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Chapter 14 - Risk Assessments in People with Neurodevelopmental Disorders

from Section 2 - Assessment and Therapeutic Approach

Published online by Cambridge University Press:  18 May 2023

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

There has been debate as to how the presence of neurodevelopmental conditions such as intellectual disability (ID), autism spectrum disorder (ASD) or attention deficit hyperactivity disorder (ADHD) relate to risk of violence or sexual behaviour causing harm to others. Further debate has centered on whether mainstream structured professional judgement risk assessments have face, content and predictive validity in populations with these conditions. Some have argued for attaining a structured assessment of risk, which is specific to each of these conditions. However, the broad range of presentations and comorbidity of these disorders both with each other, and with other mental disorders (such as psychosis and personality disorders) are likely to make that goal unattainable and, arguably, undesirable. Successful approaches are those which contextualise structured professional judgment risk assessment in relation to the neurodevelopmental disorder, preferably utilising existing supplementary guidance to mainstream risk assessments. A focus on risk formulation, with careful attention paid to the function of the behaviour in the context of the neurodevelopmental condition, is advocated.

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Chapter
Information
Forensic Aspects of Neurodevelopmental Disorders
A Clinician's Guide
, pp. 164 - 178
Publisher: Cambridge University Press
Print publication year: 2023

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References

Lofthouse, R, Golding, L, Totsika, V, Hastings, R, Lindsay, W. How effective are risk assessments/measures for predicting future aggressive behaviour in adults with intellectual disabilities (ID)?: a systematic review and meta-analysis. Clinical Psychology Review 2017; 58: 7685.Google Scholar
Douglas, KS, Hart, SD, Webster, CD, Belfrage, H. HCR-20V3: Assessing Risk of Violence – User Guide. Mental Health, Law, and Policy Institute, Simon Fraser University, 2013.Google Scholar
Morrissey, C, Geach, N, Alexander, RT, Chester, V, Devapriam, J, Duggan, C, et al. Researching outcomes from forensic services for people with intellectual or developmental disabilities: a systematic review, evidence synthesis and expert and patient/carer consultation. Health Services and Delivery Research 2017; 5(3).Google Scholar
Lindsay, WR, Hogue, TE, Taylor, JL, Steptoe, L, Mooney, P, O’Brien, G, et al. Risk assessment in offenders with intellectual disability: a comparison across three levels of security. International Journal of Offender Therapy and Comparative Criminology 2008; 52(1): 90111.Google Scholar
Boer, DP, Frize, M, Pappas, R, Morrissey, C, Lindsay, WR. 2010. Suggested adaptations to the HCR-20 for offenders with intellectual disabilities. In Craig, LA, Lindsay, WR, Browne, KD, eds., Assessment and Treatment of Sexual Offenders with Intellectual Disabilities: A Handbook. John Wiley & Sons, 2010: 177–92.Google Scholar
Morrissey, C, Hogue, T, Mooney, P, Allen, C, Johnston, S, Hollin, C, et al. Predictive validity of the PCL-R in offenders with intellectual disability in a high secure hospital setting: institutional aggression. Journal of Forensic Psychiatry and Psychology 2007; 18(1): 15.Google Scholar
Fitzgerald, S, Gray, NS, Alexander, RT, Bagshaw, R, Chesterman, P, Huckle, P, et al. Predicting institutional violence in offenders with intellectual disabilities: the predictive efficacy of the VRAG and the HCR‐20. Journal of Applied Research in Intellectual Disabilities 2013; 26(5): 384–93.Google Scholar
O’Shea, LE, Picchioni, MM, McCarthy, J, Mason, FL, Dickens, GL. Predictive validity of the HCR‐20 for inpatient aggression: the effect of intellectual disability on accuracy. Journal of Intellectual Disability Research 2015; 59(11): 1042–54.Google Scholar
Morrissey, C, Beeley, C, Longitudinal, Milton J. HCR‐20 scores in a high‐secure psychiatric hospital. Criminal Behaviour and Mental Health. 2014; 24(3): 169–80.Google Scholar
Gray, NS, Fitzgerald, S, Taylor, J, MacCulloch, MJ, Snowden, RJ. Predicting future reconviction in offenders with intellectual disabilities: The predictive efficacy of VRAG, PCL-SV, and the HCR-20. Psychological Assessment 2007; 19(4): 474.Google Scholar
Morrissey, C. Guidelines for assessment of psychopathy in offenders with intellectual disabilities. 2006. Available at: www.semanticscholar.org/paper/Assessment-of-psychopathy-in-offenders-with-Morrissey/2322ae4fed59bbd7cee27258a0afc36b867ae31b.Google Scholar
Morrissey, C, Hobson, B, Faulkner, E, James, T, et al. Outcomes from a high secure forensic service: findings and challenges. Advances in Mental Health and Intellectual Disabilities. 2015; 9: 116–23.CrossRefGoogle Scholar
Hart, S, Krop, P.R, Laws, DR, Klaver, J, Logan, C, Watt, KA. The Risk for Sexual Violence Protocol (RSVP): Structured Professional Guidelines for Assessing Risk of Sexual Violence. The Institute Against Family Violence, 2003.Google Scholar
Boer, DP, Hart, SD, Kropp, PR Hart, SD, Webster, CD. Manual for Version 2 of the Sexual Violence Risk-20. Protect International Risk and Safety Services Inc., 2017.Google Scholar
Boer, DP, Haaven, JL, Lambrick, F, Lindsay, WR, McVilly, K, Sakdalan, J, et al., ARMIDILO-S manual: web version 1.0. 2012. Available at: www.armidilo.net/index.html.Google Scholar
Allely, CS. A systematic PRISMA review of individuals with autism spectrum disorder in secure psychiatric care: prevalence, treatment, risk assessment and other clinical considerations. Journal of Criminal Psychology 2018; 5: 1.Google Scholar
Långström, N, Grann, M, Ruchkin, V, Sjöstedt, G, Fazel, S. Risk factors for violent offending in autism spectrum disorder: a national study of hospitalized individuals. Journal of Interpersonal Violence 2009; 24(8): 1358–70CrossRefGoogle ScholarPubMed
Murphy, D. Risk assessment of offenders with an autism spectrum disorder. Journal of Intellectual Disabilities and Offending Behaviour 2013; 4(1–2): 3341.Google Scholar
Westpahl, A, Allely, C. The need for a structured approach to violence risk assessment in autism. Journal of the American Academy of Psychiatry and the Law 2019; 47(4): 437–9.Google Scholar
Girardi, A, Hancock-Johnson, E, Thomas, C, Wallang, PM. Assessing the risk of inpatient violence in autism spectrum disorder. Journal of the American Academy of Psychiatry and the Law 2019; 47(4): 427–36.Google Scholar
Shine, J, Cooper-Evans, S. Developing an autism specific framework for forensic case formulation. Journal of Intellectual Disabilities and Offending Behaviour 2016; 7(3): 127–39.Google Scholar
Al-Attar, Z. Development and evaluation of guidance to aid risk assessments of offenders with autism. 2018. Unpublished MA dissertation: Sheffield Hallam University.Google Scholar
Blair, RJR. Responding to the emotions of others: dissociating forms of empathy through the study of typical and psychiatric populations. Consciousness and Cognition 2005; 14(4): 698–718.CrossRefGoogle Scholar
Young, S. The identification and management of ADHD offenders within the criminal justice system: a consensus statement from the UK adult ADHD Network and criminal justice agencies. BMC Psychiatry 2011; 11: 32.Google Scholar
Al-Attar, Z. ADHD as a context for risk, protection and responsivity in offenders: Introducing the FARAH guidance. National Autistic Society, Autism, Learning Disabilities and the Criminal Justice System Conference (virtual event), September 23, 2021.Google Scholar

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