Background: Issues of risk and safety can be challenging to discuss with forensic patients with an intellectual disability. Talking Mats is a visual communication tool that facilitates therapeutic conversations. Method: A pilot study, adopting an ethnographic approach, was used to evaluate Talking Mats. Interviews and video observations were…

Background: This study synthesises current literature concerning the barriers to the National Disability Insurance Scheme (NDIS) faced by people with intellectual disability and/or complex support needs who are involved with the criminal justice system, or at risk of (re)involvement. Method: Through targeted searches of key databases, 41…

Background: People with fetal alcohol spectrum disorder (FASD) and women who drink alcohol while pregnant can experience stigma, possibly exacerbated by stereotyped media portrayals. Method: To understand experiences of FASD stakeholders and reactions to news coverage, we conducted twelve focus groups across three categories: (1) people with FASD;…

Background: In forensic settings, patients with intellectual disabilities are overrepresented. A relative novel treatment approach for this population is schema therapy. The goals of schema therapy for offenders with intellectual disabilities are to reduce maladaptive emotional states and to reinforce healthy emotional states and enhancing the…

Background: Little is known about the nature and reactions to sexual abuse of children with intellectual disability (ID). The aim was to fill this gap. Method: Official reports of sexual abuse of children with ID in state care were examined (N = 128) and compared with children without ID (N = 48). Results: Clear signs of penetration or genital…

Background: Although many with intellectual disability come to the attention of services for fire setting, research in this area is scarce, which poses challenges for management. Method: In this paper we examined those with a fire-setting history (n = 30), identified from a sample of 138 patients treated in a UK forensic intellectual disability…

Background: It has been increasingly recognised that many offenders with intellectual disability (ID) have substance use issues, yet surprisingly little is known about the treatment needs of this population. Method: In order to explore pre-sentence patterns of substance use, the role of substance use in offending behaviour, and experience with…

Background: Little research has been carried out on empathy and theory of mind in offenders with intellectual disability (ID) and these concepts are often poorly defined. Method: Various models of empathy and theory of mind are discussed and scores on 2 empathy and 3 theory of mind tasks are compared for 25 offenders with ID and 25 non-offenders…

Background: It was predicted that offenders with intellectual disability (ID) categorised according to Ward & Hudson's (1998b) self-regulation theory as having an "Approach" goal would have higher levels of distorted cognitions, less victim empathy, and a history of more prolific offending compared to those with an "Avoidant" goal. Offenders…

Background: Various explanations of sexual offending in men with intellectual disability (ID) have stressed sexual deviance and a lack of developmental socio-sexual knowledge. Method: Using the normative dataset of people with ID from the development of the "Socio-Sexual Knowledge and Attitudes Assessment Tool--Revised" (SSKAAT-R:…

Background: Among mainstream offenders, the severe personality disorder of psychopathy has considerable importance as a construct. The disorder has long been associated with failure to make treatment progress. Previous work has identified that psychopathy as a disorder occurs in samples of offenders with intellectual disability (ID), and suggests…

Background: Appropriate assessment is an essential part of treating sexual offenders. Few assessments exist that can be used with offenders who have lower levels of intellectual functioning and/or literacy deficits. Method: This study describes the adaptation of four self-report assessments for sexual offenders with special needs: (i) the "Social…

Background: This paper investigates the efficacy of a treatment program for sexual offenders with special needs in comparison to treatment outcomes for mainstream sexual offenders. Follow-up data is also presented for the group of offenders with special needs. Method: Participants from the two groups were matched on four variables (risk category,…