We at the CRG:FIDD are delighted that one of our research papers "Heterogeneity within autism spectrum disorder in forensic mental health: the introduction of typologies" has been honoured with an international award, in the category of "Outstanding Paper" in the 2017 Emerald Literati Awards. Recipients of the award are chosen on the basis that it is the most impressive pieces of work the judges have seen throughout the past year.
This paper is linked to the ongoing "mATCH study: People with autism detained in hospital: defining the population, understanding aetiology and improving care pathways", led by CRG:FIDD members Dr Peter Langdon, Dr Regi Alexander, and Dr Magali Barnoux. Find out more about the study:
The paper is now free to download for one year and can be accessed at the following link:
Forensic ASD Typologies project receives international acclaim in the 2017 Advances in Autism Literati Awards
We have some very sad news to share today, that one of the CRG:FIDD’s founding members, Professor William (Bill) Lindsay passed away on Saturday 25th March.
Bill was a prolific researcher and eminent clinician; who provided valuable contributions to our portfolio of research and the wider field.
Please join us in remembering Bill and in wishing condolences to his friends, colleagues and family.
The Royal College of Psychiatry (RCPsych) Awards mark the highest level of achievement within psychiatry. They are designed to recognise and reward excellent practice in the field of mental health. The team from Partnerships in Care Learning Disability Services, Diss, Norfolk (made up of St John’s House, Burston House, Richmond House and Lombard House) are finalists in this year’s awards in the category ‘RCPsych Psychiatric Team of the Year’ http://www.rcpsych.ac.uk/discoverpsychiatry/rcpsychawards2014.aspx
There are 2,393 high, medium or low secure hospital beds for people with learning disabilities in England. Patients treated within these hospitals have extensive co-morbidity, histories of abuse and deprivation and often fall between the boundaries of generic mental health and specialist learning disability services. The team at PiC LDS, which treats over 80 patients in medium and low secure and rehabilitation wards, are nominated for this award because they:
Both these documents had significant contributions from other clinicians and service users within this service. The first document is having a significant effect on service delivery within this sector with the Care Quality Commission incorporating the bed categories proposed in the report in their future censuses.
The Psychiatric team includes Dr Sudeep Hoare (Clinical Director), Dr Ignatius Gunaratna (Consultant Psychiatrist), Dr Folake Esan (Consultant Psychiatrist), Dr Regi Alexander (Consultant Psychiatrist) and Ms Verity Chester (Research Assistant). They are part of a strong multidisciplinary team that includes among others Dave Kitchen (Training Manager), Simon Botting, Cathy Thomas, Julia Large and Jane Chilvers (Psychologists), Iona Oughton (Therapies Director), Rachel Hill, Jemma Baker, Andrew Smith, Hannah Coleman, Camilla Lees (Occupational Therapists), Alex Graham, Jackie Grace, Lucinda Cheshire (Social Workers), Fatima Green (Nursing Director), Deb Bullman, Sharon Drake, Kayleigh Low (Nursing Managers), Beautrix Ndbele, Gordon Mukokeri, Sam Popple, Chris Hobley, Claire Parker (Charge Nurses), Fungai Nhiwatiwa (Unit Manager) and Rosario O’Connell(Regional Executive Director).
Guest edited by: Dr Regi Alexander, UK
We are seeking papers that cover the range of inpatient services that people with intellectual disabilities may access, both specialist and generic and across the lifespan. Potential topics include, but are by no means limited to:
All papers will be considered where there is a clear connection with people with intellectual disabilities accessing inpatient services. Submissions will be subject to peer review and other editorial processes, as usual.
For further information or informal enquiries please contact Dr Regi Alexander: firstname.lastname@example.org or click here.
New Royal College report on forensic care pathways for adults with intellectual disability involved with the criminal justice system
The Royal College of Psychiatrists’ Faculty of Psychiatry of Intellectual Disability and Faculty of Forensic Psychiatry jointly published a report which focuses on the care pathways of those with intellectual disability who interact with the criminal justice system. The report was the result of a joint working and consultative group chaired by Dr Harm Boer, Past Vice Chair, Faculty of Psychiatry of Intellectual Disability, Royal College of Psychiatrists, and Consultant Forensic Psychiatrist for people with intellectual disability, Forensic Service, Brooklands, Birmingham and edited by Dr Regi T. Alexander, Faculty of Psychiatry of Intellectual Disability, Royal College of Psychiatrists, Honorary Senior Lecturer, University of East Anglia, and Consultant Psychiatrist, Partnerships in Care Learning Disability Services, Diss, Norfolk.
The reports details the problems people with intellectual disabilities face at all stages of their involvement with the criminal justice system; including lack of knowledge and expertise with this client group, issues with communication, and having their needs identified and met. Practical recommendations are provided to enable non-specialists to better understand the needs of this group and how best to support them, and when to involve specialist services. It makes recommendations about the need for training of professional groups in intellectual disability, and the importance of strategic commissioning to ensure the full range of secure in-patient services are available for those who require in-patient treatment can be treated in the least restrictive setting and as close to home as possible. The report emphasises the need for outcome-based research on the care pathways of these individuals.
To see the report, click here.
Royal College of Psychiatrists report on the role of inpatient services in the care of people with learning disability and mental health, behavioural, or forensic problems
In July 2013, the Royal College of Psychiatrists Intellectual Disability Faculty published its response to the events which occurred at Winterbourne View.
The report sets out the different types of specialist in-patient services that are currently provided for people with learning disability, and describes the types of difficult and challenging circumstances in which such services can be an appropriate intervention for this group. These are always serious and challenging problems, where there are major risks to the person themselves and other people, so serious that compulsory treatment under the Mental Health Act is often required. As such, in-patient services can form an essential component of an overall integrated care pathway.
The report highlights the flawed approach of referring to all inpatient beds as “assessment and treatment units”, and instead describes six types of inpatient beds available for people with learning disabilities, mental, behavioural, or forensic issues, as well as a clear rationale for the appropriate use of these beds.
Much has been said about the enhancement of community services that is required to reduce the use of specialist in-patient services, and we wholeheartedly support the development of better community services, particularly for those with challenging behaviour and other major mental health needs. However, even if such improvements do deliver a reduction in the need for beds, a range of specialist in-patient services will still be required. Of course these must be of the highest quality, and fortunately there are assessment tools already in use (some developed by the College) that are very helpful in assessing quality. The universal adoption of such tools will go a long way to help prevent the abuse that happened at Winterbourne View from happening again.
One of the most important aspects of the report was that it was developed with active participation from service users and carers, as well as members of the Royal College of Psychiatrists, and clinicians and academics from multiple disciplines.
The report is rooted in a clear evidence base, including a literature review and evidence synthesis of all published treatment outcome studies from services providing inpatient care of people with intellectual disabilities, and a nationwide survey of all providers of inpatient beds for people with learning disabilities.
To read or download the report, click here.