Autism and offending behaviour: needs and services

Pearce, Helen; Berney, Thomas P.

doi:10.1108/aia-06-2016-0016

Cited by 12 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Risk assessment and treatment approaches for this group of individuals were suggested to be related to co-morbid psychopathology, rather than traits associated with ASD, a finding echoed in existing research ( Mouridsen, 2012 ). Indeed, it has previously been demonstrated that individuals with ASD are no more likely ( Hippler et al, 2010 ) or in fact less likely to commit criminal offences compared to those without ASD ( Im, 2016 ), suggesting that the traits associated with ASD are not necessarily pre-disposing factors for offending behaviour ( Pearce & Berney, 2016 ). Rather, the findings from this study highlight there are potentially alternative factors likely to contribute towards violence and risk of offending in this population (e.g.…”

Section: Discussionmentioning

confidence: 99%

The face validity of an initial sub-typology of people with autism spectrum disorders detained in psychiatric hospitals

Barnoux

Alexander

Bhaumik

et al. 2020

Autism

View full text Add to dashboard Cite

Autistic adults who have a history of committing crimes present a major problem for providers of services in terms of legal disposal options and possible interventions, and greater understanding of this group and their associated needs is required. For this reason, we aimed to investigate the face validity of a proposed sub-typology of autistic adults detained in secure psychiatric hospitals in the United Kingdom. Initially, a focus group was completed with psychiatrists, clinical psychologists, healthcare workers, family members and autistic adults who had been detained in hospital, leading to revisions of the sub-typology. Following this, a consensus rating exercise of 10 clinical vignettes based on this sub-typology with three rounds was completed with 15 psychiatrists and clinical psychologists; revisions to the vignettes to improve clarity were made following each round. The findings indicated that these subtypes possess face validity and raters were able to classify all 10 clinical case vignettes into the sub-typology, and percentage of agreement ranged from 96% to 100% for overall subtype classification. This study suggests that the further validity of the sub-typology should be investigated within a larger study, as these subtypes have the potential to directly inform the hospital care pathway such that length of stay can be minimised. Lay abstract Autistic adults who have a history of committing crimes pose challenges for the criminal justice system in terms of disposal and treatment. For this reason, we investigated the validity of a proposed sub-typology of autistic adults detained in secure psychiatric hospitals. Initially, we ran a focus group with psychiatrists, clinical psychologists, healthcare workers, family members and autistic adults who had been detained in hospital to consider a sub-typology of autistic adults who may come into contact with secure psychiatric hospitals. We asked 15 psychiatrists and clinical psychologists to rate 10 clinical vignettes based on our sub-typology with three rounds; revisions to the vignettes to improve clarity were made following each round. The findings indicated that these subtypes possess face validity and raters were able to classify all 10 clinical case vignettes into the sub-typology and percentage of agreement ranged from 96% to 100% for overall subtype classification. The findings suggested that the further validity of the sub-typology should be investigated within a larger study using a clinical sample. These subtypes may help inform treatment and care pathways within hospital.

show abstract

Section: Discussionmentioning

confidence: 99%

The face validity of an initial sub-typology of people with autism spectrum disorders detained in psychiatric hospitals

Barnoux

Alexander

Bhaumik

et al. 2020

Autism

View full text Add to dashboard Cite

show abstract

“…Despite an increasing number of studies which examine sexual offending behaviour in ASD individuals (e.g. Allen et al, 2008;de la Cuesta, 2010;King & Murphy, 2014;Pearce & Berney, 2016), there has been a lack of research investigating stalking and ASD. The present study carried out a scoping review following PRISMA guidelines in order to identify studies which have been carried out exploring stalking behaviour in individuals with ASD or subthreshold ASD (e.g., Peters et al, 2015;Munn, Peters, Stern, Tufanaru, McArthur, & Aromataris, 2018).…”

Section: Present Reviewmentioning

confidence: 99%

Autism spectrum disorders and stalking

Mercer

Allely

2020

JCP

View full text Add to dashboard Cite

Purpose Despite an increasing number of studies that examine sexual offending behaviour in autism spectrum disorder (ASD) individuals, there has been a lack of research investigating stalking and ASD. This study aims to carry out a scoping review following PRISMA guidelines to identify studies which have been carried out exploring stalking behaviour in individuals with threshold or subthreshold ASD. Design/methodology/approach A total of five bibliographic databases were searched to identify studies which explored ASD in relation to stalking and harassment (including case studies as well as empirical studies). Findings A total of five relevant articles were identified in the present review. One article contained a case study. In a short report, the authors discussed stalking and ASD. One paper explored ASD and stalking behaviour in employment settings and specific interventions that could be used in such environments. Another paper focused on stalking behaviour in those with ASD in school settings. The final paper examined stalking and social and romantic functioning in individuals with ASD. This final paper contained only the empirical study identified in this search. Practical implications The studies identified in this review clearly highlight the need for intensive socio-sexual interventions to improve social interaction skills and romantic functioning in individuals with ASD. There is also a need for schools to provide sex education programs for individuals with ASD. Originality/value To the best of the authors’ knowledge, this is the first review looking at ASD and stalking.

show abstract

“…There is some evidence that individuals with ASD may be over represented in specialist forensic mental health or learning disability settings, with reported rates between 1.5 and 30 per cent (Scragg and Shah, 1994;Alexander et al, 2011;Esan et al, 2015). Furthermore, offenders with ASD expose the limitations of the Criminal Justice Service and the dependence of effective management of these individuals on awareness of and appropriate adaptation to, these limitations (Pearce and Berney, 2016). It is also recommended that an empirical study of the women residents in the special hospitals be implemented (Lai et al, 2015).…”

Section: Diagnosis In Womenmentioning

confidence: 99%

Diagnosis and treatment of ASD in women in secure and forensic hospitals

Markham

2019

AIA

View full text Add to dashboard Cite

Purpose The purpose of this paper is to explore the experience and possibilities for misdiagnosis of women with ASD in secure and forensic hospitals, via the medium of a lived experience case study. To consider the clinical value of the patient perspective of and insight into their disorder. The case study is supplemented by relevant associations to the MHA Code of Practice, the CQC report, Monitoring the Mental Health Act (MHA) 2016–2017, published on 27 February 2018 and current research findings in the fields of service provision, quality of care and treatment of female patients with a diagnosis of ASD. Design/methodology/approach A review and commentary of the author’s lived experience of a formal diagnostic assessment for ASD as a female patient in a secure and forensic hospital. In reviewing aspects of the author’s clinical assessment, the author has made contextual reference to the MHA Code of Practice, the CQC report, Monitoring the MHA 2016–2017, published on 27 February 2018, and current research findings. The account focuses on aspects of the author’s recent experience assessment and treatment for ASD which the author believes may be of use in informing clinical practice. Findings Open-ended exploration of a lived experience account/case study of a diagnostic assessment of an adult female patient for ASD, demonstrating the possible ambiguity of responses to questionnaire-based assessment tools and other deficiencies inherent to the assessment process and care and treatment of adult female ASD sufferers in secure and forensic hospitals. Research limitations/implications The author uses the lived experience as a patient to review and provide commentary on the clinical assessment for ASD. This review is, therefore, informed by an authentic patient perspective and not clinical perspectives. This paper highlights the need for further research into the diagnostic assessment of females for ASD in a secure and forensic hospitals. Practical implications First, to encourage practitioners to extend their range of thinking to be more inclusive of the patient perspective when performing a diagnostic assessment. Second, to increase practitioner awareness of the deficiencies in the current service provision for adult female patients diagnosed with ASD in secure and forensic hospitals. Social implications To improve patient experience of diagnostic assessment for ASD and the quality of the assessment and patient outcomes in secure and forensic hospitals. Originality/value The paper is original in concept in that it considers the inclusion of patient experience/views in assessment and formulation and links them to wider social policy and practice guidance. The case study is an authentic patient account informed by the author’s experience of secure and forensic psychiatric hospitals. The value of the paper may be determined by the extent to which the paper encourages practitioners to consider the patient perspective and experience of the diagnostic assessment and how this and subsequent care and treatment may affect the adult female patient in secure and forensic hospitals.

show abstract

Autism and offending behaviour: needs and services

Cited by 12 publications

References 24 publications

The face validity of an initial sub-typology of people with autism spectrum disorders detained in psychiatric hospitals

The face validity of an initial sub-typology of people with autism spectrum disorders detained in psychiatric hospitals

Autism spectrum disorders and stalking

Diagnosis and treatment of ASD in women in secure and forensic hospitals

Contact Info

Product

Resources

About