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The purpose of this paper is to elucidate how care professionals/providers construe, understand and make sense of the characteristics that are important when providing care to adults with intellectual disability and autism spectrum disorder, based on their experiences of working within their roles within a residential care setting.

Care professionals and providers working at a community autism and intellectual disability service were interviewed to ascertain their experiences of working with this client group. The research design adopted a qualitative methodology using repertory grids.

Ten members of staff who agreed to participate formed the study’s sample.  This consisted of team leaders, support workers, one member of the executive management team and one clinical member of staff. Ten themes were identified for working effectively with people with autism and intellectual disabilities. These were: making autism-specific adaptations, approachable, reflective/self-aware, strong understanding of their residents/empathetic, benevolent, empowering, follows plans consistently, confident in ability to support residents with autism, resilient, respectful.

The paper discusses each of these ten themes above and how employers can aid in selecting individuals who may be more suited to working with this patient group.

A literature search demonstrated a lack of empirical research, especially qualitative research, on this topic.

Social psychology has focused on an individual’s reaction to emergencies and witnessing a crime, which has developed theories of bystander intervention and bystander apathy. The purpose of this study is to explore why people choose to intervene when they are a bystander to intimate partner violence (IPV) and the psychological processes that underpin this. Decision-making was explored drawing on literature from the whistleblowing field.

Through a mixed methods epistemology, this study explored factors that explained intervening behaviour concerning IPV. In total, 212 participants who had known someone who was a victim of IPV were recruited from the general population.

A logistic regression model indicated that conscientiousness and fairness were found to predict intervening behaviour. Being a child witness was found to predict non-intervening behaviour. Qualitative analysis revealed three types of bystander apathy: those who lacked capability as they were children; those who were indifferent and did not see it as their place to intervene; and those who wanted to intervene but did not as they were frightened of exacerbating the situation.

IPV has significant physical and psychological effects on victims. However, the choice to intervene is complex, and bystander intervention in this study was also associated in some cases with not only a continuation of the IPV behaviour towards the victim but also aggression and physical violence towards the bystander (whistleblower retaliation). Based on the findings of this study, recommendations are made for how to support bystanders and victims of IPV.

This study involved participants with real-life experience of being a bystander to IPV. The mixed methodology provided an insight into the psychological processes, which underpin bystander experiences of IPV and maps onto the literature in relation to whistleblowing.

Hyperfocus (HF) is characterised by an intense state of concentration/focus. The purpose of this study is to explore in what ways HF has been found to contribute towards offending behaviour and what treatments have been found to be efficacious to reduce offending behaviour where HF was a contributing factor.

The systematic review was performed according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Papers were screened for quality appraisal and risk of bias. The initial search yielded 9,446 articles. Fifty-seven papers were deemed as meeting the inclusion criteria.

HF was noted to act as a vulnerability factor for aggression, sexual offending, radicalisation and stalking. HF was also observed in clients with psychopathy, autism, mental illness and those without a diagnosis. Thus, HF was not found to be offence or diagnosis specific. Furthermore, HF was found across males and females and adults and adolescents. The results identified themes in relation to the mechanisms by which HF may contribute to offending and suggested interventions for HF and offending.

Practitioners working with clients with HF currently lack evidence on the extent to which this contributes towards offending and recidivism and how HF could be addressed in interventions. Future research is needed to establish the role of HF in offending behaviour. Ideally, this should involve longitudinal data collection, retrospective analysis of data and sophisticated statistical analysis. This should also include exploration of the ways in which HF may be interconnected with offence risks/need factors which contribute towards offending. Research could inform the development of formal measurement tools for HF which are validated with norms for adult and adolescent offender samples. Practitioners should use case formulation to explore if HF represents a treatment need for clients they are working with.

This review noted that although HF has been postulated as being an important contributing factor to offending behaviour, few studies have tested this directly. From the limited studies available, HF was found to be relevant across different types of offences. HF was noted to contribute to offending due to neuropsychological mechanisms linked to executive functioning deficits and positive rewards associated with offending behaviour. Reasons for the lack of HF research are noted and recommendations for future research are discussed.

The purpose of this paper is to explore to what extent neuro-typical theories of sexual offending apply to clients with Levels 2 and 3 autism with a co-morbid intellectual disability (ID). The paper develops a model of harmful sexual behaviour (HSB) for this client group and makes suggestions for how these behaviours can be understood and reduced.

The revised Integrated Theory of Sexual Offending (ITSO) (Ward and Beech, 2016) is used as a starting framework to understand HSB in this client group. This attends to specific neuropsychological systems, brain development, motivation and emotional processing.

The revised ITSO has some utility in understanding HSB in this client group. This is improved when neuro-atypical specific state factors are identified. Practical ways of establishing these state factors are made which attend to the function of the behaviour in line with “Good Lives” model of rehabilitation.

Recommendations for ways in which the function of HSB in this client group can be identified are made as well as recommendations for how treatment can be tailored dependent on the function of behaviour in this client group.

The paper makes practical recommendations for how interventions for people with ID and autism in line with Ward, Clack and Haig’s (2016) Abductive Theory of Method which noted that interventions should be adopted to consider wider explanations for offending thus acknowledging that treatment could extend beyond cognitive behavioural therapy for clinical phenomena. Future treatments for clients with autism and LD are suggested which attend to sensory needs, teaching alternative communication strategies for seeking out “deep pressure” or attention in ways that do not involve sexual offending, using picture communication, information technology or Makaton to communicate needs or using social stories to explain the consequences of behaviour. In addition, neuro-atypical interventions which attend to the neuropsychological functioning of clients could also be included in treatment for neuro-typical clients, thus ensuring that interventions attend to every aspect of the ITSO and not purely clinical phenomena.

Enhancing treatment interventions for clients with ID and autism could both reduce risk and enhance quality of life for this client group.

Much of the work to date exploring HSB in clients with autism has attended to clients with Level 1 autism or those without an additional ID. This paper provides practitioners with a theory upon which to understand HSB in clients with a dual diagnosis of Levels 2/3 autism and an ID as well as practical recommendations for reducing HSB in this client group.

Coercive control (which is a form of intimate partner violence [IPV]) is a significant public health concern affecting millions of people throughout the world. Whilst exposure to IPV in childhood and adolescence has been shown to contribute to the intergenerational transmission of IPV, this alone does not explain IPV. A range of bio-psycho-social factors contribute to IPV which includes exposure to peer influence on social media platforms, whereby research has shown this online expression of views and opinions can change off-line behaviour. This has extended to not only purchasing products but also influencing attitudes in relation to illegal behaviour such as sexual harassment and sexual assault. The purpose of this study was to explore what young people are being exposed to online, through social media, surrounding coercive controlling behaviour.

According to Fazel et al. (2021), real-time social media data can provide important information about trends in public attitudes and attitudes towards events in the news. This study used data from Twitter to explore what adolescents are being exposed to online surrounding coercive and controlling behaviour. The data was subsequently analysed using reflexive thematic analysis.

Three overarching themes were found in relation to coercive control: the Educator; Gaslighter; and the Comedian. Two of these were forms of secondary victimisation.

Social media provides a powerful platform through which people’s attitudes and behaviours may be influenced both positively and negatively in relation to socio-political issues (Lozano-Blasco et al., 2022). The implications of the findings in this study are discussed with recommendations for how social media platforms could be supported to act prevent them from being used as a tool to facilitate the distribution of hate speech in relation to IPV and instead be used as a platform for psycho-education.

Previous research in this field has tended to focus on the impact of IPV and the prevalence rates of IPV in young people, but not on the different types of information young people may be exposed to surrounding relationships on social media platforms.

Public attitudes are considered influential in the successful reintegration of offenders into society after release, however research into attitudes towards offenders with intellectual disability (ID) has received little attention. The purpose of this study is firstly to see if people hold differing attitudes towards the reintegration of offenders with ID compared to those without ID and secondly, to investigate whether this difference in attitude is because of differing implicit theories of intelligence (TOI). The effects of familiarity with ID were also measured.

In total, 200 participants read crime vignettes depicting crimes committed by offenders with and without ID and completed Dweck’s “TOI” scale.

Participants were found to have greater entity views of intelligence towards ID yet displayed more positive attitudes towards their reintegration than offenders without ID. The influence of demographics was mixed. It would appear attitudes towards offenders with ID are not as negative as initially thought.

Implications of these findings are discussed in terms of desistance and community integration.

While some care must be taken when interpreting the results, this study demonstrates positive results regarding the reintegration of offenders with ID. Attitudes may be changing for the better towards those with disabilities, which is positive in terms of the government and National Health Service (NHS) objectives to reintegrate people with ID successfully back into the community. Although limited in number, it is noted that community forensic mental health teams have been effective in managing offender risk and providing good quality care (Dinani,et al.,2010; Benton and Roy, 2008). They can provide more person-centred and specialist treatments options and have links with other community services, probation and the police (Royal College of Psychiatrists, 2014).

Community care is thought to lead to more timely treatments with more accessible support teams and services that those with ID would struggle to access in prison (Bradley, 2009). It can also lead to greater well-being and support as individuals are in a less restrictive environment and are closer to their social networks, acting as a protective factor against further reoffending (Benton & Roy, 2008; Bradley, 2009). Furthermore, it has been indicated significant financial savings would be achieved for the criminal justice system by reducing inpatient care and increasing community services and sentences, in addition to reducing the demand on prison spaces (Bradley, 2009; Benton & Roy, 2008).

To date, very few studies have used TOI to examine attitudes towards offenders, with none examining attitudes towards offenders with ID.

This paper aims to describe research which was undertaken exploring organisational climate within a prison setting and the potential directional affects of work and home. The purpose of the research was to develop a conceptual framework of the impact of climate on social and emotional functioning.

Using the competing values framework 149 prison staff completed a questionnaire designed to explore the interactional effects of boundary theory, organisational climate and well being.

It was found that all staff placed emphasis on the control quadrant of the organisational climate. In addition, the data revealed a moderately curvilinear relationship between length of service and climate engagement on each of the quadrants. These results parallel other research in relation to attitude change. The desire for higher integration was associated with an increased impact on work/home life and a desire for, and achievement of, segmentation does not directly impact on subjective well being. The research concluded that viewing integration and segmentation along a continuum in relation to the prison service role is too simplistic. Rather, these should be viewed in a more complex way and a model for this is proposed. The findings also indicate that employees with high identity consistency (integration) also had a more engaged experience of the prison climate whereas employees with lower identity consistency (segmentation) were less engaged.

There are several implications of the research. Firstly, further research is required to explore the potential impact of attempting to change a prison climate in terms of understanding why certain climate quadrants may be preferred by staff in different roles. The findings indicate that where certain quadrant preferences occur these may be functional to prison safety and alteration of these should be considered carefully. The research also indicated that current theories of boundary management may have some applicability but that within a prison setting these are complex and influenced by both internal organizational factors and those within the wider community. Further research into the concept of “dirty work” and the impact this may have on climate would be of benefit.

This is the first research to explore the role of organizational climate within a prison setting and to consider factors which are specific to a prison environment which may influence the organizational climate. This paper is of value to those who are interested in prison settings and how the environment can influence employee experiences of working in a prison and how identity consistence can influence experiences of work.

Adopting a person-environment (P-E) fit approach, the purpose of this paper is to examine the role of emotional labour, segmentation/integration and social support in the development of work-home conflict.

Mental health professionals (n=118) completed the work-home conflict and home-work conflict scales (Netemeyer et al., 1996), the segmentation preferences and supplies scales (Kreiner, 2006) and the Mann Emotion Requirements Inventory (Mann, 1999). A social support checklist was also developed to assess the perceived value of work and non-work sources of support.

Contrary to expectation, emotional labour was associated with lower levels of work-home conflict. There was no evidence found for the relevance of a P-E fit approach, rather the results indicated that the perception that the organisation supports the separation of work and home is sufficient in ameliorating work-home conflict. In addition, work-based support was found to reduce work-home conflict.

The importance of support within the work environment as a way of reducing work-home conflict has been highlighted. That is, providing a safe environment to discuss anxieties and concerns is a fundamental factor when developing organisational support structure. The importance of providing professionals with choice regarding their preference to segment or integrate work and home has also been highlighted. Based on the contradictory findings with regards to emotional labour and work-home conflict, future research should aim to further examine this relationship within a forensic psychiatric setting.

This is the first research paper to explore the role of emotional labour, segmentation/integration and social support in the development of work-home conflict.

The purpose of this paper is to examine the relationship between trust and burnout among mental health professionals working within a forensic psychiatric setting. The association between these factors and boundary violations was also examined.

Mental health professionals (n=117) completed the Maslach Burnout Inventory and a measure of their trust in co-workers. A series of 12 vignettes was also designed to assess the frequency and impact of boundary violations by clients.

Propensity to trust was found to be predictive of personal accomplishment. A higher propensity to trust others was associated with lower levels of emotional exhaustion and depersonalisation. It was also associated with greater cooperative behaviour. Higher frequency of boundary violations reported by professionals was associated with lower levels of perceived trust and cooperative behaviours among colleagues, and increased depersonalisation. In addition, professionals reporting more of a perceived impact of boundary violations, reported higher emotional exhaustion and depersonalisation. The results also indicate that younger professionals reported higher levels of emotional exhaustion and depersonalisation, whereas older professionals were more positive regarding their competence and sense of accomplishment.

The results are discussed in terms of the development of trust within teams as an effective strategy to reduce the development of burnout. Implications are made for the importance of reflective practice and clinical supervision in developing positive working relationships with clients, and providing a safe environment to discuss professional conflict. The importance of supporting younger professionals has also been highlighted.

This is the first research paper to explore the relationship between trust within teams and the development of burnout within forensic psychiatric services.

The purpose of this paper is to explore the ways in which trauma may manifest both in terms of internalising and externalising symptoms.

The paper will argue that the effects of trauma can contribute to victims engaging in problematic behaviours (such as aggression) both towards themselves and others which may require them to attend treatment programmes to target these problem behaviours. However, standard interventions designed to target these problem behaviours do not sufficiently take into account the effects of trauma in terms of attending to the therapy interfering behaviours which are brought to treatment. The paper will argue that these trauma related therapy interfering behaviours should be attended to prior to the client engaging in specific groups to target other problem behaviours (e.g. aggression).

Clients who are referred for standard group based interventions to target problem behaviours such as aggression towards themselves or others should be offered a trauma intervention first in order to improve concentration, reduce drop-out rates and enhance feelings of safety to engage effectively in the group. Group based Eye Movement Desensitisation and Reprocessing (EMDR) should be used as a method of targeting therapy interfering behaviours associated with the effects of trauma and this should also incorporate meditation and neurobiologically informed approaches. Standard target problem behaviour groups should be adapted and modified to account for the role of trauma in information processing.

The paper will introduce Trauma Informed Additional – Programme (TIA-P) which is a newly designed group designed to assist clients to tolerate and modify therapy interfering behaviours which are present as a result of trauma in order that they can then go on to attend standardised interventions. The TIA-P attends to the latest research in relation to the treatment of trauma utilising EMDR within the group to enhance safety and reduce therapy interfering behaviours.