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Neuropsychological findings from a forensic neuropsychology clinic at a South East London tier 4 CAMHS

Maxine Sinclair (Clinical Psychologist at the Clinical Psychologist Developmental Neuropsychology Service, South London and Maudsley NHS Foundation Trust, London, UK)
Alison Blencowe (Assistant Psychologist at South London and Maudsley NHS Foundation Trust, London, UK)
Laura McCaig (Clinical Psychologist at South London and Maudsley NHS Foundation Trust, London, UK)
Peter Misch (Consultant Forensic Psychiatrist at South London and Maudsley NHS Foundation Trust, London, UK)

Advances in Mental Health and Intellectual Disabilities

ISSN: 2044-1282

Article publication date: 1 March 2013

289

Abstract

Purpose

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.

Design/methodology/approach

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.

Findings

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.

Originality/value

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.

Keywords

Citation

Sinclair, M., Blencowe, A., McCaig, L. and Misch, P. (2013), "Neuropsychological findings from a forensic neuropsychology clinic at a South East London tier 4 CAMHS", Advances in Mental Health and Intellectual Disabilities, Vol. 7 No. 2, pp. 93-107. https://doi.org/10.1108/20441281311310199

Publisher

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Emerald Group Publishing Limited

Copyright © 2013, Emerald Group Publishing Limited

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