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Assessing risk and outcomes in offenders detained in intellectual disability and mental health medium secure units in the United Kingdom

Marks, Emma R. (2011)
Foren.Psy.D. thesis, University of Birmingham.

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The thesis examined the assessment of risk and outcomes in offenders with a mental disorder detained in medium secure units in the United Kingdom. Chapter 1 contains an introduction to the thesis. Chapter 2 presents a systematic literature review investigating factors associated with reoffending in this group of offenders. A younger age, a diagnosis of personality disorder, previous offending history, a shorter length of admission, and a history of substance misuse were all associated with a higher risk of reoffending. Implications for service development and future risk management are presented. Chapter 3 contains a piece of empirical research examining whether perception of quality of life (QoL) is associated with reoffending in those with an intellectual disability discharged from medium security. No significant differences were found between reoffenders and non-reoffenders on measures of QoL except for negative aspects of the medium secure environment, where non-reoffenders rated this as worse. Clinical implications and areas for future research are discussed. Chapter 4 contains a critical review of the HCR-20, which reports on the reliability and validity of the assessment tool in terms of its applicability in assessing risk in mentally disordered offenders, as well as its limitations. Chapter 5 presents a case study of a violent male offender detained in a medium secure unit. The use of the HCR-20 in assessing risk, formulating risk reduction interventions, and informing future risk management is highlighted. Implications of the thesis are discussed in Chapter 6.

Type of Work:Foren.Psy.D. thesis.
Supervisor(s):Beech, Anthony R.
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology
Subjects:BF Psychology
HV Social pathology. Social and public welfare
Institution:University of Birmingham
ID Code:1127
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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