder. There appears to be no specific study of occupational therapy amongst those with dual diagnosis of intellectual disability and personality disorder. This paper is therefore unique in its approach and provides an overview of both the process and method used to implement occupational therapy, as well as a service user perspective and an illustration of its efficacy in a medium secure setting.

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Occupational therapy in a medium secure intellectual disability and personality disorder service10.1108/20420921211327356Journal of Learning Disabilities and Offending Behaviour2012-11-30© 2012 Paul WithersNatalie BoultonJames MorrisonAmanda JonesJournal of Learning Disabilities and Offending Behaviour342012-11-3010.1108/20420921211327356https://www.emerald.com/insight/content/doi/10.1108/20420921211327356/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2012
The clinical profiles of forensic inpatients with intellectual disabilities in a specialized unithttps://www.emerald.com/insight/content/doi/10.1108/20420921211327365/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestIndividuals with intellectual disability (ID), mental health needs and criminal justice system involvement are likely to be admitted to forensic units; however, not all of those individuals are served in that system. It is, therefore, important to understand the profile of those admitted to non‐forensic specialized units for individuals with ID and mental health issues. This paper aims to address this issue. Demographic, clinical and criminal profiles of individuals discharged over nine years from a specialized dual diagnosis program were reviewed to delineate clinical subgroups. A total of 20 out of 84 total discharges were identified as having past or current criminal justice system involvement. The most common offence was assault and 60 per cent of these individuals had admissions longer than one year. Subgroups by psychiatric diagnosis differed in their age, legal status, offence history, and length of hospital stay, as well as in therapeutic interventions and discharge process. The results suggest that inpatients with ID and criminal justice system involvement present with unique treatment, support and risk management needs based on psychiatric diagnosis. The number of individuals in clinical subgroups was low, thus further research is needed to determine if the observed patterns hold true in bigger samples. The study delineates the complexity and heterogeneity of treatment and supports needs of individuals with intellectual disabilities and offending behaviour.The clinical profiles of forensic inpatients with intellectual disabilities in a specialized unit
Anna M. Palucka, Poonam Raina, Shi‐Kai Liu, Yona Lunsky
Journal of Learning Disabilities and Offending Behaviour, Vol. 3, No. 4, pp.219-227

Individuals with intellectual disability (ID), mental health needs and criminal justice system involvement are likely to be admitted to forensic units; however, not all of those individuals are served in that system. It is, therefore, important to understand the profile of those admitted to non‐forensic specialized units for individuals with ID and mental health issues. This paper aims to address this issue.

Demographic, clinical and criminal profiles of individuals discharged over nine years from a specialized dual diagnosis program were reviewed to delineate clinical subgroups.

A total of 20 out of 84 total discharges were identified as having past or current criminal justice system involvement. The most common offence was assault and 60 per cent of these individuals had admissions longer than one year. Subgroups by psychiatric diagnosis differed in their age, legal status, offence history, and length of hospital stay, as well as in therapeutic interventions and discharge process.

The results suggest that inpatients with ID and criminal justice system involvement present with unique treatment, support and risk management needs based on psychiatric diagnosis. The number of individuals in clinical subgroups was low, thus further research is needed to determine if the observed patterns hold true in bigger samples.

The study delineates the complexity and heterogeneity of treatment and supports needs of individuals with intellectual disabilities and offending behaviour.

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The clinical profiles of forensic inpatients with intellectual disabilities in a specialized unit10.1108/20420921211327365Journal of Learning Disabilities and Offending Behaviour2012-11-30© 2012 Anna M. PaluckaPoonam RainaShi‐Kai LiuYona LunskyJournal of Learning Disabilities and Offending Behaviour342012-11-3010.1108/20420921211327365https://www.emerald.com/insight/content/doi/10.1108/20420921211327365/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2012