The management of aggression care plans: implementation and efficacy in a forensic learning disability service

Thomas, Cathy; Kitchen, Dave; Smith, A. R.

doi:10.1108/14636646200500008

Cited by 10 publications

(13 citation statements)

References 13 publications

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“…Economies of scale, as well as availability of a critical mass of expertise may mean that these developmental level specific treatment programmes are best delivered in specialised ID units. Within this unit for example, the treatment programmes include within it a number of offence specific and other therapies (Thomas et al. 2005; Alexander et al.…”

Section: Discussionmentioning

confidence: 99%

Personality disorders in offenders with intellectual disability: a comparison of clinical, forensic and outcome variables and implications for service provision

Alexander¹,

Green²,

O’Mahony³

et al. 2010

J intellect Disabil Res

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Although about half of patients detained in secure units for offenders with ID have a personality disorder, there were more similarities than differences between this group and the rest. While good treatment outcomes supported the case for specialised secure treatment units for people with ID, the case for establishing a more specialised ID-personality disorder unit was less convincing. There is also a need to explore whether there are alternative diagnostic models that can delineate better the group with personality difficulties in this population.

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Section: Discussionmentioning

confidence: 99%

Personality disorders in offenders with intellectual disability: a comparison of clinical, forensic and outcome variables and implications for service provision

Alexander¹,

Green²,

O’Mahony³

et al. 2010

J intellect Disabil Res

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“…This was developed as a tool for systematic collection of data concerning an individual's aggressive behaviour, and brings the salient points for consideration together [29]. Reductions in incidents have been reported with the use of the MOACAP, although it still remains the case that the role of dynamic risk factors needs further consideration.…”

Section: Aggressorsmentioning

confidence: 98%

“…The need for research on aetiological factors and effective intervention strategies on the management of aggression has not been realized; however, there has been a wide range of recent reports and guides including interventions used in practice when promoting safe and therapeutic services [24][25][26][27][28][29].…”

Section: Aggressorsmentioning

confidence: 99%

Forensic aspects in people with intellectual disabilities

Chaplin¹

2006

Current Opinion in Psychiatry

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The growth of research in this area has aided the development of assessment and treatment instruments and treatment models for people with intellectual disabilities. This has helped to highlight the specialist and complex nature of this group. The review also looks at services from the point of delivery and the difficulty in research methodology and quantifying outcomes that take into account a changing society and current health inequalities.

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“…Risk assessments (Selby & Alexander, 2004). A Management of Aggression Care Plan (Thomas et al, 2005). Pharmacotherapy, targeting both co-morbid mental illnesses and the predominant symptom clusters that are problematic (Bhaumik & Branford, 2005;Alexander et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

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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The management of aggression care plans: implementation and efficacy in a forensic learning disability service

Cited by 10 publications

References 13 publications

Personality disorders in offenders with intellectual disability: a comparison of clinical, forensic and outcome variables and implications for service provision

Personality disorders in offenders with intellectual disability: a comparison of clinical, forensic and outcome variables and implications for service provision

Forensic aspects in people with intellectual disabilities

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

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