Housing‐based support: a successful alternative to secure accommodation for people who have learning disabilities and have offended

Olsen, Angela; Heaton, Sarah

doi:10.5042/jldob.2011.0025

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…83 per cent of people who have been supported by this approach have not been identified as re-offending since engaging with the programme (Olsen and Heaton, 2011).…”

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

“…Compare this to a community response. Olsen and Heaton (2011) recently reported findings from a housing-based support service (HIST project). The project showed a measurable reduction in recidivism, which was achieved by social care staff supporting individual offenders in their own communities.…”

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

“…In order to be eligible for this type of community support, the offender has to agree to work with his key workers; he is not subject to extensive assessment and the success or otherwise of support (provided over two years in the HIST project) is measured by whether or not he re-engages in offending behaviour. 83 per cent of people who have been supported by this approach have not been identified as re-offending since engaging with the programme (Olsen and Heaton, 2011).…”

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

“…Of course, Olsen and Heaton's (2011) population was different to that of SHEALD and direct comparison between the projects is not intended or feasible. It is included here to demonstrate that there may be social care led alternatives to clinical assessment and treatment for offenders who have ID.…”

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

See 3 more Smart Citations

The development of a sex offender assessment and treatment service within a community learning disability team (the SHEALD project): part 2

Olsen

Ravey

2011

Tizard Learning Disability Review

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Purpose -This paper aims to provide a commentary on the previous paper in this issue on ''The development of a sex offender assessment and treatment service within a Community Learning Disability Team (the SHEALD project): part 2''.Design/methodology/approach -The authors consider the nature of traditional service delivery for people with learning/intellectual disabilities and the potential that services have for the physical, emotional and sexual abuse of these vulnerable people. Findings -The authors argue that effective community based treatment/support is best delivered in a way that acknowledges and employs the range of skills offered by practitioners from health and social care backgrounds.Originality/value -Both SHEALD and HIST are examples of community treatment programmes which show that a person-centred approach supported by a dedicated and consistent team of practitioners may be an effective way of addressing complex, high-risk behaviours.The nature of traditional service delivery compounded by society's inability to accept both the sexuality (Futcher, 2011) and the abuse (Eastgate, 2005) of people with a learning disability has persistently opened the door to their physical, emotional and sexual abuse. Way back in the 1970s one of us Angela Olsen (AO) started work in a residential setting with adults who have intellectual disabilities (ID). It quickly became apparent that the staff team appeared to condone an inappropriate sexual relationship between a member of staff and a 16-year-old boy who had no verbal communication. During the time, AO was there other staff members made no efforts to address or challenge the situation regardless of her protestations.Sometime later, the victim of this abuse was referred to a community learning disability team where AO was a social worker. The referral was the result of a catalogue of sexually assaultive behaviour towards several children and young men in residential and day services. His behaviour instigated a domino effect, with two of his victims subsequently committing assaults on other younger boys.We fear that this experience is not uncommon to many of you, who have taken the time to read this commentary. This familiarity will probably also extend to the consequences of the behaviours for the perpetrators. An abuser from the ''non-disabled'' world with this history of behaviour would

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“…83 per cent of people who have been supported by this approach have not been identified as re-offending since engaging with the programme (Olsen and Heaton, 2011).…”

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

Section: Pathways To Treatment and Supportmentioning

confidence: 99%

See 2 more Smart Citations

The development of a sex offender assessment and treatment service within a community learning disability team (the SHEALD project): part 2

Olsen

Ravey

2011

Tizard Learning Disability Review

Self Cite

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“…It is intended to fulfil the expectations of the person centred agenda (Department of Health, 2001;Department of Health, 2009b) whilst maintaining legal requirements to prevent dangerous and illegal behaviour. Olsen and Heaton (2011) have also proposed that an individual who is living a fulfilling lifestyle, in line with principles of Normalisation and Social Role Valorisation (Wolfensberger, 1972(Wolfensberger, , 1983, will have their needs met by well adapted and appropriate means which will reduce the need to resort to maladapted and dangerous behaviour.…”

Section: Risk Management Vs Individual Autonomymentioning

confidence: 99%

Contributing factors to providing an effective community-based forensic service for people with a learning disability: a literature review

Wark¹

2019

JIDOB

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Purpose Legislative guidance stipulates that people with a learning disability have the right to receive local provision of personalised support within the least restrictive environment. On these bases there is a growing emphasis on the requirement for local authorities to develop appropriate services for people who are currently in a hospital setting. The purpose of this paper is to examine the literature addressing factors influencing the provision of effective community-based forensic services. Design/methodology/approach The six articles were analysed separately using the evaluation tool – Currency, Relevance, Authority, Accuracy, Purpose. The six articles used divergent sample groups and employed both qualitative and quantitative methods to collate data. The articles shared a purpose of examining forensic community service provision with an aim to improve services. Findings There were three themes that emerged consistently across the literature these included: balancing risk management vs individual autonomy; multi-disciplinary and multi-agency working; service improvement. There is a growing emphasis on the need to replace long-term hospital placements with specialist, community provision, employing least restrictive methods and positive responses to crisis situations. In this climate, it is crucial that multi-disciplinary agencies from local authority, health and the charitable and private sector continue to work collaboratively on the integration of service provision in order to bring about the development of effective and responsive community services. Research limitations/implications Research limited to peer reviewed and published research papers focusing on the subject of community forensic services with publications specifically made within the time frame of the Transforming Care Agenda. Practical implications This paper looks to examine the practical solutions to providing effective community forensic services for a person with an intellectual disability and makes recommendations for research into improving service specific training for support staff. Social implications Following the Winterbourne View Hospital scandal (BBC One, 2011) instigations were made to make legislative change under the Transforming Care Agenda. Despite a renewed conviction in the rights of people to be a part of their local community without segregation or discrimination, professionals in the field continue to report a failure to reduce numbers of people in long stay hospitals and secure settings. With commissioning under pressure to make these intentions a reality it is a really good time to reflect on practice and evaluate service models to establish the factors that bring about positive outcomes for individuals enabling inclusion within community settings. Originality/value This review will focus on the literature evidencing positive intervention and outcome focussed methods of supporting people with a forensic history in the community. This is an entirely original piece of work analysing peer reviewed and published research.

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Occupational therapy in a medium secure intellectual disability and personality disorder service

Withers

Boulton

Morrison

et al. 2012

Journal of Learning Disabilities and Offending Behaviour

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PurposeThe purpose of this paper pertains to the implementation of an occupational therapy service within a newly‐established medium secure service for 16 men with intellectual disabilities and additional diagnosis of personality disorder located in the North West of England.Design/methodology/approachThis is a general review, providing a descriptive account of the development and implementation of an occupational therapeutic provision for men residing in a medium secure unit with a dual diagnosis of intellectual disability and personality disorder and a service user account of its efficacy.FindingsThe paper seeks to illustrate the efficacy of occupational therapy implemented by a specifically recruited and trained staff team, describing engagement in meaningful, bespoke programmes of occupation used to assist service users to address deficit areas via mutual engagement in activities, serving to facilitate the formation and development of positive and trusting relationships between service users and staff. The impact of the service is described from a service user's perspective.Originality/valueThere is very little literature relating to those with intellectual disability also diagnosed with personality disorder. There appears to be no specific study of occupational therapy amongst those with dual diagnosis of intellectual disability and personality disorder. This paper is therefore unique in its approach and provides an overview of both the process and method used to implement occupational therapy, as well as a service user perspective and an illustration of its efficacy in a medium secure setting.

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Housing‐based support: a successful alternative to secure accommodation for people who have learning disabilities and have offended

Cited by 3 publications

References 5 publications

The development of a sex offender assessment and treatment service within a community learning disability team (the SHEALD project): part 2

The development of a sex offender assessment and treatment service within a community learning disability team (the SHEALD project): part 2

Contributing factors to providing an effective community-based forensic service for people with a learning disability: a literature review

Occupational therapy in a medium secure intellectual disability and personality disorder service

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