Characteristics of referrals and admissions to a medium secure ASD unit

Therese O' Donoghue (Department of Psychology, St Andrew’s Healthcare, Northampton, UK)
John Shine (Department of Psychology, St Andrew’s Healthcare, Northampton, UK)
Olufunto Orimalade (FACS-Forensic-Assessment-Community-Services, Alberta Health Services, Edmonton, AB, Canada)

Journal of Intellectual Disabilities and Offending Behaviour

ISSN: 2050-8824

Publication date: 8 September 2014

Abstract

Purpose

The purpose of this paper is to present preliminary data on a cohort of patients referred to a specialist forensic medium-secure autism spectrum disorder (ASD) service during its first two years of opening and to identify variables associated with admission to the service.

Design/methodology/approach

Data on all referrals to the service (n=40) was obtained from clinical files on demographics, offending history, psychiatric history and levels of therapeutic engagement. The sample was divided into two groups: referred and admitted (n=23) and referred and not admitted (n=17). Statistical analysis compared the two groups on all variables.

Findings

Totally, 94 per cent of all individuals assessed had a diagnosis of autism, however, structured diagnostic tools for ASD were used in a small minority of cases. About half the sample had a learning disability, almost four-fifths had at least one additional mental disorder and almost three-quarters had a history of prior supervision failure or non-compliance with treatment. The sample had a wide range of previous offences. No significant differences were found between the groups on any of the variables included in the study.

Research limitations/implications

The present study presents a starting point to follow up in terms of response to treatment and characteristics associated with treatment outcome.

Practical implications

The sample had a wide range of clinical and risk-related needs. Both groups shared many similarities.

Originality/value

This highlights the need for comprehensive assessment looking at risk-related needs so that individuals are referred to an optimal treatment pathway.

Keywords

Citation

O' Donoghue, T., Shine, J. and Orimalade, O. (2014), "Characteristics of referrals and admissions to a medium secure ASD unit", Journal of Intellectual Disabilities and Offending Behaviour, Vol. 5 No. 3, pp. 138-146. https://doi.org/10.1108/JIDOB-06-2014-0008

Download as .RIS

Publisher

:

Emerald Group Publishing Limited

Copyright © 2014, Emerald Group Publishing Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.
To rent this content from Deepdyve, please click the button.