Assessment and management of risk in autism

Gunasekaran, Santhana

doi:10.1108/20441281211285964

Cited by 16 publications

(25 citation statements)

References 4 publications

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“…Autism spectrum disorder (ASD) is characterized by deficits in social communication and interaction, including social–emotional reciprocity, non‐verbal communicative behaviours, and with developing, maintaining and understanding relationships (American Psychiatric Association ). People with ASD can present with preoccupations, stereotyped behaviours, sensitivities, obsessive‐compulsive behaviours and anxiety (Gunasekaran ). The National Autistic Society () suggests there are approximately 700 000 people in the UK with ASD.…”

Section: Introductionmentioning

confidence: 99%

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

Esan¹,

Chester²,

Gunaratna³

et al. 2014

Research Intellect Disabil

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Abstract:Background: To describe the characteristics of those with autism spectrum disorder (ASD) treated within a forensic intellectual disability hospital and to compare them with those without ASD.Method: Service evaluation of a cohort of 138 patients treated over a 6 year period.Results: Of the 138, 42 had an ASD. Personality disorders and harmful use or dependence on drugs were significantly lower in the ASD group. The ASD group was less likely to be subject to criminal sections or restriction orders. Self-harm was significantly higher in the ASD group. There were no differences in the length of stay and direction of care pathway.Conclusions: Although the ASD and non-ASD groups differ on clinical and forensic characteristics, their treatment outcomes appear similar. This suggests that the diagnostic category of ASD alone may be inadequate in predicting the treatment outcome. There is a case to identify distinct typologies within the ASD group. Method: Service evaluation of a cohort of 138 patients treated over a 6 year period. Journal of Applied Research in Intellectual DisabilitiesResults: Of the 138, 42 had an ASD. Personality disorders and harmful use or dependence on drugs were significantly lower in the ASD group. The ASD group was less likely to be subject to criminal sections or restriction orders. Self-harm was significantly higher in the ASD group. There were no differences in the length of stay and direction of care pathway. Conclusions:Although the ASD and non-ASD groups differ on clinical and forensic characteristics, their treatment outcomes appear similar. This suggests that the diagnostic category of ASD alone may be inadequate in predicting the treatment outcome. There is a case to identify distinct typologies within the ASD group.

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Section: Introductionmentioning

confidence: 99%

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

Esan¹,

Chester²,

Gunaratna³

et al. 2014

Research Intellect Disabil

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“…Studies in forensic psychiatric settings have established that the risk profiles for violence in offenders with autism are different in a number of ways (Murphy, 2013;Barkham et al, 2013). Although there is little evidence of a higher risk of violence, there are differences in characteristics of offences and motivations, and co-morbidities with autism may increase the risk of association to violence (Gunasekaran, 2012). These factors include cognitive ability, preoccupations, sensitivities and social This article is © Emerald Group Publishing and permission has been granted for this version to appear here https://www.leedsandyorkpft.nhs.uk/our-services/services-list/autism-diagnostic-service-lads/.…”

Section: Risk Assessment In Adult Autismmentioning

confidence: 99%

Are we good and are we safe? Measuring quality and assessing risk in an adult autism diagnostic service

Stansfield

Kam

Baddams

et al. 2017

AIA

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Purpose -Leeds autism diagnostic service is an adult autism diagnostic service for people of any intellectual ability which also offers consultancy to service users/carers or professionals, as well as a wide range of autism training. The service was set up as a pilot in 2011 and a paper describing the service development was published in this journal in November 2015. The purpose of this paper is to describe the approach taken to measure the quality of the service the authors provide and accurately assess risk in adults with autism.Design/methodology/approach -The process of evaluating appropriate outcome measures is described, along with considering appropriate risk assessment tools for use in the community. Over 200 people each year complete the autism diagnostic pathway, and 164 patients were invited to respond to service evaluation questionnaires in 2014.Findings -To date, the most useful outcome measures for this group include a prospective service user questionnaire which enables service user opinion to influence service development. In the absence of any appropriate autism-specific risk assessment tools, the service has developed one which it is currently piloting. This has proved particularly useful in the consultancy setting Originality/value -This paper is a follow-up paper looking at the day-to-day issues that the team have had to grapple withhow do you assess whether what you are doing is providing the best possible service for the people that you serve and how do you accurately assess risk in this population?

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“…There have been case reports outlining how people with ASD who have forensic mental health problems present with marked complexity and as a consequence may be excluded from services (Baliousis, Vollm, Banerjee, & Duggan, 2013). Forensic risk assessment and management often does not consider factors associated with autism (Gunasekaran, 2013). It is therefore likely that inpatients and prisoners with ASD may experience poorer outcomes following admission or imprisonment within forensic settings.…”

Section: ! "mentioning

confidence: 99%

Heterogeneity within autism spectrum disorder in forensic mental health: the introduction of typologies

Alexander¹,

Langdon

Chester³

et al. 2016

AIA

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Assessment and management of risk in autism

Cited by 16 publications

References 4 publications

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

Are we good and are we safe? Measuring quality and assessing risk in an adult autism diagnostic service

Heterogeneity within autism spectrum disorder in forensic mental health: the introduction of typologies

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