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Article
Publication date: 3 October 2016

Verity Chester and Peter E. Langdon

Social deficits are central within conceptualisations of autism spectrum disorder (ASD), and separately linked to offending behaviour. Social problem-solving interventions are…

Abstract

Purpose

Social deficits are central within conceptualisations of autism spectrum disorder (ASD), and separately linked to offending behaviour. Social problem-solving interventions are often used with offenders, but little research has examined the social information processing (SIP) skills of individuals with ASD and a history of criminal offending behaviours. The paper aims to discuss this issue.

Design/methodology/approach

This conceptual paper will introduce the SIP model, review SIP research as applied to those with ASD and in forensic populations, and further consider the relevance to the assessment and treatment of offenders with ASD.

Findings

Difficulties in all areas of the SIP model are noted in ASD and research suggests these difficulties may be directly linked to behaviour.

Practical implications

It is possible that identifying SIP abilities and deficits could improve the effectiveness of rehabilitation programmes for this group.

Originality/value

This paper reviews the utility of social information models in the offending behaviour of people with ASD.

Details

Advances in Autism, vol. 2 no. 4
Type: Research Article
ISSN: 2056-3868

Keywords

Article
Publication date: 3 October 2016

Regi Alexander, Peter E. Langdon, Verity Chester, Magali Barnoux, Ignatius Gunaratna and Sudeep Hoare

Individuals with diagnoses of autism spectrum disorder (ASD) within criminal justice settings are a highly heterogeneous group. Although studies have examined differences between…

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Abstract

Purpose

Individuals with diagnoses of autism spectrum disorder (ASD) within criminal justice settings are a highly heterogeneous group. Although studies have examined differences between those with and without ASD in such settings, there has been no examination of differences within the ASD group. The paper aims to discuss these issues.

Design/methodology/approach

Drawing on the findings of a service evaluation project, this paper introduces a typology of ASD within forensic mental health and intellectual disability settings.

Findings

The eight subtypes that are described draw on clinical variables including psychopathy, psychosis and intensity/frequency of problem behaviours that co-occur with the ASD. The initial assessment of inter-rater reliability on the current version of the typology revealed excellent agreement, multirater Kfree =0.90.

Practical implications

The proposed typology could improve understanding of the relationship between ASD and forensic risk, identify the most appropriate interventions and provide prognostic information about length of stay. Further research to refine and validate the typology is ongoing.

Originality/value

This paper introduces a novel, typology-based approach which aims to better serve people with ASD within criminal justice settings.

Article
Publication date: 30 January 2024

Danielle Adams, Richard P. Hastings, Ian Maidment, Chetan Shah and Peter E. Langdon

Evidence of overprescribing of psychotropic medicines to manage challenging behaviour in people with intellectual disabilities has led to national programmes within the UK to…

Abstract

Purpose

Evidence of overprescribing of psychotropic medicines to manage challenging behaviour in people with intellectual disabilities has led to national programmes within the UK to promote deprescribing, such as stopping the overprescribing of medication in people (with learning disabilities, autism or both). To successfully implement deprescribing initiatives, we need to understand how to engage stakeholders in the process.

Design/methodology/approach

In a published systematic review, we reported evidence about the process of deprescribing psychotropic medicines for people of all ages with intellectual disabilities and challenging behaviour. As a part of the original review, we searched for evidence about stakeholders’ experiences of the psychotropic deprescribing process, which was synthesised and reported within the current study.

Findings

Six studies were identified. Involving carers and people with intellectual disabilities, providing ongoing support and improving access to non-pharmacological interventions, including positive behaviour support, may contribute to successful outcomes, including reducing or stopping psychotropic medicines and improving quality of life. Implementing psychotropic deprescribing requires a multidisciplinary collaborative care approach and education for stakeholders.

Originality/value

There have been no previous reviews of stakeholder experiences of deprescribing psychotropic medications for people with intellectual disabilities and challenging behaviour. The existing literature is scant, and further research is needed.

Details

Tizard Learning Disability Review, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1359-5474

Keywords

Content available
Article
Publication date: 3 October 2016

Regi Alexander and Peter E. Langdon

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Abstract

Details

Advances in Autism, vol. 2 no. 4
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 3 April 2018

Rahul Rai, Samuel Tromans, Chaya Kapugama, Verity Chester, Ignatius Gunaratna, Peter Langdon and Regi T. Alexander

The diagnosis of psychosis in individuals with autism spectrum disorder (ASD) poses a unique clinical challenge. The presence of intellectual disability (ID) further complicates…

Abstract

Purpose

The diagnosis of psychosis in individuals with autism spectrum disorder (ASD) poses a unique clinical challenge. The presence of intellectual disability (ID) further complicates the diagnostic picture. Reliable and timely diagnosis of psychosis in such individuals minimises the duration of untreated psychotic symptoms and the subsequent impact on the quality of life of the patients concerned. The paper aims to discuss this issue.

Design/methodology/approach

The authors present four patients with psychosis, ASD and ID, who have received care within forensic mental health and ID settings. These examples demonstrate the interaction between these conditions, as well as issues pertaining to diagnosis and management.

Findings

In all four patients, sustained use of antipsychotic medication was objectively associated with an improvement in psychotic symptoms and quality of life. In instances where autistic phenomena were accentuated upon development of psychosis, such features returned to the baseline levels evident prior to the onset of psychosis.

Practical implications

The discussion and related case examples could improve the understanding of the possibility of psychosis in individuals with ASD and ID, and increase awareness of this diagnostic possibility among healthcare professionals.

Originality/value

This is the first published case series illustrating the challenges of diagnosing psychosis in individuals with ASD and ID.

Details

Advances in Autism, vol. 4 no. 2
Type: Research Article
ISSN: 2056-3868

Keywords

Article
Publication date: 7 April 2015

Peter E. Langdon

– The purpose of this paper is to provide a commentary on “The use of cognitive-behaviour therapy to treat depression in people with learning disabilities: a systematic review”.

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Abstract

Purpose

The purpose of this paper is to provide a commentary on “The use of cognitive-behaviour therapy to treat depression in people with learning disabilities: a systematic review”.

Design/methodology/approach

Drawing on the literature, as well as both clinical and research experience, some reasons are outlined for the lack of attention given to psychological therapies to treat depression amongst people with intellectual disabilities (IDs).

Findings

More research is needed, but existing evidence is promising regarding the effectiveness of adapted cognitive-behaviour therapy for depression amongst people with IDs.

Originality/value

The commentary draws attention to the scope for developing a range of effective cognitive, behavioural and cognitive-behavioural treatments.

Details

Tizard Learning Disability Review, vol. 20 no. 2
Type: Research Article
ISSN: 1359-5474

Keywords

Abstract

Details

Tizard Learning Disability Review, vol. 15 no. 1
Type: Research Article
ISSN: 1359-5474

Content available
Article
Publication date: 2 June 2022

Eddie Chaplin, Jane McCarthy, Samuel Tromans and Verity Chester

248

Abstract

Details

Advances in Autism, vol. 8 no. 3
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 11 September 2017

Sarah Hammond and Nigel Beail

There has been little empirical investigation into the theoretical relationship between moral reasoning and offending in people with intellectual disabilities (ID). The purpose of…

Abstract

Purpose

There has been little empirical investigation into the theoretical relationship between moral reasoning and offending in people with intellectual disabilities (ID). The purpose of this paper is to compare offending and non-offending ID groups on a new measure of social-moral awareness, and on theory of mind (ToM).

Design/methodology/approach

A between groups design was used. The scores of 21 male offenders and 21 male non-offenders, all with ID and matched for IQ, were compared on the Social-Moral Awareness Test (SMAT) and on two ToM tasks.

Findings

There was no significant difference in SMAT scores or on first- or second-order ToM tasks between offending and non-offending groups. Better ToM performance significantly predicted higher SMAT scores and non-offending groups. Better ToM performance significantly predicted higher SMAT scores.

Research limitations/implications

Results were inconsistent with previous research. Further work is required to establish the validity and theoretical underpinnings of the SMAT. Development in the measurement of ToM for people with ID is also required.

Originality/value

This is the first use of the SMAT with a population of offenders who have ID. The findings suggest caution in its use in clinical settings.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 8 no. 3
Type: Research Article
ISSN: 2050-8824

Keywords

Article
Publication date: 3 September 2019

Janet M. Nwaogu, Albert P.C. Chan, Carol K.H. Hon and Amos Darko

The demanding nature of the construction industry poses strain that affects the health of construction personnel. Research shows that mental ill health in this industry is…

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Abstract

Purpose

The demanding nature of the construction industry poses strain that affects the health of construction personnel. Research shows that mental ill health in this industry is increasing. However, a review mapping the field to determine the extant of research is lacking. Thus, the purpose of this paper is to conduct a scientometric review of mental health (MH) research in the construction industry.

Design/methodology/approach

A total of 145 bibliographic records retrieved from Web of Science and Scopus database were analyzed using CiteSpace, to visualize MH research outputs in the industry.

Findings

Top co-cited authors are Helen Lingard, Mei-yung Leung, Paul Bowen, Julitta S. Boschman, Peter E.D. Love, Martin Loosemore and Linda Goldenhar. Previous studies focused on healthy eating, work efficiency, occupational stress and workplace injury. Emerging research areas are centered around physiological health monitoring, work ability, and smart interventions to prevent and manage poor MH.

Research limitations/implications

Result is influenced by the citations in retrieved articles.

Practical implications

The study found that researchers in the construction industry have intensified efforts to leverage information technology in improving the health, well-being, and safety of construction personnel. Future research should focus on developing workplace interventions that incorporate organizational justice and flexible work systems. There is also a need to develop psychological self-reporting scales specific to the industry.

Originality/value

This study enhances the understanding of researchers on existing collaboration networks and future research directions. It provides information on foundational documents and authors whose works should be consulted when researching into this field.

Details

Engineering, Construction and Architectural Management, vol. 27 no. 2
Type: Research Article
ISSN: 0969-9988

Keywords

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