Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-10T17:03:59.137Z Has data issue: false hasContentIssue false

Recognising, assessing and managing offending behaviour in persons with intellectual disability

Published online by Cambridge University Press:  13 June 2014

Peter Leonard
Affiliation:
Psychiatry of Intellectual Diability
John Hillery
Affiliation:
St Raphael's, St John of God Kildare Services, Celbridge, Co Kildare, Ireland

Abstract

The association between intellectual disability and offending is complex. Recent evidence would suggest that the received wisdom of intellectually disabled persons being more prone to offending is either incorrect or only tells part of the story. Those within the ‘borderline’ intellectual disability range may be more prone to committing sexual and criminal damage offences but those with an IQ less than 50 rarely offend.

The offender with intellectual disability shares characteristics with his counterpart from the general population. As with the general population as a whole, offending in this group is often unreported and its recognition is complicated by issues of competence. The lack of validated forensic assessment schedules for this population poses a further challenge. Some general approaches to assessment in this population are discussed. This case report illustrates the difficulties of assessing and managing offending behaviour in an individual with moderate intellectual disability. The challenge of treating offenders with an intellectual disability is immense and requires specialist expertise. Managing such cases in a generic setting is inappropriate and the need for a forensic learning disability service in Ireland is highlighted.

Type
Case reports
Copyright
Copyright © Cambridge University Press 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Lindsay, W R. Research and Literature on sex offenders with intellectual and developmental disabilities. J Intellect Disabil Res 2002; 46(1): 7485.CrossRefGoogle ScholarPubMed
2.Xenitidis, K, Russell, A, Murphy, D. Management of people with challenging behaviour. Adv Psychiatric Treatment 2000; 7: 109–15.CrossRefGoogle Scholar
3.Emerson, E. Challenging Behaviour: Analysis and Intervention in people with Learning Disabilities. Cambridge: Cambridge University Press, 1995.Google Scholar
4.Holland, T, Clare, I, Mukhopadhyay, T. Prevelence of “criminal offending” by men and women with intellectual disability and the characteristics of “offenders”: implications for research and service development. Jlntellect Disabil Res 2002; 46(1): 620.CrossRefGoogle Scholar
5.Lyall, I, Holland, A, Collins, S. Offending by adults with learning disabilities and the attitudes of staff to offending behaviour: implications for service development. J Intellect Disabil Res 1995; 39(6): 501–8.CrossRefGoogle ScholarPubMed
6.Hodgins, S. Mental Disorder, Intellectual Deficiency, and Crime- Evidence from a Birth Cohort. Arch Gen Psychiatry 1992; 49: 476–83.CrossRefGoogle ScholarPubMed
7.World Health Organisation. The ICD-10 Classification of Mental and Behavioral Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO, 1992.Google Scholar
8.Gunn, J, Maden, T, Swinton, M. Mentally Disordered Prisoners. London: Institute of Psychiatry, 1991.Google Scholar
9.Simpson, M, Hogg, J. Patterns of offending among people with intellectual disability: a systematic review. Part 1: methodology and prevalence data. J Intellect Disabil Res 2001; 44(5): 384–96.CrossRefGoogle Scholar
10.Simpson, M, Hogg, J. Patterns of offending among people with intellectual disability: a systematic review. Part II: predisposing factors. J Intellect Disabil Res 2001; 44(5): 397406.CrossRefGoogle Scholar
11.O'Brien, G. Dual Diagnosis in offenders with intellectual disability: setting research priorities: a review of research findings concerning psychiatric disorder (excluding personality disorder) among offenders with intellectual disability. J Intellect Disabil Res 2002; 46(1): 2130.CrossRefGoogle ScholarPubMed
12. Edmonson and Wish. The Socio-Sexual Knowledge 4 Attitudes Test (SSKAT), 1975.Google Scholar
13.Epperson, D, Huot, S, Kaul, J. The Minnesota Sex Offender Screening Tool - Revised (MnSOST-R). Minnesota Department of Corrections, St Paul, MN 55108-5219.Google Scholar
14.Blasingame, . Developmentally Disabled Sexual Offender Rehabilitative Treatment (DDSORT). Woods ‘n’ Barne Publishing, 2001.Google Scholar
15.Johnston, S. Risk assessment in offenders with intellectual disability: the evidence base. J Intellect Disabil Res 2002; 46(1): 4756.CrossRefGoogle ScholarPubMed
16.McMillan, D. Defining actuarial and clinical prediction. J Intellect Disabil Res 2003; 47(3): 213–4.CrossRefGoogle ScholarPubMed
17.Harris, A and Tough, S. J Applied Res Intellect Disabil 2004; 17: 235–41.CrossRefGoogle Scholar
18.Webster, C, Douglas, K, Eaves, D, Hart, S. HCR-20 Assessing Risk for Violence (Version 2). British Columbia Forensic Psychiatric Services Commission.Google Scholar
19.Douglas, K, Webster, C, Hart, D, Eaves, D, Ogloff, J. HCR-20 Violence Risk Management Companion Guide. Mental Health, Law, and Policy Institute, Simon Fraser University.Google Scholar
20.Boer, D, Hart, S, Kropp, P, Webster, C. Manual for the Sexual Violence Risk-20. British Columbia Institute Against Family Violence.Google Scholar
21.Day, K. Offenders with Mental Retardation in Handbook of Offender Assessment and Treatment. In: Hollined, C R ed. Chichester: Wiley, 2000: 453–66.Google Scholar
22.O'Connor, W. A problem solving intervention for sex offenders with an intellectual disability. J Intellect Developmental Disabil 1996; 21(3): 219–36.CrossRefGoogle Scholar
23.Lund, J. Mentally Retarded Criminal offenders in Denmark. Br J Psychiatry 1990; 156: 726–31.CrossRefGoogle ScholarPubMed
24.Day, K. (1993) Crime and Mental Retardation: a review. In: Clinical Approaches to the Mentally Disordered Offender, Howells, K & Hollin, C eds. Chichester: Wiley, 1993: 111-44.Google Scholar
25.Lindsay, W, Smith, A. Responses to treatment for sex offenders with intellectual disability: a comparison of men with one and two year probation sentences. J Intellect Disabil Res 1998; 42: 346–53.CrossRefGoogle Scholar
26.Day, K. Mental health services for people with mental retardation: a framework for the future. J Intellect Disabil Res 1993; 37: 717.CrossRefGoogle ScholarPubMed
27.Department of Health. Discussion Document on Mental Health Needs of Persons With Mental Handicap. Dublin: Dept of Health, Hawkins House, 1996.Google Scholar
28.National Disability Authority (Ireland) 2003. Review of Access to Mental Health Services for People with Intellectual DisabilitiesGoogle Scholar
29.Criminal Law (Insanity) Bill, 2002. Dublin: Government Publications, 2002.Google Scholar