Establishing a Work-Based Learning Programme: Vocational Rehabilitation in a Forensic Learning Disability Setting

Smith, Andy; Petty, Maggie; Oughton, Iona; Alexander, Regi

doi:10.4276/030802210x12839367526174

Cited by 12 publications

(15 citation statements)

References 8 publications

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“…With a median duration of hospital stay for discharged patients of 2.8 years and a finding that the vast majority are moving to lower levels of security, the study's results are comparable to the others from secure intellectual disability services. As previously indicated (Alexander et al, 2010), the outcome measure of successful discharge to a less restrictive environment would become more meaningful if it could be supplemented by information about subsequent re-admissions or recidivism. Since it was an outcome audit, where the only data available was that at the point of discharge, obtaining such information was beyond the scope of this study.…”

Section: Discussionmentioning

confidence: 97%

“…The Norfolk (1) Research Ethics Committee advised that the project was not one that required to be ethically reviewed under the terms of the Governance Arrangements for Research Ethics Committees in the UK, as it was service development. Findings from the project have been published elsewhere (Alexander et al, 2010), and this paper examines treatment outcomes in more detail. Information on the following variables was collected from the case-notes.…”

Section: Methodsmentioning

confidence: 98%

“…These services offer an integrated, multi-disciplinary model of support within an environment that emphasises care and treatment rather than punishment (Hollins, 2000). Patients referred to these services have extensive histories of offending behaviour and typically have multiple diagnoses (Halstead, 1996;Alexander et al, 2001Alexander et al, , 2010.…”

Section: Introductionmentioning

confidence: 98%

“…This will include motivational work, supportive therapy, addressing co-morbidities like substance misuse or issues like bereavement and what other authors have described as foundation treatments (Hearne et al, 2007;Plant et al, 2009). Offence-specific therapies, particularly those targeting sexual offending, fire setting or interpersonal violence (Thomas & Large, 2009, 2010. Education, skills acquisition and occupational/ vocational rehabilitation (Smith et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Offence-specific therapies, particularly those targeting sexual offending, fire setting or interpersonal violence (Thomas & Large, 2009, 2010. Education, skills acquisition and occupational/ vocational rehabilitation (Smith et al, 2010). Community participation through a system of graded escorted, shadowed and unescorted leave periods.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Evaluation of treatment outcomes from a medium secure unit for people with intellectual disability

Alexander

Hiremath

Chester

et al. 2011

Adv Mental Hlth Intell Disabil

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The aim of the project was to evaluate the short‐term treatment outcomes of patients treated in a medium secure service for people with intellectual disability. A total of 138 patients, 77 discharged and 61 current inpatients, treated over a six‐year period were included in the audit. Information on demographic and clinical variables was collected on a pre‐designed data collection tool and analysed using appropriate statistical methods. The median length of stay for the discharged group was 2.8 years. About 90% of this group were discharged to lower levels of security and about a third went directly to community placements. None of the clinical and forensic factors examined was significantly associated with length of stay for this group. There was a ‘difficult to discharge long‐stay’ group which had more patients with criminal sections, restriction orders, history of abuse, fire setting, personality disorders and substance misuse. However, when regression analysis was done, most of these factors were not predictive of the length of stay. Clinical diagnosis or offending behaviour categories are poor predictors of length of hospital stay, and there is a need to identify empirically derived patient clusters using a variety of clinical and forensic variables. Common datasets and multi‐centre audits are needed to drive this.

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Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of treatment outcomes from a medium secure unit for people with intellectual disability

Alexander

Hiremath

Chester

et al. 2011

Adv Mental Hlth Intell Disabil

View full text Add to dashboard Cite

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The Scope of Practice of Occupational Therapy in U.S. Criminal Justice Settings

Muñoz

Moreton

Sitterly

2016

Occupation Therapy Intl

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In the past 40 years, prison populations in the U.S. have nearly quadrupled while funding for rehabilitation, education and other programmes has been cut. Despite accounting for a small fraction of the world's population more than 20% of the worlds incarcerated population is in the U.S. and the rate of recidivism remains alarmingly high. Occupational therapists have the capability to play a significant role in addressing the needs of persons within the criminal justice system. However, the profession has been slow to delineate of the role occupational therapy within criminal justice settings. This study sought to provide a descriptive analysis of current occupational therapy roles and practices within the U.S. criminal justice system. Using survey research methods, the researchers collected data from respondents (N = 45; Response Rate + 51.7%) to establish a baseline of the scope of practices employed by occupational therapists working in the U.S. criminal justice system. U.S. practitioners work within institutional and community based criminal justice settings. Primary practice models, assessments and group interventions were catalogued. Respondents strongly valued the creation of networking to build the professions' presence within criminal justice settings. Occupational therapy in the criminal justice system remains an emerging practice arena. Understanding the current scope of practice in the U.S. and creating a mechanism for collaboration may help increase the depth, breadth and overall growth of the profession's role in these settings. The sampling method does not guarantee a representative sample of the population and is limited to practice within the United States. Survey design may not have allowed for respondents to fully describe their practice experiences.

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Evaluation of a Prison Occupational Therapy Informal Education Program: A Pilot Study

Crabtree

Ohm

Wall

et al. 2016

Occupation Therapy Intl

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This pilot study explored the strengths and weaknesses of an informal education program and identified elements of the program valued by participants. Participants were men living in a minimum security prison who had been incarcerated for ten or more years. The outside researcher was joined by three former program participants as co-researchers. Together, they interviewed 27 residents who completed the informal education program. Interviews were transcribed and de-identified. Researchers used the summative content analysis approach to analyze the data. Initial content analysis yielded five concepts: doing (engaging in purposeful activities); information (program handouts and discussions that included data and descriptions of all of the topics discussed); re-entry fears (socialization; making amends with victims and/or reuniting with family and friends); technology (includes, but not limited to, using smartphones, internet and other technology in all areas of occupation); and self-worth as a person. Further interpretation per the summative content analysis method yielded three themes: doing (engaged in purposeful activities), validation of self-worth (confirmation of being a valued human being in spite of having committed a serious crime) and concerns about the future (being able to successfully engage in virtually all occupations). Whilst informal education programs may help people who are incarcerated gain information, gain a sense of self-worth and allay some reentry fears, understanding the long-term affect such programs may have such as preparing them for successful re-entry to society or reducing recidivism rates, will require long-term follow-up. Regardless of the occupational therapy intervention, the practice of occupational therapy in the criminal justice system needs to be client-centred. Because of the small number of participants and limited access to participants, one should not generalize the findings of this study to other situations or populations. Further research to examine the effectiveness of an occupational therapy education program is warranted. Copyright © 2016 John Wiley & Sons, Ltd.

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Establishing a Work-Based Learning Programme: Vocational Rehabilitation in a Forensic Learning Disability Setting

Cited by 12 publications

References 8 publications

Evaluation of treatment outcomes from a medium secure unit for people with intellectual disability

Evaluation of treatment outcomes from a medium secure unit for people with intellectual disability

The Scope of Practice of Occupational Therapy in U.S. Criminal Justice Settings

Evaluation of a Prison Occupational Therapy Informal Education Program: A Pilot Study

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