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Adverse childhood experiences (ACEs) are highly prevalent in people with developmental disorders who engage in offending behaviour. Many violence-based risk assessment tools include items pertaining to ACEs, and may inflate risk scores in trauma-exposed groups. This paper aims to explore the relationships between ACEs, risk assessment scores, incidents of risk and restrictive practices, in adolescents with developmental disorders in a forensic inpatient setting.

Secondary analysis was conducted on clinical data for 34 adolescents detained to a developmental disorder service. Data were extracted for Structured Assessment of Violence Risk in Youth (SAVRY) risk scores and risk behaviours and restrictive practices, as measures of observed risk.

Participants exposed to more ACEs had higher SAVRY risk scores (p < 0.001, two-tailed), with elevations specifically on the historical subscale (p < 0.001, two-tailed). Neither ACEs nor risk scores were associated with the frequency of risk behaviours. Nevertheless, participants exposed to four or more ACEs were secluded more frequently (p = 0.015, two-tailed), indicating a potential association between trauma and risk severity. Those with more complex developmental disorders experienced fewer ACEs (p = 0.02, two-tailed) and engaged in self-harm behaviours less frequently (p = 0.04, two-tailed).

The inclusion of ACEs in risk assessment tools may lead to the inadvertent stigmatization of trauma-exposed individuals. Further investigation is necessary to offer clarity on the impact of early adversity on risk assessment accuracy and levels of institutional risk, and the role of developmental disorders in this relationship.

To the best of the authors’ knowledge, this study is the first to explore the relative associations between ACEs, risk assessment scores and observed institutional risk and does so in a highly marginalized population.

Gang affiliation is strongly associated with youth crime. Although gang prevention, intervention and suppression programmes have been used to reduce affiliation and manage youth gang‐related activities, the effectiveness of these approaches is questionable. Further, comprehensive programmes supporting disengagement from gangs that also address the actual criminal behaviours of gang‐affiliated youth are rare. Arguably, these are necessary if the goal of intervention is to reduce criminal behaviour and support disengagement from gangs. This paper aims to address these issues.

This study sought to elucidate the criminogenic needs of gang‐ and nongang‐affiliated youth offenders (n=165) using two commonly used risk/need assessment instruments, the structured assessment of violence risk in youth (SAVRY) and the youth level of service/case management inventory (YLS/CMI).

The results revealed that gang‐ and nongang‐affiliated youth offenders had similar criminogenic need profiles except for one difference on an item measuring peer delinquency.

Gang‐affiliated youth offenders have comparable criminogenic needs to other youth offenders. These needs require intervention if a reduction in crime is desired, and since gang‐affiliated youth offenders are more likely to re‐offend than those that are nongang‐affiliated, these results also suggest that there may be additional needs, beyond those assessed by the SAVRY and YLS/CMI, which should be investigated and considered in rehabilitation programmes.

Few studies have directly compared the risk and needs profiles between gang‐ and nongang‐affiliated youth offenders using standardised risk assessment measures; this study may be relevant to professionals working in the juvenile justice and offender rehabilitation arenas.

The existence of neuropsychological deficits associated with antisocial behaviour has received considerable attention. The pilot study investigates the cognitive impairments in a sample 9‐17 years old with suspected or previously diagnosed intellectual disability and/or neurodevelopmental disorders referred to a tier 4 CAMHS service in South East London. This paper aims to present the preliminary findings from the study.

In total, 28 participants between the ages of nine and 16 years, who had been referred to a tier 4 South London Forensic CAMHS, were administered selected subtests to assess intellectual, executive and social functioning using the WISC IV/WAIS IV, NEPSY II and DKEFS. Descriptive and non‐parametric statistics were used to describe the sample and identify neuropsychological deficits.

Consistent with previous research participants FSIQ and VCI were lower than the general population mean and young people identified as being high risk on the SAVRY were more impaired than those assigned to the lower risk group. The results also identified neuropsychological deficits in behavioural inhibition, cognitive flexibility, problem solving and processing fear but spared cognitive inhibition, general social processing and non‐verbal reasoning.

These preliminary findings serve as a platform for better understanding the neuropsychological functioning of the young people referred to the clinic and in the future it is hoped that the data will be used to evaluate cognitive rehabilitation adjuncts to established interventions provided by the service.

The purpose of this paper is to explore the relationship between psychopathic features as measured with the Psychopathy Checklist: Youth Version (PCL:YV) and behavioural and emotional functioning in young female offenders in custody.

This is a quantitative interview study investigating the relationship with psychopathic traits, measured with the PCL:YV (Forth et al., 2003), and different psychological characteristics as well as AD/HD, self-harm, and childhood trauma in adolescent offenders across genders. Data were collected from a sample of 40 female and 40 male adolescents who were incarcerated in Victoria, Australia.

Results indicated that the behavioural subscales of the PCL:YV were associated with externalising behaviours possibly underpinned by histories of abuse and substantiated child protection incidences. The presence of AD/HD was strongly associated with affective deficits suggesting that the PCL:YV may be identifying young females with AD/HD rather than core psychopathic traits. Findings also indicate that female-specific manifestations of manipulation are likely being misidentified as behavioural phenomena precluding clinical recognition as a core interpersonal trait. Significant dissimilarities with a young male comparison group were identified and are discussed within.

The sample size is very small and the results should be seen as an indication rather than generalising.

Studies on female juvenile offenders is rare and this study adds to the literature on the construct of psychopathy and its relationship to psychosocial factors as well as associations with AD/HD, self-harm, and childhood trauma, among incarcerated adolescents.

The purpose of this paper is to explore the validity and reliability of the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV) to determine if it has predictive accuracy in relation to physical aggression, severe verbal aggression, property damage and self-harm, in a medium secure setting. In addition, the authors hoped to provide some of the first descriptive data available for the START:AV among a UK adolescent population in a medium secure adolescent unit.

The sample consisted of 90 female and male adolescents, with and without developmental disabilities. It was important to explore the measure’s predictive accuracy across specific population groups, such as between males and females, as well as those with developmental disabilities, and those without.

Some significant relationships were found between the START:AV and adverse outcomes. For instance, total strength and vulnerability scores were predictive for verbal and physical aggression. Differences in predictive validity were evident when comparisons were made between males and females, with relationships being evident amongst the male population only. When splitting the male sample into developmental disability and non-developmental disability groups, significant relationships were found between strength and vulnerability scores and verbal and physical aggression.

A number of practical implications are considered, such as the START:AV is relevant for use with adolescents in hospital settings and the significant inverse relationship between strength scores and negative outcomes supports the importance of considering protective/strength factors when working with at risk youths.

There is currently limited validation data for the START:AV in the UK or elsewhere.

The purpose of this paper is to record and analyse clinicians’ views of the proposed FACE Child and Adolescent Risk Assessment Suite (CARAS). This is a novel risk assessment system comprising a set of screening questions and domain specific sub‐schedules intended to be implemented in electronic format within a youth mental health setting.

A qualitative approach was adopted with a series of focus groups conducted with three Child and Adolescent Mental Health Service (CAMHS) teams drawn from general and specialised services in a large NHS Trust in North‐East England. A thematic analysis was used to explore the perceived clinical relevance, clarity and utility of the items that are contained within the FACE Child and Adolescent Risk Assessment Suite.

Emerging themes highlighted that items such as criminality and fire‐setting be added to the violence risk assessment schedule; a structured approach for risk of sexual harm be utilised; and an eating disorder risk assessment be included.

Clinicians viewed the FACE Child and Adolescent Risk Assessment Suite as a structured and comprehensive risk management tool that also demonstrated potential clinical utility. CAMHS clinicians’ views of the potential benefits of risk assessment schedules appear to be influenced by the perceived balance between comprehensiveness and ease and rapidity of administration. Further studies relating to validity and reliability are currently ongoing.

This is the first qualitative exploration of a comprehensive and flexible approach to risk assessment in a youth mental health setting.

Empirical research concerning the reliability and predictive validity of the juvenile psychopathy construct, as assessed by the Psychopathy Checklist: Youth Version (PCL: YV; Forth et al, 2003) is reviewed. The results of an updated meta‐analysis (k = 38) investigating the interrater reliability of the PCL: YV are presented, along with an examination of meta‐analytic findings on the predictive accuracy of the tool. Considerations with respect to gender, ethnicity and development are explored. Some discussion points are offered regarding potential clinical applications of the construct of juvenile psychopathy and the PCL: YV with violent and other criminally adjudicated youths.

The purpose of this paper is to establish gaps in training, involve staff in the implementation process by incorporating their views on what is helpful and what can be improved, as well as provide information that might be helpful to other sites who are considering implementing the START:AV.

The current study is the first to examine a START:AV implementation and survey a multi-disciplinary team on their views about implementation in a medium secure service for adolescents in the UK. The survey was adapted from the one used by Collins et al. (2008). Once surveys were received the qualitative information was collated to explore themes, and frequency analysis was undertaken on the quantitative information.

The staff survey on the implementation of the START:AV highlighted a number of strengths and challenges. There was significant support for the START:AV in relation to it being a dynamic assessment to measure change, that focuses equally on strengths and vulnerabilities, making the process individualised. Users of the START:AV reported that the process of rating the START:AV as a team improved communication, teamwork, generated discussion and improved the detailed understanding of the patient being rated. Staff felt it was generally straightforward to use in terms of strengths and vulnerability ratings, but some difficulties emerged regarding making finer distinctions in ratings as well as completing risk formulations, highlighting further training needs. There was also some confusion about differentiating between certain strengths and vulnerabilities, leading to “double ratings”. Other difficulties highlighted centred on time and increasing workload.

The main limitation of the study relates to the low response rate to the survey (31 per cent).

Recommendations for implementation and evaluation of new risk assessment procedures are made.

The current study is the first to examine a START:AV implementation and survey a multi-disciplinary team on their views about implementation in a medium secure service for adolescents in the UK.

This is an invited short overview from a clinician working in a national secure inpatient setting which aims to focus on inpatient forensic services for adolescents with developmental disabilities.

The paper gives a brief overview of the needs of this population and the requirements for inpatient assessment and treatment.

This is a complex population who are referred relatively late to inpatient services, often after recurrent failings in residential services where mental disorders are commonly unrecognised. Comprehensive multidisciplinary assessment and treatment are required for this group.

This paper will be useful to a range of professionals dealing with adolescents with developmental disabilities who are engaging in offending and other high risk behaviours.

Though prosocial attributes are linked to positive outcomes among justice-involved adolescents and are a mainstay of numerous interventions, few measures have been specifically designed to evaluate prosocial functioning within this population. Although multiple instruments measuring aspects of prosocial behavior exist, these instruments were not designed to measure prosocial behaviors among youth in juvenile justice settings. This study aims to provide a preliminary validation of a new measure of prosocial attributes (the Prosocial Status Inventory – PSI), which was designed to comprehensively evaluate in greater depth the prosocial functioning of urban, justice-involved youth.

Youth (n = 51) were recruited as part of a larger study and were participants in a community-based mentoring program in a large, urban county in the Southern USA. Youth completed the PSI at baseline prior to their participation in the community-based mentoring program. The authors obtained follow-up data on recidivism from the county juvenile justice department.

PSI scores were positively related to a lower rate of recidivism and a decrease in offending frequency over a 12-month follow-up period.

The current findings complement previous work, suggesting that prosocial attributes are measurable and related to important outcomes among justice-involved youth and support the utility of strengths-based treatment approaches. Moreover, it provides preliminary evidence of the utility of a new self-report measure to assess these traits within a juvenile justice population.