Gareth Hickman, Su Thrift and Chénelle Taylor
The purpose of this paper is to describe in detail the treatment pathway utilised in a male medium and low secure intellectual disability (ID) service. Over the preceding five…
Abstract
Purpose
The purpose of this paper is to describe in detail the treatment pathway utilised in a male medium and low secure intellectual disability (ID) service. Over the preceding five years, service users have followed the outlined treatment pathway. The current paper offers case study material to illustrate the care pathway.
Design/methodology/approach
The treatment pathway is described and two case examples are provided, illustrating participation in the pathway. Evaluative data are provided on length of hospitalisation, direction of pathway at discharge and risk reduction as assessed by the HCR-20, SVR-20 and HONOS Secure measures.
Findings
The case examples provided document the assessment and treatment of two male offenders with ID, outlining their treatment pathways, subsequent reductions in assessed risk and their successful community discharge.
Originality/value
A comprehensive treatment pathway is outlined together with the theoretical rationale, with illustrative case examples.
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Gareth Hickman, Su Thrift, Rani Dhaliwal and Chénelle Taylor
The purpose of this paper is to report on the Brooklands Thinking Skills Offender Programme (BTSOP), a social problem-solving skills group programme developed and provided to…
Abstract
Purpose
The purpose of this paper is to report on the Brooklands Thinking Skills Offender Programme (BTSOP), a social problem-solving skills group programme developed and provided to people with intellectual disabilities (IDs) detained in conditions of medium and low security. The programme has been running and evolving since 2001 and has undergone consistent development over this time. Within the past five years, there have been significant developments of the Secure Service Treatment Pathway and the current paper describes the integration of the BTSOP within this new pathway model.
Design/methodology/approach
The programme was evaluated over five years using self-report psychometric measures related to treatment targets. Evaluation data in relation to attrition rates, discharges, transfers, treatment engagement and recidivism are also provided from a 16-year period. The updated treatment pathway and a description of the programme are provided.
Findings
Results showed statistically significant improvements in Rational Problem Solving, increased internal locus of control and decreased external locus of control. Reflection on the limitations and challenges to outcome assessment in this area is offered.
Originality/value
This paper builds on the existing evidence base of interventions focused on developing social problem-solving skills in offenders and presents evidence of the effectiveness of such programmes with offenders with IDs.
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Gareth Hickman and Antonia Morris
This paper aims to report on the development of a psychometric measure of insight, The Risk Insight Scale. This measure is intended to assess the insight and understanding of…
Abstract
Purpose
This paper aims to report on the development of a psychometric measure of insight, The Risk Insight Scale. This measure is intended to assess the insight and understanding of individuals with intellectual disabilities (ID) who engage in offending and/or risky behaviour. The measure assesses insight in two domains: insight into offending and/or risky behaviours and insight into the need for treatment for offending and/or risky behaviours.
Design/methodology/approach
Forty secure inpatients with ID were assessed using the measure. Preliminary data are presented on inter-rater and test–retest reliability, internal consistency and validity.
Findings
The data demonstrate that the new tool has good internal consistency, good inter-rater reliability and good test–retest reliability.
Research limitations/implications
The psychometric measure must be completed by someone who is familiar with the patient. More data is needed to validate the measure at this stage. Further discussion is provided regarding insight as a construct and its role in risk assessment.
Practical implications
The psychometric measure is both of potential benefit in clinical settings with regard to informing risk assessment and case management and may also serve as an effective tool in intervention outcome evaluation and academic research trials.
Originality/value
The generation of new tool to support and enhance risk assessment, specifically in supplementing assessment of insight in individuals with ID with offending and/or risky behaviour.
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Gareth Hickman, Nicola Booth and Thuy Hoang
The purpose of this paper is to report on the introduction of a Leavers’ Preparation Group in an Intellectual Disability (ID) Secure Service. In the context of reductions in ID…
Abstract
Purpose
The purpose of this paper is to report on the introduction of a Leavers’ Preparation Group in an Intellectual Disability (ID) Secure Service. In the context of reductions in ID inpatient beds and reductions in restrictive practices, discharge and transfers out of hospital settings are increasing. The current group was established to provide support and preparation for service users as they approach discharge/transfer from hospital. The current paper provides example outcome data and reflects on the experience and learning points in delivering such interventions in secure contexts.
Design/methodology/approach
The Leavers’ Preparation Group is an eight-session preparatory, recovery focussed group intervention focussing on supporting service users as they approach discharge/transfer to lower levels of security. The intervention has a multi-disciplinary approach, focussing on psychosocial aspects of current and future risk reduction.
Findings
Overwhelmingly service users reported that they experienced the group as positive and beneficial. Personal reflections of the authors are offered on service user attitudes to discharge/transfer, the contextual impact of restrictive systems and the benefits of this type of group intervention.
Originality/value
This paper reports on clinical practice, which involves multi-disciplinary intervention, co-production with service users and relevant stakeholders, and provides a description of the group intervention. It also offers critical reflection on tensions in this area of service provision, such as control and choice, freedom and responsibility, limitations and restrictions and power imbalances.
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Gareth Hickman and Antonia Morris
The purpose of this paper is to report on an inpatient cognitive behavioural sex offender treatment group programme developed and provided to people with intellectual disabilities…
Abstract
Purpose
The purpose of this paper is to report on an inpatient cognitive behavioural sex offender treatment group programme developed and provided to people with intellectual disabilities detained in medium and low security hospital settings. The programme was delivered five times between 2012 and 2020. This paper describes the integration of the programme within a wider treatment pathway model and provides analysis of outcome data.
Design/methodology/approach
The programme was evaluated over five group programmes using self-report psychometric measures related to treatment targets in the reduction of sexual offending risk, including cognitive distortions, sexual attitudes and knowledge and locus of control; recidivism data spanning up to 7 years post discharge is also provided. The treatment pathway and a description of the programme are provided.
Findings
The results of this paper showed improvements in sexual knowledge, cognitive distortions and locus of control, however not to a statistically significant degree. No recidivism was observed in the follow-up period.
Originality/value
This paper adds to the evidence base of interventions focused on cognitive behavioural approaches to the treatment and risk reduction of sexual offending in men with intellectual disabilities and adds to the debate regarding the effectiveness of such programmes with offenders with intellectual disabilities.
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A standard wholemeal loaf is now on sale. It is made of flour of 85 per cent. extraction, and the Ministry of Food has arranged with the millers and bakers for the immediate…
Abstract
A standard wholemeal loaf is now on sale. It is made of flour of 85 per cent. extraction, and the Ministry of Food has arranged with the millers and bakers for the immediate production of both flour and bread in quantities sufficient, it is hoped, to meet all demands. The 85 per cent. extraction of this new national wholemeal flour compares with a figure of 73 per cent. for ordinary white flour, and the new flour will produce a more nutritious loaf. The Ministry of Food is satisfied after research by its experts that 85 per cent. extraction flour provides maximum digestibility and nutriment. Steps will be taken to see that the new bread is available everywhere, and at the same price as white bread. This is now 8d. a 4lb. loaf, and the Government are making a subsidy so that the price shall be kept at this figure. So far, although nearly three months have passed since it was decided to grant the subsidy, the bakers have not received it ; but agreement on the scheme has now been reached between them and the Ministry, which states that an early announcement will be made. Special breads, such as those containing more fat, which are popular in the North, may be sold for more than 8d., but these do not then qualify for the subsidy. The decision to make a standard wholemeal loaf and wholemeal flour available in large supply was taken because it was found that a substantial proportion of the population wanted them. Existing brown breads vary enormously ; the new loaf will be a standard product. Meanwhile, the Ministry is going ahead with its scheme for introducing flour reinforced with manufactured vitamin B1, but this will not be available for some months.
Gareth Edwards, Doris Schedlitzki, Sharon Turnbull and Roger Gill
– The purpose of this paper is to take a fresh look at the leadership and management debate through exploring underlying power assumptions in the literature.
Abstract
Purpose
The purpose of this paper is to take a fresh look at the leadership and management debate through exploring underlying power assumptions in the literature.
Design/methodology/approach
The paper is a conceptual discussion that draws on the power-based literature to develop a framework to help conceptually understand leadership in relation to management.
Findings
The paper highlights the historically clichéd nature of comments regarding conceptual similarities and differences between leadership and management. The paper draws attention to a problem within this debate – a confusion regarding assumptions of power. As a result the paper brings to the forefront perspectives of management that are of an emergent and non-work perspective which enables the development of a framework of the literature that includes managers “doing” leadership, managers “becoming” leaders, “being” leaders and managers, and leaders “doing” management. The paper goes on to explore the meaning and potential behind each part of the framework and suggests a need to develop an understanding of “doing” leadership and management and “being” managers and leaders through an exploration of “becoming” in organisations.
Originality/value
This paper provides a new perspective on the leadership and management or leadership vs management question by introducing a non-work, emergent or personal perspective on management. Furthermore, this paper concludes that whether leadership and management are similar or different is dependent upon which power construct underlies each phenomenon, a consideration that has been neglected in the leadership and management debate for some time.
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Al‐Qaeda poses a major challenge to western democracies with its international networks and suicide attacks; it has been involved in some of the most horrific terrorist attacks…
Abstract
Purpose
Al‐Qaeda poses a major challenge to western democracies with its international networks and suicide attacks; it has been involved in some of the most horrific terrorist attacks across the world. As a result the UK, similar to many other countries, has enacted hard‐line counter‐terrorism legislation that has had an impact upon Muslim community relations with law enforcement agencies. This paper aims to examine the glorification offence under the Terrorism Act and its implications for free speech.
Design/methodology/approach
The paper is designed to examine counter‐terrorism legislation in Britain and in particular the offence of glorification and the impact it has had upon Muslim communities using empirical case studies and theoretical evidence.
Findings
It is found that Muslim communities feel that their freedom of speech, thought and expression have been seriously curtailed as a result of the glorification offence and has led them to feel a sense of alienation and stigma which has manifested itself in the community by not trusting law enforcement agencies and counter‐terrorism policies.
Practical implications
In order to build trust with the Muslim community law enforcement agencies such as the police need to ensure that they do not disproportionately use their power of arrest under the guise of combating terrorism. Therefore, there is a need for law enforcement agencies to improve their internal and external structures through a process of engagement and understanding Muslim communities which would help rebuild trust and confidence.
Originality/value
The paper examines counter‐terrorism legislation and provides a theoretical framework for how policy should be shaped in the area of counter‐terrorism. Currently the literature available concerning the new government reforms and the glorification offence under the Terrorism Act is limited and thus this paper provides a unique contribution towards understanding this offence in more detail and the impact it may have upon Muslim communities and civil liberties.
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The most obvious symptom of the most obvious trend in the building of new libraries is the fact that, as yet, no spade has entered the ground of the site on Euston Road, London…
Abstract
The most obvious symptom of the most obvious trend in the building of new libraries is the fact that, as yet, no spade has entered the ground of the site on Euston Road, London, upon which the new building for the British Library Reference Division has to be erected. Some twenty years of continued negotiation and discussion finally resulted in the choice of this site. The UK and much more of the world awaits with anticipation what could and should be the major building library of the twentieth century. The planning and design of a library building, however large or small, is, relatively speaking, a major operation, and deserves time, care and patience if the best results are to be produced.