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1 – 10 of 306
Content available
Article
Publication date: 2 June 2022

Eddie Chaplin, Jane McCarthy, Samuel Tromans and Verity Chester

258

Abstract

Details

Advances in Autism, vol. 8 no. 3
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 22 November 2018

Eddie Chaplin and Jane McCarthy

The purpose of this paper is to provide a commentary on “diagnosis and treatment of asd in women in secure and forensic hospital”.

186

Abstract

Purpose

The purpose of this paper is to provide a commentary on “diagnosis and treatment of asd in women in secure and forensic hospital”.

Design/methodology/approach

The approach is a commentary on a personal experience of services.

Findings

Women with ASD are often not diagnosed until adult years which may impact on their long-term outcomes. Secure services may not always have care teams who are appropriately trained to support a woman with ASD.

Originality/value

A commentary on an original viewpoint piece published in this special edition on women with autism spectrum disorder.

Details

Advances in Autism, vol. 5 no. 1
Type: Research Article
ISSN: 2056-3868

Keywords

Content available
Article
Publication date: 16 July 2020

Eddie Chaplin and Jane McCarthy

288

Abstract

Details

Advances in Autism, vol. 6 no. 3
Type: Research Article
ISSN: 2056-3868

Content available
Article
Publication date: 30 August 2019

Jane McCarthy and Eddie Chaplin

285

Abstract

Details

Advances in Autism, vol. 5 no. 4
Type: Research Article
ISSN: 2056-3868

Content available
Article
Publication date: 21 April 2020

Eddie Chaplin and Jane McCarthy

289

Abstract

Details

Advances in Autism, vol. 6 no. 2
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 3 April 2017

Karina Marshall-Tate, Eddie Chaplin and Jane McCarthy

The purpose of this paper is to comment on the development and implementation of transforming care (TC) and whether it has failed people with autism.

Abstract

Purpose

The purpose of this paper is to comment on the development and implementation of transforming care (TC) and whether it has failed people with autism.

Design/methodology/approach

This paper is a commentary.

Findings

The number of people with autism being admitted to assessment and treatment units is increasing despite the aims of TC. The authors argue that TC, in serving such a diverse group of people, may have failed to identify the heterogeneity of such groups or recognise the different needs of people with mental illness and people with behaviours that challenge; and that TC could be regarded as a policy that only affects people with an intellectual disability.

Originality/value

Policymakers, policy implementers and health and social care staff may consider reviewing their practice to ensure that TC works for people with autism and their family and carers.

Details

Advances in Autism, vol. 3 no. 2
Type: Research Article
ISSN: 2056-3868

Keywords

Article
Publication date: 2 October 2017

Eddie Chaplin, Jane McCarthy and Andrew Forrester

The purpose of this paper is to examine the role of liaison and diversion services working in the lower courts (also known as Magistrates’ courts) with regard to autism spectrum…

Abstract

Purpose

The purpose of this paper is to examine the role of liaison and diversion services working in the lower courts (also known as Magistrates’ courts) with regard to autism spectrum disorders (ASDs) and their assessment, in particular, the role of pre-sentence and psychiatric reports and interviews.

Design/methodology/approach

Current practice is described in the lower courts in the context of current legislation and procedures.

Findings

When writing reports, there is a need for expertise to offer an opinion on future risk, disposal and what needs to be in place to support people with ASDs. No assumptions should be made when reporting on the basis of an ASD diagnosis alone and each case must be assessed on its individual merits while ensuring that individual human rights are protected.

Originality/value

There is currently a sparse literature examining ASD in court settings. This paper seeks to clarify the current practice.

Article
Publication date: 12 March 2018

Leah Wooster, Jane McCarthy and Eddie Chaplin

National policy in England is now directed towards keeping patients with intellectual disability (ID) presenting with forensic problems for time-limited treatment. The result is…

Abstract

Purpose

National policy in England is now directed towards keeping patients with intellectual disability (ID) presenting with forensic problems for time-limited treatment. The result is that secure hospital services are expected to work much more proactively to discharge patients to community-based services. However, there is little evidence in recent years on the outcome of discharged patients with ID from secure hospitals. The purpose of this paper is to describe the outcomes of a patient group discharged from a specialist forensic ID service in London, England.

Design/methodology/approach

This is a descriptive retrospective case note study of patients with ID admitted to and discharged from a secure service with both low and medium secure wards, over a six-year period from 2009 to 2016. The study examined patient demographic, clinical and outcome variables, including length of stay, pharmacological treatment on admission and discharge, offending history and readmissions to hospital and reoffending following discharge.

Findings

The study identified 40 male patients, 29 of which were admitted to the medium secure ward. In all, 27 patients (67.5 per cent) were discharged into the community with 14 patients having sole support from the community ID services and 4 from the community forensic services. In total, 20 per cent of patients were readmitted within the study period and 22.2 per cent of patients received further convictions via the Criminal Justice System following discharge.

Originality/value

This was a complex group of patients with ID discharged into the community with a number at risk of requiring readmission and of reoffending. Community-based services providing for offenders with ID must have sufficient expertise and resourcing to manage the needs of such a patient group including the ongoing management of risks. The national drive is significantly to reduce the availability of specialist inpatient services for this group of patients but this must occur alongside an increase in both resources and expertise within community services.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 9 no. 1
Type: Research Article
ISSN: 2050-8824

Keywords

Article
Publication date: 13 August 2021

Eddie Chaplin, Amina Rawat, Bhathika Perera, Jane McCarthy, Ken Courtenay, Andrew Forrester, Susan Young, Hannah Hayward, Jess Sabet, Lisa Underwood, Richard Mills, Philip Asherson and Declan Murphy

This paper aims to examine effective diagnostic and treatment pathways for attention deficit hyperactivity disorder (ADHD) in prison settings given the high prevalence of ADHD and…

Abstract

Purpose

This paper aims to examine effective diagnostic and treatment pathways for attention deficit hyperactivity disorder (ADHD) in prison settings given the high prevalence of ADHD and comorbidities in the prison population.

Design/methodology/approach

Two studies were carried out in two separate prisons in London. Firstly, data were collected to understand the prevalence of ADHD and the comorbidities. The second study used quality improvement (QI) methodology to assess the impact of a diagnostic and treatment pathway for prisoners with ADHD.

Findings

Of the prisoners, 22.5% met the diagnostic criteria for ADHD. Nearly half of them were screened positive for autistic traits, with a higher prevalence of mental disorders among prisoners with ADHD compared to those without. The QI project led to a significant increase in the number of prisoners identified as requiring ADHD assessment but a modest increase in the number of prisoners diagnosed or treated for ADHD.

Originality/value

Despite various challenges, an ADHD diagnostic and treatment pathway was set up in a prison using adapted QI methodology. Further research is needed to explore the feasibility of routine screening for ADHD in prison and examine at a national level the effectiveness of current ADHD prison pathways.

Details

International Journal of Prisoner Health, vol. 18 no. 3
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 20 May 2020

Karina Marshall-Tate, Eddie Chaplin, Jane McCarthy and Annmarie Grealish

Expert consensus is that people with an intellectual disability are over represented across the criminal justice setting (CJS). Primary research studies have been conducted in…

Abstract

Purpose

Expert consensus is that people with an intellectual disability are over represented across the criminal justice setting (CJS). Primary research studies have been conducted in police stations and prisons, but little is known about the prevalence of this population in the court setting. The purpose of this paper is to conduct a literature review to find out more about the prevalence of defendants with an intellectual disability in court.

Design/methodology/approach

A literature review was conducted using standard systematic review methodology (Julian et al., 2011) and the PRISMA reporting guidelines (Moher et al., 2009).

Findings

Two papers met the inclusion criteria and were critically appraised. The papers reported prevalence findings ranging from 10%–20%.

Research limitations/implications

Differences in study design, sampling, recruitment and diagnostic criteria affect the ability to make comparisons or synthesise findings.

Practical implications

It is important that future primary and secondary research studies standardise operational terms to enable true comparison between studies, systematic reviews and evidence syntheses.

Social implications

Defendants with an intellectual disability need to be identified to enable criminal justice professionals to make reasonable adjustments to proceedings and consider diversion and alternative disposal options. This will likely improve outcomes for this population and reduce recidivism.

Originality/value

This literature review contributes to the growing evidence base about meeting the criminal justice needs of people with a learning disability and recognition of the increased prevalence across the CJS and specifically within the court setting.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 11 no. 3
Type: Research Article
ISSN: 2050-8824

Keywords

1 – 10 of 306