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Article
Publication date: 16 November 2012

Santhana Gunasekaran

This paper aims to describe the issues in risk assessment and management of autism spectrum disorders in secure hospital settings with reference to best practice guidance.

1302

Abstract

Purpose

This paper aims to describe the issues in risk assessment and management of autism spectrum disorders in secure hospital settings with reference to best practice guidance.

Design/methodology/approach

The author undertook a review of the current literature on risk management in autism spectrum disorders and has drawn on clinical experience to highlight key issues.

Findings

Risk assessment and management needs to be tailored to individuals. Characteristics of offences differ compared to other mental disorders. Underlying factors for offending differ from other mental disorders and may be misinterpreted.

Practical implications

Risk assessment in autism spectrum disorders should take into account individual characteristics and be informed by specialist assessments. Management should be based on a formulation informed by assessments and by recognising individual characteristics.

Originality/value

The paper highlights important issues in risk assessment and management of patients with autism spectrum disorders particularly in secure hospital settings.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 6 no. 6
Type: Research Article
ISSN: 2044-1282

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Article
Publication date: 1 January 2013

Elizabeth Barkham, Santhana Gunasekaran and Caroline Lovelock

The purpose of this paper is to offer a general review of care for individuals on the autism spectrum, including Asperger's syndrome within a medium secure setting.

757

Abstract

Purpose

The purpose of this paper is to offer a general review of care for individuals on the autism spectrum, including Asperger's syndrome within a medium secure setting.

Design/methodology/approach

The authors undertook a review of the current literature relating to pathways to care, offending characteristics and treatment interventions. They examined the available evidence and current practice.

Findings

Available evidence suggests offending characteristics of individuals with autism are different to those of mental disorders such as schizophrenia. Limited evidence in treatment interventions and in risk management for those with autism presents a challenge to clinicians. The heterogeneity makes a strong case for an individualised case formulation approach to treatment and risk management.

Originality/value

This paper offers an overview of the current evidence base relating to the treatment of individuals with autism spectrum disorders within medium secure settings.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 4 no. 1/2
Type: Research Article
ISSN: 2050-8824

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Article
Publication date: 16 November 2012

Santhana Gunasekaran and Eddie Chaplin

This paper seeks to offer a general review of offending and autism spectrum disorders from both the authors' perception of the media portrayal and the current evidence based…

1341

Abstract

Purpose

This paper seeks to offer a general review of offending and autism spectrum disorders from both the authors' perception of the media portrayal and the current evidence based research.

Design/methodology/approach

The authors undertook a review of the current literature relating to autism spectrum disorders and offending and commented on current media reporting to try and offer a balance.

Findings

Recent evidence suggests that there is unlikely to be an increased prevalence compared to the general population, but the presence of co‐morbidities may increase the risk of violence.

Originality/value

The paper offers a succinct overview of the current evidence base relating to autism spectrum disorders and offending.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 6 no. 6
Type: Research Article
ISSN: 2044-1282

Keywords

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