CRIMINAL OFFENDERS WITH MENTAL RETARDATION: RISK ASSESSMENT AND THE CONTINUUM OF COMMUNITY-BASED TREATMENT PROGRAMS

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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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

Media: Book

Upcoming Conferences:

September

Ohio State 10th Annual MI/DD Conference ,  Mental Health Aspects –Treatment & Support (September 18 & September 19, 2012) Columbus, Ohio

October

NADD 29th Conference & Exhibit Show, (October 17 - 19, 2012)  Denver, Colorado

October 2013

NADD 30th Conference & Exhibit Show, Baltimore MD (October 23 - October 25, 2013) 

Complete Calendar

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With the release of this book, Drs. McGilvery and Sweetland share decades of experience working with individuals diagnosed with an intellectual disability and co-occurring psychiatric disorders. Their well-practiced approach takes into account the extremely complex nature of working with dual-diagnosis.  The authors provide in-depth information about the diagnostic process, hands-on treatment considerations, and their experience training thousands of people to work passionately with these individuals.  An important contribution is their approach to addressing complicating factors in identifying appropriate psychiatric diagnoses, as well as the problem of the underreporting of psychiatric symptoms and disorders. Finally, those working in a variety of contexts with these individuals will benefit from the innovative approaches of looking at treatment and intervention strategies that can be immediately implemented. 264 pages      

Details: ST11-053B

 

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This book discusses medical/medication issues which may present as behavioral/ psychiatric problems in individuals with intellectual disability.  Three self-directed instructional courses and several illustrative case histories are included.  110 pages\

Details: DA05-021BR

 

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Edited by:  Robert J. Fletcher, DSW, ACSW

This book provides the reader with insightful and useful ways to provide psychotherapy treatment for individuals who have intellectual disability (ID).  It brings together all three modalities (individual, couple, and group), and a variety of theoretical models and techniques are discussed.  The first section, Individual Therapy, offers a variety of approaches and techniques including dialectical behavioral therapy, positive psychology, mindfulness-based practice, and relaxation training. Also included in this section are chapters on specialty populations including victims of abuse, people who have Autism Spectrum Disorder, and people in mourning. The second section is a chapter on group therapy addressing trauma issues. The third section is on family and couple therapy. The fourth section covers chapters on research, ethics, and training.  The individual authors are respected authorities in the field of providing psychotherapy treatment for persons with ID and all have contributed to the professional literature. 

This book is a major contribution to the effort to make psychotherapy available to individuals who have ID and should serve to further stimulate interest in the provision of psychotherapy treatment for individuals who have ID co-occurring with significant mental health problems.

NADD # CT11-051B Details

 

 

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NADD # DA10-050B Details

 

 

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Nathan Ory

The material in this book introduces general practices and specific solutions to behavior problems that will work with people who display difficult and challenging behaviors regardless of who they are.  It is especially suitable for working with individuals who have developmental or intellectual disabilities coupled with a behavior disorder.  The methods also apply to the person with emotional or psychiatric disturbances, or another serious mental health problem.  Finally, they are helpful in providing support to elderly individuals who display challenging behavior.

NADD # ST10-049B Details

 

 

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NADD # DA10-048B Details

 

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Mbr Price: $34.95
Non-Mbr:  $39.95

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Multi-Media CDs of NADD 25th Annual Conference Presentations

Presentations recorded at NADD 25th Annual Conference are available as multi-media CDs.  These CDs contain the video and Power Point from conference presentations and are a great tool for training yourself and your staff.  To order, or for additional information, click here.

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Diagnostic Systems for Use with People with ID Luis Salvador-Carulla, MD, PhD, Robert J. Fletcher, DSW, ACSW, FAAIDD, Sally-Ann Cooper, MD

The price for the above multimedia is:  Member:  $49.95       Non-member:  $59.95

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