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CRIMINAL OFFENDERS WITH MENTAL RETARDATION: RISK ASSESSMENT AND THE
CONTINUUM OF COMMUNITY-BASED TREATMENT PROGRAMS
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Author: Edwin J. Mikkelsen, M.D. & Wayne J. Stelk, Ph.D.
Description:
Individuals who present with the combination of developmental
disabilities and a history of criminal offenses elicit a wide variety
of responses from clinicians and administrators. These responses vary
from overly punitive to dismissive. It is relatively easy to find
examples of each extreme applied to the same type of offense in
different areas. The purpose of this monograph is to present a
systematic objective method of assessment that can facilitate the
development of clinically appropriate individualised community
treatment programs. The Appendix to this monograph contains an
Annotated Bibliography of selected recently published articles on
this subject. |
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Click
here to order
 Table
of contents
126 pages Printed 1999 ISBN: 1-57256-011-8
CONTENTS
CHAPTER I:
GENERAL ISSUES IN THE ASSESSMENT OF RISK
Introduction
Current Status of Research Into the Risk of Future Criminal
Behavior in Individuals with Mental Illness
Literature on the Dangerousness of People with Developmental Disabilities
Judicial / Legal Issues and the Bi-Modal Tendency to Under-and
Over-respond to Offenses Under-Response Dispositions
Over-Response Dispositions
Appropriate Dispositions
Clinical Sources of Errors of Measurement and Problems Related to the
Assessment of Risk
The Over-Estimation of Risk
The Under-Estimation of Risk
Random Errors in the Estimation of Risk
CHAPTER II:
A PROPOSED PROTOCOL FOR THE ASSESSMENT OF RISK IN CRIMINAL OFFENDERS
WITH MENTAL
RETARDATION
Introduction
A Probabilistic, Multi-Factor Approach to the Assessment of Future
Risk of Criminal Behavior
Offense Severity
Offense Frequency
Latency
Interaction Effects of Severity, Frequency and Latency
The effects of Latency on Severity-Frequency Interaction
Destabilizing Factors
Assessing for Destabilizing Factors
Accounting for Intrapsychic Factors
DSM-IV Axis IV Random Stressors
Offense Context and Offender Profiling
The Practice of Assessing Future Risk of Criminal Behavior
Demographics and Social History
Comments on Neutral Writing
CHAPTER THREE:
DEVELOPING CONCISE RISK ASSESSMENT SUMMARIES
Demographics
Actual Incidents
Risk Probability Rank
Legal History
Destabilizing Factors / Stabilizing Factors
System Issues
Overall Risk Assessment
TABLE I: CONTINUUM OF SERVICES SCALE
TABLE 2: AGGRESSION RATING SCALE
TABLE 3: RISK PROBABILITY RANKING SCALE
RISK ASSESSMENT PROFILE FORM
CHAPTER IV:
THE APPLICATION OF RISK ASSESSMENT AS IT PERTAINS TO THE CONTINUUM OF
COMMUNITY-BASED PROGRAMS
General Principles
The Continuum of Community-Based Program Models
SERVICE OPTION I:
CASE MANAGEMENT SERVICES
SERVICE OPTION 2. SUPPORTED LIVING\SUPPORTED EMPLOYMENT
SERVICE OPTION 3: HOSTHOME CARE OR SHARED LIVING
SERVICE OPTION 4: INTENSIVE HOST HOME OR SHARED LIVING
SERVICE OPTION 5: STAFFED APARTMENT OR GROUP HOME
SERVICE OPTION 6: PHYSICALLY SECURE RESIDENTIAL CENTER
CHAPTER V:
DESCRIPTION OF A COMMUNITY-BASED PROGRAM: THE MENTOR PROGRAM FOR CRIMINAL
OFFENDERS WITH MENTAL RETARDATION
Program Objectives
Admission Criteria
Individuals Exhibiting Impulsive Behavior
Individuals Exhibiting Predatory Behavior
Referral And Admission Into The OMR Program
Resource People
Referral Evaluation
Matching
Direct Service Provider Qualifications for Mentors and Hourly Support Staff
Expectations of the Direct Service Provider
Certification and Continuing Education
Individual Support Planning
Formulating the Support Plan
Conclusions
CHAPTER VI:
ANNOTATED BIBLIOGRAPHY
Part I: Journal Articles
Introduction
Assessment of the Risk of Violent Behavior in General
Legal Issues Related to Individuals with Mental Retardation
The Co-Existence Of Criminal Behavior And Mental Retardation
Treatment of Criminal Offenders with Mental Retardation
Part II; Books and Monographs
Bibliography
Category: Offenders
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