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Autism spectrum disorders in high secure psychiatric care: a review of literature, future research and clinical directions

Autism spectrum disorders in high secure psychiatric care: a review of literature, future... The purpose of this paper is to review available literature targeting the assessment and management of individuals with an autism spectrum disorder (ASD) admitted to high secure psychiatric care (HSPC). Key areas of examination include the prevalence of ASD in HSPC, how individuals with an ASD differ from other patient groups in clinical and cognitive characteristics, the views of staff regarding patients with an ASD, an exploration of the experiences and quality of life of patients with an ASD, as well as treatment and interventions.Design/methodology/approachA review of the published literature.FindingsAlthough individuals with an ASD comprise a relatively small proportion of the total HSPC cohort, they appear to be over represented relative to the general population prevalence. Several research projects suggest that individuals with an ASD present with difficulties and needs different to other patient groups, as well as being viewed by staff as potentially vulnerable and requiring a different care approach. Individuals with an ASD report both positive and negative aspects to life in HSPC.Practical implicationsSuggestions are made with regard to how individuals with an ASD might be better managed in HSPC. Following the spirit of various pieces of government legislation such as the Autism Act (2009) and the Equalities Act (2010) the role of a specialist ASD HSPC service is proposed.Originality/valueThis paper provides a detailed review of the research to date exploring the assessment and management of individuals with an ASD detained in HSPC. It outlines key research findings, highlights limitations with it and provides a personal perspective on future research and clinical targets. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advances in Autism Emerald Publishing

Autism spectrum disorders in high secure psychiatric care: a review of literature, future research and clinical directions

Murphy, David; Allely, Clare
Advances in Autism , Volume 6 (1): 18 – Jan 6, 2020
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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2056-3868
DOI
10.1108/aia-10-2018-0044
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Abstract

The purpose of this paper is to review available literature targeting the assessment and management of individuals with an autism spectrum disorder (ASD) admitted to high secure psychiatric care (HSPC). Key areas of examination include the prevalence of ASD in HSPC, how individuals with an ASD differ from other patient groups in clinical and cognitive characteristics, the views of staff regarding patients with an ASD, an exploration of the experiences and quality of life of patients with an ASD, as well as treatment and interventions.Design/methodology/approachA review of the published literature.FindingsAlthough individuals with an ASD comprise a relatively small proportion of the total HSPC cohort, they appear to be over represented relative to the general population prevalence. Several research projects suggest that individuals with an ASD present with difficulties and needs different to other patient groups, as well as being viewed by staff as potentially vulnerable and requiring a different care approach. Individuals with an ASD report both positive and negative aspects to life in HSPC.Practical implicationsSuggestions are made with regard to how individuals with an ASD might be better managed in HSPC. Following the spirit of various pieces of government legislation such as the Autism Act (2009) and the Equalities Act (2010) the role of a specialist ASD HSPC service is proposed.Originality/valueThis paper provides a detailed review of the research to date exploring the assessment and management of individuals with an ASD detained in HSPC. It outlines key research findings, highlights limitations with it and provides a personal perspective on future research and clinical targets.

Journal

Advances in Autism – Emerald Publishing

Published: Jan 6, 2020

Keywords: Autism spectrum disorder; Asperger’s syndrome; High secure psychiatric care

References

  • Autism Diagnostic Observation Schedule (ADOS) scores in males and females diagnosed with Autism: a naturalistic study
    Adamou, M.; Johnson, M.; Alty, B.
  • Heterogeneity within autism spectrum disorder in forensic mental health: the introduction of typologies
    Alexander, R.; Langdon, P.; Chester, V.; Barnoux, M.; Gunaratna, I.; Hoare, S.
  • Experiences of prison inmates with autism spectrum disorders and the knowledge and understanding of the spectrum among prison staff: a review
    Allely, C.
  • A systematic PRISMA review of individuals with autism spectrum disorder in secure psychiatric care: prevalence, treatment, risk assessment and other clinical considerations
    Allely, C.
  • Sexual offending and autism spectrum disorders
    Allely, C.; Creaby-Attwood, A.
  • Understanding and recognising the female phenotype of autism spectrum disorder and the ‘camouflage’ hypothesis: a literature review
    Allely, C.S.
  • Exploring the female autism phenotype of repetitive behaviours and restricted interests (RBRIs): a literature review
    Allely, C.S.
  • The contributory role of autism symptomology in child pornography offending: why there is an urgent need for empirical research in this area
    Allely, C.S.; Dubin, L.
  • A commentary regarding the research and practical suggestions for addressing trauma in autism spectrum disorders
    Allely, C.S.; Faccini, L.
  • Neuropsychological functioning in adults with Asperger’s syndrome
    Ambery, F.; Russell, A.; Perry, K.; Morris, R.; Murphy, D.
  • An update on the comorbidity of ADHD and ASD: a focus on clinical management
    Antshel, K.M.; Zhang-James, Y.; Wagner, K.E.; Ledesma, A.; Faraone, S.V.
  • Integrating intention and context: assessing social cognition in adults with Asperger’s syndrome
    Baez, S.; Rattazzi, A.; Gonzalez Gagen, M.; Tarralva, T.; Silvana Viglicca, N.; Decety, J.; Mannes, F.; Ibanez, A.
  • Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the special needs and autism project (SNAP)
    Baird, G.; Simonoff, E.; Pickles, A.; Chandler, S.; Loucas, T.; Meldrum, D.; Charman, T.
  • The ‘reading the mind in the eyes’ test revise version: a study of normal adults and adults with asperger’s syndrome or high functioning autism
    Baron-Cohen, S.; Wheelright, S.; Hill, J.; Raste, R.; Plumb, I.
  • The autism spectrum quotient (AQ): evidence from asperger syndrome / high functioning autism, males and females, scientists and mathematicians
    Baron-Cohen, S.; Wheelright, S.; Skinner, R.; Martin, J.; Clubley, E.
  • Gender differences in autism spectrum disorders: divergence among specific core symptoms
    Beggiato, A.; Peyre, H.; Maruani, A.; Scheid, I.; Rastam, M.; Amsellem, F.; Gillberg, C.; Leboyer, M.; Bourgeron, T.; Gillberg, C.; Delorme, R.
  • Virtual reality in autism: state of the art
    Bellini, M.; Fornasari, L.; Chittaro, L.; Brambilla, P.
  • Virtual reality applications in forensic psychiatry
    Benbouriche, M.; Nolet, K.; Trottier, D.; Renaud, P.
  • The relationship between stress and social functioning in adults with autism spectrum disorder and without intellectual disability
    Bishop‐Fitzpatrick, L.; Mazefsky, C.A.; Minshew, N.J.; Eack, S.M.
  • Risk and dynamics of violence in Asperger’s syndrome: a systematic review of the literature
    Bjørkly, S.
  • Graham Young (1947–1990); the St Albans poisoner: his life and times
    Bowden, P.
  • The influence of media suggestions about links between criminality and autism spectrum disorder
    Brewer, N.; Zoanetti, J.; Young, R.L.
  • Epilepsy and autism spectrum disorders: are there common developmental milestones?
    Brookes-Kayal, A.
  • Cognitive emotion regulation, anxiety and depression in adults with autism spectrum disorder
    Bruggink, A.; Huisman, S.; Vuijk, R.; Kraaij, V.; Garnefski, N.
  • Epidemiology of autism spectrum disorders in adults in the community in England
    Brugha, T.S.; McManus, S.; Bankart, J.; Scott, F.; Purdon, S.; Smith, J.; Meltzer, H.
  • Autism risk factors: genes, environment and gene-environment interactions
    Chaste, P.; Leboyer, M.
  • A psycho-legal perspective on sexual offending in individuals with autism spectrum disorder
    Creaby-Attwood, A.; Allely, C.S.
  • Broadmoor knew risk in holding Asperger’s patients
  • Mental Health Act (1983)
  • The neuroanatomy of autism spectrum disorder: an overview of the structural neuroimaging findings and their translatability to the clinical setting
    Ecker, C.
  • Prison rape: what we know today
    English, K.; Heil, P.
  • Legislation.gov.uk.
  • Comparing the effectiveness of virtual reality and video modelling as an intervention strategy for individuals with autism spectrum disorder: brief report
    Fitzgerald, E.; Yap, H.K.; Ashton, C.; Moore, D.W.; Furlonger, B.; Anderson, A.; English, D.L.
  • Autism spectrum disorder: the impact of stressful and traumatic life events and implications for clinical practice
    Fuld, S.
  • Comorbid psychopathology and stress mediate the relationship between autistic traits and repetitive behaviours in adults with autism
    García‐Villamisar, D.; Rojahn, J.
  • Depression in persons with autism: implications for research and clinical care
    Ghaziuddin, M.; Ghaziuddin, N.; Greden, J.
  • Asperger’s syndrome – some epidemiological considerations. A research note
    Gillberg, C.; Gillberg, C.
  • A selective review of offending behaviour in individuals with autism spectrum disorders
    Gómez de la Cuesta, G.
  • Drawing a criminal profile
    Gunn, J.; Robertson, G.
  • Adolescents with high-functioning autism: an investigation of comorbid anxiety and depression
    Hammond, R.K.; Hoffman, J.M.
  • A preliminary study of individuals with autistic spectrum disorders in three special hospitals in England
    Hare, D.; Gould, J.; Mills, R.; Wing, L.
  • Autism and convictions for violent crimes: population based cohort study in Sweden
    Heeramun, R.; Magnusson, C.; Hellner Gumpert, C.; Granath, S.; Lundberg, M.; Dalman, C.; Rai, D.
  • Autism spectrum disorder and sexual offending: responsivity in forensic interventions
    Higgs, T.; Carter, A.
  • the strategy for adults with autism in England: an update
  • ‘Putting on my best normal’: social camouflaging in adults with autism spectrum conditions
    Hull, L.; Petrides, K.V.; Allison, C.; Smith, P.; Baron-Cohen, S.; Lai, M.C.; Mandy, W.
  • Trauma as a contributor to violence in autism spectrum disorder
    Im, D.S.
  • Template to perpetrate: an update on violence in autism spectrum disorder
    Im, D.S.
  • Childhood vision impairment, hearing loss and co-occurring autism spectrum disorder
    Kancherla, V.; Naarden Braun, K.; Yeargin-Allsopp, M.
  • Traumatic childhood events and autism spectrum disorder
    Kerns, C.M.; Newschaffer, C.J.; Berkowitz, S.J.
  • A systematic review of people with autism spectrum disorder and the criminal justice system
    King, C.; Murphy, G.
  • A review of the role of female gender in autism spectrum disorders
    Kirkovski, M.; Enticott, P.G.; Fitzgerald, P.B.
  • Sex/gender differences and autism: setting the scene for future research
    Lai, M.-C.; Lombardo, M.V.; Auyeung, B.; Chakrabarti, B.; Baron-Cohen, S.
  • Risk factors for violent offending in autism spectrum disorder: a national study of hospitalized individuals
    Långström, N.; Grann, M.; Ruchkin, V.; Sjöstedt, G.; Fazel, S.
  • Implementing trauma informed care in correctional treatment and supervision
    Levenson, J.; Willis, G.
  • Development and implementation of autism standards for prison
    Lewis, A.; Pritchett, R.; Hughes, C.; Turner, K.
  • What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis
    Loomes, R.; Hull, L.; Mandy, W.P.L.
  • Comorbid social anxiety disorder in adults with autism spectrum disorder
    Maddox, B.B.; White, S.W.
  • Comorbid psychopathology in autism spectrum disorder
    Mannion, A.; Brahm, M.; Leader, G.
  • Recall of a live and personally experienced eyewitness event by adults with autism spectrum disorder
    Maras, K.; Memon, A.; Lambrechts, A.; Bowler, D.
  • Understanding advanced theory of mind and empathy in high functioning adults with autism spectrum disorder
    Mathersul, D.; McDonald, S.; Rushby, J.
  • Intellectual disability and its relationship to autism spectrum disorders
    Matson, J.; Shoemaker, M.
  • The relationship between autism spectrum disorders and attention deficit hyperactivity disorder: an overview
    Matson, J.; Rieske, R.; Williams, L.
  • Depression and mood disorders among persons with autism spectrum disorders
    Matson, J.L.; Williams, L.W.
  • Overrepresentation of mood and anxiety disorders in adults with autism and their first degree relatives: what does it mean?
    Mazefsky, C.; Folstein, S.; Lainhart, J.
  • The role of emotion regulation in autism spectrum disorder
    Mazefsky, C.; Herrington, J.; Siegel, M.; Scarpa, A.; Maddox, B.; Scahill, L.; White, S.
  • Treatment effectiveness for offenders with autism spectrum conditions: a systematic review
    Melvin, C.; Langdon, P.; Murphy, G.
  • The need for specialist service for offenders with autistic spectrum disorder in high secure psychiatric care
    Misra, P.; Patel, M.; Edwards, J.
  • Self and informant reports of mental health difficulties among adults with autism findings from a long-term follow-up study
    Moss, P.; Howlin, P.; Savage, S.; Bolton, P.; Rutter, M.
  • Admission details and cognitive profiles of male patients diagnosed with Asperger’s syndrome detained in a special hospital: comparison with a schizophrenia and a personality disorder sample
    Murphy, D.
  • Theory of mind in forensic patients with Asperger’s syndrome, schizophrenia and a personality disorder
    Murphy, D.
  • Brief communication: hare PCL-R profiles of male patients with Asperger’s syndrome detained in high security psychiatric care
    Murphy, D.
  • Theory of mind and its relationship to clinical outcome, need and risk in mentally disordered offenders detained in high security psychiatric care
    Murphy, D.
  • Extreme violence in a young man with an autistic spectrum disorder: assessment and intervention within high security psychiatric care
    Murphy, D.
  • Establishing forensic psychiatric comparative data for the autistic spectrum quotient (AQ): examining its relationship with personality, neuropsychological functioning
    Murphy, D.
  • Risk assessment in Autism Spectrum Disorders
    Murphy, D.
  • Self-reported anger among individuals with an autism spectrum disorder detained in high security psychiatric care
    Murphy, D.
  • Interviewing individuals with an autism spectrum disorder in forensic settings
    Murphy, D.
  • View of autism spectrum conditions held by staff working in a high secure psychiatric hospital
    Murphy, D.; McMorrow, K.
  • Examining the experiences and quality of life of patients with an autism spectrum disorder detained in high secure psychiatric care
    Murphy, D.; Mullens, H.
  • Incompatibilities and seclusions among individuals with an autism spectrum disorder detained in high secure psychiatric care
    Murphy, D.; Bush, E.L.; Puzzo, I.
  • On the borderline? People with learning disabilities and or autistic spectrum disorders in secure, forensic and other specialist settings
    Myers, F.
  • SPELL
  • Violent crime in Asperger’s syndrome: the role of psychiatric co-morbidity
    Newman, S.; Ghaziuddin, M.
  • 2014/2015 NHS standard contract for high secure mental health services (adults)
  • Authenticity in virtual reality for assessment and intervention in autism: a conceptual review
    Parsons, S.
  • Asperger syndrome and arson: a case study
    Radley, J.; Shaherbano, Z.
  • Autism behind bars: a review of the research literature and discussion of key issues
    Robertson, C.E.; McGillivray, J.A.
  • Examining and interpreting the female protective effect against autistic behaviour
    Robinson, E.B.; Lichtenstein, P.; Anckarsäter, H.; Happé, F.; Ronald, A.
  • Autism spectrum disorders and psychopathy: shared cognitive underpinnings or double hit?
    Rogers, J.; Viding, E.; Blair, J.; Frith, U.
  • Bio-feedback for psychiatric disorders: a systematic review
    Schoenberg, P.; David, A.
  • Prevalence of Asperger’s syndrome in a secure hospital
    Scragg, P.; Shah, A.
  • Sexual abuse and offending in autism spectrum disorders
    Sevlever, M.; Roth, M.E.; Gillis, J.M.
  • Treating offenders with mental retardation and developmental disabilities
    Shively, R.
  • Violence and sexual offending behaviour in people with autism spectrum disorder who have undergone a psychiatric forensic examination
    Søndenaa, E.; Helverschou, S.B.; Steindal, K.; Rasmussen, K.; Nilson, B.; Nøttestad, J.A.
  • Psychological interventions for adults with ASD: clinical approaches
    Spain, D.; O’Neil, L.; Harwood, L.; Chaplin, E.
  • Cumulative life events, traumatic experiences, and psychiatric symptomatology in transition-aged youth with autism spectrum disorder
    Taylor, J.L.; Gotham, K.O.
  • Where are the strongest associations between autistic traits and traits of ADHD? Evidence from a community-based twin study
    Taylor, M.J.; Charman, T.; Ronald, A.
  • Model Service Specifications Supporting Implementation of the Service Model. A resource for commissioners to develop service specifications to support implementation of the national service model for people with a learning disability and or autism who display behaviour that challenges, including those with a mental health condition. HNS England
  • Autism plus psychosis: a ‘one-two punch’ risk for tragic violence?
    Wachtel, L.; Shorter, E.
  • Sex differences in autism spectrum disorders
    Werling, D.M.; Geschwind, D.H.
  • The MRC handicaps, behaviour & skills (HBS) schedule
    Wing, L.
  • Asperger’s syndrome: a clinical account
    Wing, L.
  • Asperger’s syndrome: management requires diagnosis
    Wing, L.
  • What are the key skills that staff require to support adults on the autism spectrum effectively? British Psychological Society
    Worthington, R.
  • The epidemiology of Asperger syndrome: a total population study
    Ehlers, S.; Gillberg, C.
  • The clinical, forensic and treatment outcome factors of patients with autism spectrum disorder treated in a forensic intellectual disability service
    Esan, F.; Chester, V.; Gunaratna, I.J.; Hoare, S.; Alexander, R.T.
  • Sex differences in autism spectrum disorder: an examination of developmental functioning, autistic symptoms, and coexisting behaviour problems in toddlers
    Hartley, S.L.; Sikora, D.M.
  • PTSD and autism spectrum disorder: co-morbidity, gaps in research, and potential shared mechanisms
    Haruvi-Lamdan, N.; Horesh, D.; Golan, O.
  • The risk factors for criminal behaviour in high-functioning autism spectrum disorders (HFASDs): a comparison of childhood adversities between individuals with HFASDs who exhibit criminal behaviour and those with HFASD and no criminal histories
    Kawakami, C.; Ohnishi, M.; Sugiyama, T.; Someki, F.; Nakamura, K.; Tsujii, M.
  • Autism in pink: qualitative research report
    Kenyon, S.
  • ASD in females: are we overstating the gender difference in diagnosis?
    Kreiser, N.L.; White, S.W.
  • The challenges of working with sexual offenders who have autism in secure services
    MacDonald, S.; Clarbour, J.; Whitton, C.; Rayner, K.
  • The prevalence and correlates of abuse among children with autism served in comprehensive community-based mental health settings
    Mandell, D.S.; Walrath, C.M.; Manteuffel, B.; Sgro, G.; Pinto-Martin, J.A.
  • Sex differences in autism spectrum disorder: evidence from a large sample of children and adolescents
    Mandy, W.; Chilvers, R.; Chowdhury, U.; Salter, G.; Seigal, A.; Skuse, D.
  • Screening prisoners for intellectual disabilities in three English prisons
    Murphy, G.H.; Gardner, J.; Freeman, M.J.
  • Offenders with intellectual disabilities in prison: what happens when they leave?
    Murphy, G.H.; Chiu, P.; Triantafyllopoulou, P.; Barnoux, M.; Blake, E.; Cooke, J.; Beecham, J.K.
  • Psychiatric symptoms in children and adolescents with higher functioning autism spectrum disorders on the development and well-being assessment
    Reinvall, O.; Moisio, A.L.; Lahti-Nuuttila, P.; Voutilainen, A.; Laasonen, M.; Kujala, T.
  • Review of gender differences in core symptomatology in autism spectrum disorders
    Rivet, T.T.; Matson, J.L.
  • Gender and age differences in the core triad of impairments in autism spectrum disorders: a systematic review and meta-analysis
    van Wijngaarden-Cremers, P.J.; van Eeten, E.; Groen, W.B.; van Deurzen, P.A.; Oosterling, I.J.; van der Gaag, R.J.
  • Introductory awareness of autistic spectrum conditions
    Veselinova, C.
  • Sex differences in children with autism spectrum disorder identified within a high-risk infant cohort
    Zwaigenbaum, L.; Bryson, S.E.; Szatmari, P.; Brian, J.; Smith, I.M.; Roberts, W.; Vaillancourt, T.; Rorcadin, C.