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Chapter 20 - Forensic Services for Neurodevelopmental Disorders: An English Perspective

from Section 3 - Criminal Justice Pathways and Legal Issues

Published online by Cambridge University Press:  18 May 2023

By
John Devapriam  and
Harinder Bains
Edited by
Jane M. McCarthy ,
Regi T. Alexander  and
Eddie Chaplin
Jane M. McCarthy
Affiliation:
Sussex Partnership NHS Foundation Trust and University of Auckland
Regi T. Alexander
Affiliation:
Hertfordshire Partnership University NHS Foundation Trust and University of Hertfordshire
Eddie Chaplin
Affiliation:
Institute of Health and Social Care, London South Bank University
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Summary

This chapter describes the development and delivery of hospital inpatient services and community services for those with neurodevelopmental disorders with a focus on services for those with intellectual disability in England. The tired model of service provision is described with Tier 1 to Tier 3 being community-based services and Tier 4 as all types of specialist inpatient services. Within Tier 4 services, there are six categories of services that ranging from high secure to long-term rehabilitation inpatient units or to highly specialised units provided at a national level such as those for autistic people. Autistic patients admitted to forensic in-patient care are a heterogenous group with complex needs. Developing forensic services for people with neurodevelopment disorders requires all relevant stakeholders to be involved using a care pathway-based approach addressing key elements such as the environmentand be person centred so that treatments are tailored to the individual needs of the patient. Future services both in the community and within hospital setting will need to be flexible to meet changing needs and demands.

Keywords

forensic servicesneurodevelopmental disordersintellectual disabilityautism spectrum disordercommunity servicesinpatient caretiered servicespolicy
Type
Chapter
Information
Forensic Aspects of Neurodevelopmental Disorders
A Clinician's Guide
 , pp. 240 - 251
Publisher: Cambridge University Press
Print publication year: 2023

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