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

Alexander, R. T., Crouch, K., Halstead, S. and Piachaud, J. (2006) Long-term outcome from a medium secure service for people with intellectual disability. Journal of Intellectual Disability Research, 50 (4). pp. 305-315. ISSN 0964-2633

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Abstract

Background: 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). Methods: A cohort study using case-notes analysis and a structured interview of current key informants. Results: 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. Conclusion: 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 the grant for this study; the corresponding author was working in the service.

Item Type:	Article
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Users 2731 not found.
Date Deposited:	21 Aug 2012 11:10
Last Modified:	24 Sep 2024 09:46
URI:	https://ueaeprints.uea.ac.uk/id/eprint/39429
DOI:	10.1111/j.1365-2788.2006.00806.x

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