Forensic Inpatients with Low IQ and Psychiatric Comorbidities: Specificity and Heterogeneity of Psychiatric and Social Profiles

Vicenzutto, Audrey; Saloppé, Xavier; Ducro, Claire; Milazzo, Vanessa; Lindekens, Murielle; Pham, Thierry H.

doi:10.1080/14999013.2018.1504352

Cited by 8 publications

(9 citation statements)

References 57 publications

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“…We saw a higher rate of paraphilias in our ID participants, which is congruent with the association among paraphilias and lower levels of intellectual or adaptive functioning reported previously (1, 16, 29, 30). This higher rate of paraphilic behaviors has been attributed to lower levels of social awareness and behavioral self-control (31).…”

Section: Discussionsupporting

confidence: 92%

“…People with concurrent intellectual disability (ID) and forensic issues constitute a challenging clinical group in inpatient psychiatric settings and in the community. A few studies have characterized the offending behaviors, clinical characteristics, and outcomes in this group (1–8) ( Table 1 ). The majority of forensic ID research is from the United Kingdom, where specialized ID forensic mental health services are well established, including forensic inpatient settings, community samples, and juvenile populations (15, 18).…”

Section: Introductionmentioning

confidence: 99%

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Clinical, Demographic, and Criminal Behavior Characteristics of Patients With Intellectual Disabilities in a Canadian Forensic Program

et al. 2019

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Background: People with intellectual disability (ID) and forensic issues constitute a challenging clinical group that has been understudied in forensic settings. Methods: We assessed the characteristics of patients with ID under the authority of the Ontario Review Board (ORB) in a large forensic program of a tertiary psychiatric hospital (excluding those with a cognitive disorder) and compared their characteristics with those of a non-ID control group. Results: Among 510 adult ORB patients, 47 had an ID diagnosis. ID patients were of younger age at index offense, with a lower level of education, and were less likely to have been married or employed, more likely to have committed a sexual offense, more likely to have a diagnosis of paraphilia, less likely to be “not criminally responsible,” and more likely to be “unfit to stand trial.” They were also more likely to have committed their index offenses against care professionals and be treated in a secure unit. Conclusion: Our findings have major implications for clinicians, clinical leaders, and policymakers about the specific needs of patients with ID presenting with forensic issues and differing needs in terms of treatment and risk management.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Clinical, Demographic, and Criminal Behavior Characteristics of Patients With Intellectual Disabilities in a Canadian Forensic Program

et al. 2019

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“…Finally, people with intellectual disability are also treated alongside other patients, which causes problems as these programmes are not designed for their needs, and they are at risk of abuse from other patients. This population is highly heterogeneous in terms of psychiatric profile, and its needs are specific (Vicenzutto et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Páv

Skřivánková

Wiseman

et al. 2020

International Journal of Forensic Mental Health

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In the Czech Republic (CR), Forensic Treatment (FT) is provided to approximately 600 individuals per year. FT services consist of Protective Treatment (PT) provided in healthcare services, and quasi-compulsory treatment and Secure Detention (SD) provided by prison services. Currently, there are 13 facilities providing inpatient PT treatment; meanwhile, 386 clinics provide outpatient PT treatment. 950 patients receive inpatient and 2300 outpatient treatment; there are 85 patients placed in Secure Detention. Czech psychiatric care is currently undergoing a reform that aims to develop community care services and improve psychiatric hospitals. PT system development must be part of this reform process. The long-term aim should be to separate PT systems from the rest of psychiatric care, build Protective Multidisciplinary Teams providing community care, and support outpatient PT care. There is a need to implement risk assessment using structured professional judgment tools to ensure routine risk assessment is undertaken in all phases of the treatment system, and to adjust interventions and management plans to these risks. Furthermore, as a part of the care system transformation, it is necessary to build special services for minority populations to target their specific needs. There is also a need to improve data collection in regard to FT.

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“…The Wechsler Adult Intelligence Scales (WAIS, WAIS-R, WAIS-11, WAIS-111 and WAIS-IV) have been used in numerous studies including prison and forensic settings (Flinn et al, 2018;Bright and van der Linde, 2018;Vicenzutto et al, 2018;Habets et al, 2015;Leonard et al, 2005;Barron et al, 2004). These are reliable and valid in forensic settings (Taub andBenson, 2013 cited in Matlasz et al, 2017).…”

Section: Diagnostic Assessmentmentioning

confidence: 99%

Diagnosing cognitive impairment in prisoners – a literature review

Catalano

Mason

Brolan

et al. 2020

JIDOB

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Purpose This literature review identifies instruments for diagnostic assessment of cognitive impairment in prison populations. The purpose of this paper is to promote procedures for early screening and identification of cognitive impairment using instruments appropriate to prisons. Design/methodology/approach A targeted literature review identified studies on screening and diagnostic assessment of adults in jails, prisons, police watch-houses (custody suites), rehabilitation facilities and forensic settings or community settings for offenders. Discriminant validity, suitability, reliability and feasibility of instruments in correctional and forensic settings are presented. Findings From 135 peer-reviewed articles relating to diagnostic assessment of cognitive impairment, 15 instruments were considered appropriate for use in prison settings. Research limitations/implications Selection of instruments for prison use considers suitability of the instrument(s) and clinical workforce capability. Cultural and gender validity of the instrument, its feasibility for use in the prison environment and cost and time to administer are also important. Using appropriate tools as part of a staged and targeted process in the screening and diagnosis of cognitive impairment is demonstrated by two case vignettes presented in this paper. As this was a desk review, the authors did not evaluate the instruments. Originality/value Identification of instruments that are suitable for diagnosis of cognitive impairment in forensic populations informs the rehabilitation of offenders with cognitive impairment in prison and upon release to probation and parole.

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Forensic Inpatients with Low IQ and Psychiatric Comorbidities: Specificity and Heterogeneity of Psychiatric and Social Profiles

Cited by 8 publications

References 57 publications

Clinical, Demographic, and Criminal Behavior Characteristics of Patients With Intellectual Disabilities in a Canadian Forensic Program

Clinical, Demographic, and Criminal Behavior Characteristics of Patients With Intellectual Disabilities in a Canadian Forensic Program

Forensic Treatment Services in the Czech Republic: Current State and Future Challenges

Diagnosing cognitive impairment in prisoners – a literature review

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