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A significant number of people held within the secure forensic hospital estate in this country suffer from neuropsychological deficits (e.g. Lowings, 2010; Williams et al., 2010). These deficits, many of them cognitive, have a detrimental impact on patient's abilities to benefit from psycho-educational materials thereby slowing the progress of their rehabilitation. Understanding these difficulties enables interventions to be more effectively targeted and facilitated to the patients’ cognitive strengths. It was against the backdrop of the evidence that a review was commissioned into neuropsychological activity at Rampton Hospital.

The review of the neuropsychological assessment activity was confined to the male patients residing within Mental Health Services (MHS) and the National High Secure Learning Disability Service (NHSLDS) of the hospital. With regards to the MHS, 129 patient files were examined in order to identify the volume of neuropsychological assessment previously undertaken and the make up of the neuropsychological test batteries administered with the current patient group. With regard to the NHSLDS 48 files were similarly examined. In addition, MHS psychologists were surveyed to assess their knowledge of patients within that service who to their knowledge had previously suffered an acquired brain injury (ABI) or had suffered a significant neurological illness likely to have resulted in cognitive impairment.

A scoping exercise identified that a significant amount of neuropsychological assessment was being undertaken, albeit in an unstructured way. This led to a number of patients being subjected to a significant delay before the need for neuropsychological testing and rehabilitation possibilities became apparent. There was a huge variance on when a patient was tested ranging from one month to 14 years and the size of the test battery used, with the number of tests conducted per patient ranging between one single test to 16 tests during a patients stay at the hospital.

Opportunities to more appropriately place patients based upon their abilities could be achieved if the hospital were to adopt a policy of conducting neuropsychological assessments, including cognitive functioning, for all patients upon admission to the hospital. A proportion of patients were known to have had a ABI or a significant illness likely to have resulted in cognitive impairment. This was considered to be an underrepresentation and the taking of a thorough history specifically covering ABI and specific illnesses known to have an impact on cognitive ability and behaviour was also recommended.

In light of this review, services are to take a more systematic approach to assessing neuropsychological difficulties. Consideration is being given to neuropsychological screening becoming part of the admission process.

This paper seeks to explain the reasons for use of a therapeutic community for personality disorder in a high secure intellectual disability service.

The paper describes the rationale for, and early experiences of, a therapeutic community intervention for people with mild intellectual disability and personality disorder in a high secure setting.

No empirical findings are reported. Evaluation is being undertaken and will be reported in due course.

The therapeutic community approach has not been applied in forensic intellectual disability before, and this paper therefore describes an original and, in many ways, radical intervention.

The aim of this paper is to provide an overview of the experiences of nursing staff providing a residential treatment programme for high risk offenders with an intellectual disability and personality disorder.

The paper's approach is thematic analysis of focus groups, repeated measures EssenCES.

Nursing staff report increased insight into patients' risk factors, improved relationships with patients and enhanced team working.

This descriptive paper will be of interest to clinicians working with offenders with intellectual disability and personality disorder. Improvements in team functioning may be of interest to managers.

There are few published papers concerning treatment approaches with offenders with intellectual disability and personality disorder. This paper fills some of the gaps.

The purpose of this paper is to describe the profile of community members admitted to the first high secure Therapeutic Community (TC) for males with learning disability and personality disorder.

This paper presents descriptive data.

The characteristics of the men admitted to a TC in the National High Secure Learning Disability Service are likely to present considerable challenges to the development and delivery of the service.

There is very little literature describing interventions for offenders with learning disability and personality disorder. This paper is one of a series that will describe the effectiveness of a TC for men with such difficulties.

Reviews the highly fragmented UK catering market and its response to the requirements of fish consumers. Investigates the contemporary trends within the catering sector′s leading players. Finds that the public is becoming increasingly sophisticated in its choice of foods and is spending more when eating away from home. Argues that, despite some exceptions, many outlets, especially among hotels and restaurants, leave much to be desired. Suggests that too frequently fish is being served to sections of the catering public without any real attempt to match the offering to consumers′ wants. Indicates that alternative cuisines are growing in popularity and pose a significant threat to fish caterers who, if they do not improve their product offerings, may sink rather than swim.

Marc Andrus, Bishop of the Episcopal Diocese of California, argues that the water crisis is in fact a spiritual crisis. He draws together personal experience and scripture, especially the story of the flood in Genesis and the account of Jesus walking on the water in Mark's Gospel, to reflect on the relationship between humanity and the rest of creation. He details some of the devastating consequences of our continued disregard of the earth's delicate ecosystem, including fresh water scarcity, plastic pollution, species loss and endangerment, and climate refugees. He ends with a review of the role of faith bodies in addressing the water crisis, through theological interpretation and practical action.

Social cognitive career theory (“SCCT”) suggests that positive feedback can influence educational choices. Introductory courses often provide students with their first opportunity to obtain feedback in a given discipline. As a result, SCCT hypothesizes that introductory courses grades will impact a student's decision to major in a given discipline. The purpose of this paper is to explore this hypothesis in the accounting domain.

Longitudinal data were collected from four cohorts of students registered at a Canadian university. The main hypothesis is tested by estimating a logistic regression.

A significant positive relationship is found between a student's introductory financial accounting (“IFA”) course grade and their decision to major in accounting. This decision to major in the discipline is not found to be affected by various student (e.g. biological sex or age) or instructor (e.g. whether the instructor holds a CPA designation or not) characteristics.

This study supports seminal and enduring research that emphasizes the IFA course as a gateway into the accounting major. As a result, educators should consider these findings when designing their IFA courses and the related student supports embedded within the IFA course.

Prior literature offers conflicting results on the relationship between IFA grades and student's choice to major in accounting. This study relies upon a theoretical framework, SCCT, to settle the debate. This study further extends the prior literature by exploring the impact of various student and instructor characteristics on the relationship between IFA grades and student's choice to major in accounting.

This paper examines the problems of launching new products onto the market, particularly healthy foods and fish products. Research was undertaken to investigate whether consumers would be prepared to purchase a new concept, i.e. polyunsaturated fatty acid (PUFA) fed fish, premium price PUFA fish and different species of PUFA fish, specifically salmon, eel and sturgeon. The factors influencing the respondents’ decisions were investigated. The methodology utilised a questionnaire containing both qualitative and quantitative questions and several group discussions. It was found that the majority of the sample found the concept of PUFA fish acceptable and plausible and were prepared to pay a premium price, but the number of people prepared to purchase specific PUFA species was lower. Although health was given as a main reason for purchase other factors such as image, physical appearance of the whole animal, sensory properties, the type of product and the price also had to be satisfied for a clear purchase intention to be indicated.