Thursday, August 29, 2013

Knowledge Alert - JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES

> Title:
> Why Do Some People with Intellectual Disability Engage in Offending Behaviour and What Can We Do About It? Editorial
>
> Authors:
> Lindsay, WR; Hastings, RP; Beail, N
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):351-356; SI SEP 2013
>
> Abstract:
> Background The field of forensic intellectual disabilities has been
> developing rapidly over the last 15years. Much of the work has been
> built on research in mainstream criminality but more recently studies
> have emerged that reveal issues specific to offenders with intellectual
> disability.
> Method Research on pathways into offending is reviewed with reference to
> its relevance to the field of intellectual disability. We also summarize
> some findings on pathways into and through services for offenders with
> intellectual disability.
> Findings Studies reveal that developmental adversity is an important
> risk variable. Previous and recent aggression are potent risk factors.
> New evidence suggests that immediate, proximal risk factors may be more
> important in this client group. The studies in this issue add to the
> knowledge on pathways into offending, important areas for assessment and
> effective treatments as well as advancing knowledge in the academic
> literature on general criminality.
>
> ========================================================================
>
>
> *Pages: 357-361 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300002
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>
> Title:
> Pre-Trial Reported Defendants in the Netherlands with Intellectual Disability, Borderline and Normal Intellectual Functioning
>
> Authors:
> Vinkers, DJ
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):357-361; SI SEP 2013
>
> Abstract:
> Background Intellectually disabled offenders may have different
> characteristics than offenders with average intellectual functioning. We
> therefore compared pre-trial reported defendants with an IQ score 70,
> 71-84 and 85 points.
> Methods Nationwide database of pre-trial psychiatric reports requested
> by Dutch courts between 2000 and 2006 with a reported level of
> intellectual functioning (n=12 186).
> Results Defendants with an IQ score between 71 and 84 (n=2 439 reports;
> 20.0%) and 70 (n=539 reports; 4.4%) were younger, more often from an
> ethnic minority and more often diagnosed with psycho-organic syndromes,
> developmental and conduct disorders as compared with defendants with an
> IQ score of 85 or higher. In addition, there was an increased risk of
> attention deficit hyperactivity disorder and rape as indicted crime and
> a decreased odds ratio of having a steady job and cannabis abuse in
> defendants with an IQ score of 71-84.
> Conclusion Intellectually disabled defendants have different
> characteristics than defendants without intellectually disability.
>
> ========================================================================
>
>
> *Pages: 362-369 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300003
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>
> Title:
> Anti-Social Behaviour and Police Contact among 13-to 15-Year-old English Adolescents with and Without Mild/Moderate Intellectual Disability
>
> Authors:
> Emerson, E; Halpin, S
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):362-369; SI SEP 2013
>
> Abstract:
> Objectives To describe the rates of anti-social behaviour (ASB) among
> adolescents with/without mild/moderate intellectual disability (MMID).
> To estimate whether any differences could be attributable to differences
> in exposure to extraneous risk factors.
> Design Secondary analysis of the Longitudinal Study of Young People in
> England.
> Methods Participants with MMID were identified through data linkage with
> educational records.
> Results Parents of children with MMID were more likely to report police
> contact, children with MMID were more likely to self-report
> fighting/public disturbance, shoplifting and graffiti. When controlling
> for differences in exposure to extraneous risk factors, MMID was
> associated with increased rates of police contact and self-reported
> graffiti, no difference in self-reported shoplifting, reduced rates of
> self-reported fighting/public disturbance and vandalism.
> Conclusions Differences in the rates of exposure to extraneous risk
> factors play an important role in accounting for the differences in the
> prevalence of self-reported ASB among adolescents with and without MMID.
>
> ========================================================================
>
>
> *Pages: 370-383 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300004
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>
> Title:
> Offending by People with Intellectual Disabilities in Community Settings: A Preliminary Examination of Contextual Factors
>
> Authors:
> Wheeler, JR; Clare, ICH; Holland, AJ
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):370-383; SI SEP 2013
>
> Abstract:
> Background While several validated measures of the life circumstances of
> people with intellectual disabilities (ID) have been developed, this
> stream of research has not yet been well integrated with environmentally
> oriented criminological theory to explain offending among people with
> ID. In this study, we attempt to provide a preliminary integration
> through an investigation of the relationship between contemporary life
> experiences, well-being, choice and offending among people with ID,
> exploring the relevance of two classic criminological theories (theories
> of strain and social control).
> Materials and Methods Questionnaire measures were used to compare a
> range of ordinary' life experiences [the Life Experiences Checklist'
> (LEC)], subjective well-being (the Personal Well-being Index - ID') and
> the extent of choice (the Choice Questionnaire'), between offenders
> (N=27) and non-offenders (N=19) with ID recruited through integrated
> (NHS and Local Authority) multi-disciplinary teams (community teams for
> adults with learning disabilities).
> Results Using regression analyses to explore the strength of
> associations with offending, it was found that an indicator of
> impoverished personal relationships, from the LEC provided the best
> predictor of offending. This finding appears to favour criminological
> explanations based on social control.
> Conclusions Existing measures of life circumstances can be used to
> explore environmentally oriented criminological theories, bringing
> benefits to our understanding and treatment of offenders with ID living
> in community settings.
>
> ========================================================================
>
>
> *Pages: 384-393 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300005
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>
> Title:
> Predicting Institutional Violence in Offenders with Intellectual Disabilities: The Predictive Efficacy of the VRAG and the HCR-20
>
> Authors:
> Fitzgerald, S; Gray, NS; Alexander, RT; Bagshaw, R; Chesterman, P;
> Huckle, P; Jones, SK; Taylor, J; Williams, T; Snowden, RJ
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):384-393; SI SEP 2013
>
> Abstract:
> Background There is a developing evidence base to support the use of
> risk assessment instruments in offenders with intellectual disability
> (ID). The aim of this study was to try to develop this literature with
> the inclusion of a control group of mentally disordered offenders
> without an ID, using the HCR-20 and VRAG.
> Materials and Methods The VRAG and the HCR-20 were completed for a group
> of offenders with an ID (n=25) and a control group (n=45), in four
> medium-secure units across the UK. The outcome measure was physical
> aggression measured over 6months.
> Results Both instruments consistently produced large effect sizes
> predicting any physical aggression and severe physical aggression. The
> structured clinical judgement based on the HCR-20 was especially good.
> Conclusions The HCR-20 and the VRAG have excellent predictive efficacy
> in offenders with an ID. A structured clinical judgement based on the
> HCR-20 was especially predictive.
>
> ========================================================================
>
>
> *Pages: 394-403 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300006
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>
> Title:
> Prospective Dynamic Assessment of Risk of Sexual Reoffending in Individuals with an Intellectual Disability and a History of Sexual Offending Behaviour
>
> Authors:
> Lofthouse, RE; Lindsay, WR; Totsika, V; Hastings, RP; Boer, DP; Haaven,
> JL
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):394-403; SI SEP 2013
>
> Abstract:
> Background The purpose of the present study was to add to the literature
> on the predictive accuracy of a dynamic intellectual disability specific
> risk assessment tool.
> Method A dynamic risk assessment for sexual reoffending (ARMIDILO-S), a
> static risk assessment for sexual offending (STATIC-99), and a static
> risk assessment for violence (Violence Risk Appraisal Guide [VRAG]) were
> completed for a sample of 64 adult males with an intellectual
> disability.
> Results The dynamic risk assessment for sexual offenders with an
> intellectual disability resulted in the best prediction of sexual
> reoffending (ARMIDILO-S area under the curve (AUC)=0.92) this was better
> than an established sexual offending static risk assessment (STATIC-99
> AUC=0.75). A static tool for violent reoffending, did not perform as
> well in this group (VRAG AUC=0.58).
> Conclusions Results suggest that dynamic variables are useful in
> predicting sexual reoffending with individuals with an intellectual
> disability, confirming previous findings. The ARMIDILO-S is a promising
> dynamic risk assessment for individuals with an intellectual disability.
>
> ========================================================================
>
>
> *Pages: 404-409 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300007
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>
> Title:
> Pathways into the Criminal Justice System for Individuals with Intellectual Disability
>
> Authors:
> Raina, P; Arenovich, T; Jones, J; Lunsky, Y
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):404-409; SI SEP 2013
>
> Abstract:
> Background Studies focusing on pathways in the criminal justice system
> for individuals with intellectual disability are limited in that they
> only study individuals once they are involved in the system and do not
> consider the pathways into it. The purpose of this study is to examine
> predisposing factors that lead to various outcomes for individuals with
> intellectual disability when police are called to respond to their
> behavioural crises.
> Method The current study examined the outcome of police response to 138
> individuals with intellectual disability in crisis. Following police
> intervention, 15 individuals were arrested, 76 were taken to the
> emergency department and 47 received on-scene resolution. Comparisons
> between the three groups were conducted.
> Results The three groups differed in terms of residence at the time of
> crisis, history of forensic involvement and type of crisis. Police
> intervention with adults with intellectual disability can happen for
> different reasons. Both individual and situational predictors explained
> this outcome.
>
> ========================================================================
>
>
> *Pages: 410-419 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300008
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>
> Title:
> Different Factors Influence Self-Reports and Third-Party Reports of Anger by Adults with Intellectual Disabilities
>
> Authors:
> Rose, J; Willner, P; Shead, J; Jahoda, A; Gillespie, D; Townson, J;
> Lammie, C; Woodgate, C; Kroese, BS; Felce, D; MacMahon, P; Rose, N;
> Stimpson, A; Nuttall, J; Hood, K
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):410-419; SI SEP 2013
>
> Abstract:
> Background Many people with intellectual disabilities display high
> levels of anger, and cognitive-behavioural anger management
> interventions are used routinely. However, for these methods to be used
> optimally, a better understanding is needed of different forms of anger
> assessment. The aim of this study was to investigate the relationship of
> a range of measures to self- and carer reports of anger expression,
> including instruments used to assess mental health and challenging
> behaviour.
> Method Adults with intellectual disabilities, who had been identified as
> having problems with anger control, their key-workers and home carers
> all rated the service users' trait anger, using parallel versions of the
> same instrument (the Provocation Inventory). In addition, service users
> completed a battery of mental health assessments (the Glasgow Depression
> Scale, Glasgow Anxiety Scale and Rosenberg Self-Esteem Scale), and both
> groups of carers completed a battery of challenging behaviour measures
> (the Hyperactivity and Irritability domains of the Aberrant Behavior
> Checklist and the Modified Overt Anger Scale).
> Results Participants had high levels of mental health problems
> (depression: 34%; anxiety: 73%) and severe challenging behaviour (26%).
> Hierarchical linear regression analysis was used to explore the extent
> to which anger ratings by the three groups of respondents were predicted
> by demographic factors, mental health measures and challenging behaviour
> measures. Older service users rated themselves as less angry and were
> also rated as less angry by home carers, but not by key-workers. More
> intellectually able service users were rated as more angry by both sets
> of carers, but not by the service users themselves. Significantly,
> mental health status (but not challenging behaviour) predicted service
> users' self-ratings of anger, whereas challenging behaviour (but not
> mental health status) predicted carers' ratings of service users' anger.
> Conclusions Service users and their carers appear to use different
> information when rating the service users' anger. Service users'
> self-ratings reflect their internal emotional state and mental health,
> as reflected by their ratings of anxiety and depression, whereas staff
> rate service users' anger on the basis of overt behaviours, as measured
> by challenging behaviour scales.
>
> ========================================================================
>
>
> *Pages: 420-434 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300009
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>
> Title:
> Autism Spectrum Disorder: Forensic Issues and Challenges for Mental Health Professionals and Courts
>
> Authors:
> Freckelton, I
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):420-434; SI SEP 2013
>
> Abstract:
> Autism spectrum disorder (ASD), as defined in DSM-V, can be relevant in
> a variety of ways to decision-making by courts and tribunals. This
> includes the family, disciplinary, discrimination and criminal law
> contexts. By reviewing decisions made by superior courts in a number of
> common law jurisdictions, this article identifies a pivotal role for
> mental health professionals closely familiar with both the disorder and
> forensic exigencies to educate courts about the inner world of those
> with ASD. Highlighting areas of criminality that court decisions have
> dealt with, especially in relation to persons with Asperger's Disorder,
> as defined by DSM-IV, it calls for further research on the connection
> between ASD, on the one hand, and conduct, capacities and skills, on the
> other hand. It urges enhancement of awareness of the forensic
> repercussions of the disorder so that expert evidence can assist the
> courts more humanely and informedly to make criminal justice and other
> decisions.
>
> ========================================================================
>
>
> *Pages: 435-446 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300010
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>
> Title:
> Face Recognition and Description Abilities in People with Mild Intellectual Disabilities
>
> Authors:
> Gawrylowicz, J; Gabbert, F; Carson, D; Lindsay, WR; Hancock, PJB
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):435-446; SI SEP 2013
>
> Abstract:
> Background People with intellectual disabilities (ID) are as likely as
> the general population to find themselves in the situation of having to
> identify and/or describe a perpetrator's face to the police. However,
> limited verbal and memory abilities in people with ID might prevent them
> to engage in standard police procedures.
> Method Two experiments examined face recognition and description
> abilities in people with mild intellectual disabilities (mID) and
> compared their performance with that of people without ID. Experiment 1
> used three old/new face recognition tasks. Experiment 2 consisted of two
> face description tasks, during which participants had to verbally
> describe faces from memory and with the target in view.
> Results Participants with mID performed significantly poorer on both
> recognition and recall tasks than control participants. However, their
> group performance was better than chance and they showed variability in
> performance depending on the measures introduced.
> Conclusions The practical implications of these findings in forensic
> settings are discussed.
>
> ========================================================================
>
>
> *Pages: 447-465 (Review)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300011
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>
> Title:
> The Social Information Processing Model as a Framework for Explaining Frequent Aggression in Adults with Mild to Moderate Intellectual Disabilities: A Systematic Review of the Evidence
>
> Authors:
> Larkin, P; Jahoda, A; MacMahon, K
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):447-465; SI SEP 2013
>
> Abstract:
> Background There is an established evidence base con-cerning the use of
> anger management interventions with violent offenders who have
> intellectual disabilities. However, there has been limited research
> investigating the role of social cognitive factors underpinning problems
> of aggression. Psychosocial sources of agg-ression in the non-disabled
> population are generally discussed using Social Information Processing
> (SIP) models.
> Method A systematic review of the available evidence was carried out to
> establish whether SIP offers a useful explanatory model for
> understanding the contribution of social cognitive factors to problems
> of aggression presented by people with intellectual disabilities.
> Results and conclusions Whilst research relating to the SIP model
> remains sparse for this population, there was evidence for different
> patterns of processing between aggressive and non-aggressive
> individuals. Group diff-erences included interpretation of emotional
> cues, inter-personal attributions and beliefs about the outcomes of
> aggressive behaviour. The future direction of SIP research with people
> who have intellectual disabilities is discussed, along with the
> possibility of using this framework to help build on current initiatives
> to develop individually tailored interventions to work at a cognitive
> level with those who are aggressive and offend.
>
> ========================================================================
>
>
> *Pages: 466-470 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300012
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>
> Title:
> A Comparison of Anger in Offenders and Non-Offenders Who have Intellectual Disabilities
>
> Authors:
> Nicoll, M; Beail, N
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):466-470; SI SEP 2013
>
> Abstract:
> Background There is growing evidence of the effectiveness of cognitive
> behavioural therapy to treat anger in offenders with intellectual
> disabilities. The aim is to lower anger levels; the rationale is that
> this will reduce recidivism. However, the hypothesis that anger levels
> amongst offenders are higher than non-offenders has not been tested.
> Method The study utilizes a case-comparison design to examine whether
> levels of anger are higher amongst people with intellectual disabilities
> who have offended in comparison with those who have not offended. Anger
> levels are compared for 29 offenders with intellectual disabilities and
> 27 non-offenders with intellectual disabilities (all male).
> Results No differences were found between offenders and non-offenders on
> measures of anger. The offending group was shown to have higher levels
> of aggression.
> Conclusions Results suggest that there is no difference in levels of
> anger between offender and non-offenders to begin with. The limitations
> of the study are discussed, but the implication of the study questions
> the legitimacy of the rationale to utilize anger treatment to reduce
> recidivism in offenders with intellectual disabilities.
>
> ========================================================================
>
>
> *Pages: 471-480 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300013
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>
> Title:
> "Counterfeit Deviance' Revisited
>
> Authors:
> Griffiths, D; Hingsburger, D; Hoath, J; Ioannou, S
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):471-480; SI SEP 2013
>
> Abstract:
> Background The field has seen a renewed interest in exploring the theory
> of counterfeit deviance' for persons with intellectual disability who
> sexually offend. The term was first presented in 1991 by Hingsburger,
> Griffiths and Quinsey as a means to differentiate in clinical assessment
> a subgroup of persons with intellectual disability whose behaviours
> appeared like paraphilia but served a function that was not related to
> paraphilia sexual urges or fantasies. Case observations were put forward
> to provide differential diagnosis of paraphilia in persons with
> intellectual disabilities compared to those with counterfeit deviance.
> The brief paper was published in a journal that is no longer available
> and as such much of what is currently written on the topic is based on
> secondary sources.
> Method The current paper presents a theoretical piece to revisit the
> original counterfeit deviance theory to clarify the myths and
> misconceptions that have arisen and evaluate the theory based on
> additional research and clinical findings. The authors also propose
> areas where there may be a basis for expansion of the theory.
> Results The theory of counterfeit deviance still has relevance as a
> consideration for clinicians when assessing the nature of a sexual
> offence committed by a person with an intellectual disability. Clinical
> differentiation of paraphilia from counterfeit deviance provides a
> foundation for intervention that is designed to specifically treat the
> underlying factors that contributed to the offence for a given
> individual.
> Discussion Counterfeit deviance is a concept that continues to provide
> areas for consideration for clinicians regarding the assessment and
> treatment of an individual with an intellectual disability who has
> sexually offended. It is not and never was an explanation for all
> sexually offending behavior among persons with intellectual
> disabilities.
>
> ========================================================================
>
>
> *Pages: 481-488 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300014
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>
> Title:
> Using Behavioural Skills Training to Treat Aggression in Adults with Mild Intellectual Disability in a Forensic Setting
>
> Authors:
> Travis, RW; Sturmey, P
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):481-488; SI SEP 2013
>
> Abstract:
> Background Previous studies of anger management in people with
> intellectual disability failed to control for the effects of the number
> of provocative stimuli presented and lacked direct measures of behaviour
> and treatment integrity data.
> Methods This experiment systematically assessed and presented
> discriminative stimuli for aggressive behaviour, taught alternative
> behaviour in response to discriminative stimuli for aggressive behaviour
> and used behavioural skills training with three adults with mild
> intellectual disability.
> Results Following behavioural skills training, the adult's percentage of
> aggressive responses declined and replacement responses increased in
> response to provocative stimuli. Treatment gains generalized to novel
> antecedent events, novel staff and novel settings and were socially
> valid. After intervention, community trips increased for all three
> participants.
> Conclusions Behavioural skills training to teach alternate behaviour to
> aggression with carefully planned procedures to promote generalization
> caused a socially valid increase in alternate behaviour and a socially
> valid decrease in aggression.
>
> ========================================================================
>
>
> *Pages: 489-500 (Article)
> *View Full Record: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=CCC&DestLinkType=FullRecord;KeyUT=CCC:000322842300015
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>
> Title:
> Men with Intellectual Disabilities who have Attended Sex Offender Treatment Groups: A Follow-Up
>
> Authors:
> Heaton, KM; Murphy, GH
>
> Source:
> *JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES*, 26 (5):489-500; SI SEP 2013
>
> Abstract:
> Background There have been a number of studies of treatment for men with
> intellectual disabilities and sexually abusive behaviour but few
> follow-up studies. Our aim was to follow up men with intellectual
> disabilities who had attended group cognitive behavioural treatment
> (CBT) for sexually abusive behaviour.
> Method Thirty-four men (from seven treatment sites) were followed up.
> All had attended SOTSEC-ID groups. The mean length of follow-up, since
> the end of the treatment group, was 44months (SD 28.7, range
> 15-106months).
> Results The statistically significant improvements in sexual knowledge,
> empathy and cognitive distortions that occurred during treatment were
> maintained at follow-up. In all, 11 of the 34 (32%) men showed further
> sexually abusive behaviour, but only two of these men received
> convictions. Analyses of the variables associated with further sexually
> abusive behaviour indicated that a diagnosis of autism was associated
> with a higher likelihood of further sexually abusive behaviour.
> Conclusions This study provides some evidence of the longer-term
> effectiveness of group CBT for men with intellectual disabilities and
> sexually abusive behaviour.
>
>