Trauma and post鈥恡raumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice

<!DOCTYPE html> <html lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML"> <head>   <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta name="format-detection" content="telephone=no"> <link rel="canonical" href="https://www.emerald.com/insight/content/doi/10.5042/amhid.2010.0544/full/html" /> <meta name="citation_xml_url" content="https://www.emerald.com/insight/content/doi/10.5042/amhid.2010.0544/full/xml"/>  <meta name="csrf-token" content="F9y4cIw64rXfTgp0SETQMRFk2V9JNJIHV46qQaBF"> <title> Trauma and post鈥恡raumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice | Emerald Insight</title> <meta name="description" content="1"> <script type="application/ld+json">{ "@type": "ItemPage", "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Journals", "item": "https://www.emerald.com/insight/sitemap/publications#journals" }, { "@type": "ListItem", "position": 2, "name": "Advances in Mental Health and Intellectual Disabilities", "item": "https://www.emerald.com/insight/publication/issn/2044-1282" }, { "@type": "ListItem", "position": 3, "name": "Volume 4 Issue 3", "item": "https://www.emerald.com/insight/publication/issn/2044-1282/vol/4/iss/3" }, { "@type": "ListItem", "position": 4, "name": "Trauma and post\u2010traumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice" } ] }, "mainEntity": { "@type": "ScholarlyArticle", "@id": "#article", "url": "https://www.emerald.com/insight/content/doi/10.5042/amhid.2010.0544/full/html", "name": "Trauma and post\u2010traumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice", "headline": "Trauma and post\u2010traumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice", "datePublished": "2010-09-27Z", "description": "Literature on trauma and post\u2010traumatic stress disorder (PTSD) has neglected the needs of people with intellectual disability, particularly those in forensic settings. The National Centre for High Secure Learning Disability Services at Rampton Hospital conducted a service evaluation on aspects of trauma experience and post\u2010trauma symptoms in the current population. File information and self\u2010reports indicated that most individuals had experienced a great deal of lifetime trauma, typically multiple types of abuse. A high rate of potentially trauma\u2010related symptoms was noted in files. However, file records of potentially traumatic events, including abuse, were often lacking in detail. There was limited information about the events themselves, and there was no information to suggest that any trauma\u2010specific assessments had been used to measure trauma exposure or symptoms. PTSD as a diagnosis was rarely considered, and there was little consideration of trauma\u2010specific interventions. While some individuals said that their experiences had resulted in a lot of distress, others could not talk about the past at all. This paper discusses the problem of assessing past trauma and response in a forensic intellectual disability population, and future directions for practice in forensic services. The service under study plans to address the needs of patients who have experienced trauma and abuse by conducting routine structured assessments, offering adapted evidence\u2010based psychological interventions where appropriate, and providing trauma\u2010specific education for staff to promote a compassionate approach.", "author": [ { "@type": "Person", "name": "Irene Brackenridge" }, { "@type": "Person", "name": "Catrin Morrissey" } ], "pageStart": 49, "pageEnd": 56, "isPartOf": "/insight/publication/issn/2044-1282/vol/4/iss/3#issue", "publisher": { "@type": "Organization", "name": "Emerald Group Publishing Limited" }, "mainEntityOfPage": "https://www.emerald.com/insight/content/doi/10.5042/amhid.2010.0544/full/html" }, "@context": "https://schema.org/" }</script>  <link rel="schema.DC" href="http://purl.org/DC/elements/1.0/"> <meta name="dc.Title" content="Trauma and post鈥恡raumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice"> <meta name="citation_journal_title" content="Advances in Mental Health and Intellectual Disabilities"> <meta name="citation_volume" content="4"> <meta name="citation_issue" content="3"> <meta name="citation_firstpage" content="49"> <meta name="citation_lastpage" content="56"> <meta name="dc.Subject" content="Post鈥恡raumatic stress disorder,Intellectual disability,Learning disabilities,Forensic"> <meta name="dc.Description" content="Literature on trauma and post鈥恡raumatic stress disorder (PTSD) has neglected the needs of people with intellectual disability, particularly those in forensic settings. The National Centre for High Secure Learning Disability Services at Rampton Hospital conducted a service evaluation on aspects of trauma experience and post鈥恡rauma symptoms in the current population. File information and self鈥恟eports indicated that most individuals had experienced a great deal of lifetime trauma, typically multiple types of abuse. A high rate of potentially trauma鈥恟elated symptoms was noted in files. However, file records of potentially traumatic events, including abuse, were often lacking in detail. There was limited information about the events themselves, and there was no information to suggest that any trauma鈥恠pecific assessments had been used to measure trauma exposure or symptoms. PTSD as a diagnosis was rarely considered, and there was little consideration of trauma鈥恠pecific interventions. While some individuals said that their experiences had resulted in a lot of distress, others could not talk about the past at all. This paper discusses the problem of assessing past trauma and response in a forensic intellectual disability population, and future directions for practice in forensic services. The service under study plans to address the needs of patients who have experienced trauma and abuse by conducting routine structured assessments, offering adapted evidence鈥恇ased psychological interventions where appropriate, and providing trauma鈥恠pecific education for staff to promote a compassionate approach."> <meta name="dc.Date" scheme="WTN8601" content="2010-09-27Z"> <meta name="dc.Type" content="article"> <meta name="dc.Format" content="text/html"> <meta name="dc.Identifier" scheme="doi" content="10.5042/amhid.2010.0544"> <meta name="dc.Identifier" scheme="issn" content="2044-1282"> <meta name="dc.Language" content="en"> <meta name="dc.Coverage" content="world"> <meta name="keywords" content="Post鈥恡raumatic stress disorder,Intellectual disability,Learning disabilities,Forensic"> <meta name="dc.Publisher" content="Emerald Group Publishing Limited"> <meta name="DCTERMS.bibliographicCitation" scheme="KEV.ctx" content="&ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.spage=49&rft.epage=56&rft.volume=4&rft.issue=3"> <meta name="dc.Contributor" content="Irene Brackenridge"> <meta name="dc.Contributor" content="Catrin Morrissey">  <link href="/insight/static/css/app.css?id=d1704eeb3e0eb4acb8985ebfec909296" rel="stylesheet"> <style type="text/css" nonce="vw/M1EJtfJm4SIes+W5PaCZGFTwAGtQUq/fcbk8QS9ZWpPve9CW6MVbxhTZeopQWzWf9HgCW2H9DE5IQs2sQjQ=="> /* hide vue content until vue has initialised */ [v-cloak]{ display: none; } /* reduce CLS on page load */ .search-input-container { height: calc(1.5em + .75rem + 4px); } a.navbar-brand > div.extra-small { height: 1rem; } #breadcrumbs-container { min-height: 2.06667rem; } #search-books-and-journals-container { min-height: calc(1.75rem + 11px); margin-bottom: 1rem; } .header_logo_image { height: calc(14rem / (264/36)); } .toc-alert-button { min-width: calc(13.03472rem + 2.5rem + 14px + 2.405px); min-height: calc(1.75556rem + 2px); } </style> <script type="text/javascript" nonce="vw/M1EJtfJm4SIes+W5PaCZGFTwAGtQUq/fcbk8QS9ZWpPve9CW6MVbxhTZeopQWzWf9HgCW2H9DE5IQs2sQjQ=="> const isReady = (fn) => (document.readyState === "complete" || document.readyState === "interactive") ? setTimeout(fn, 1) : document.addEventListener("DOMContentLoaded", fn) const supportsWebpImages = function () { const elem = document.createElement('canvas'); if (!!(elem.getContext && elem.getContext('2d'))) { // was able or not to get WebP representation return elem.toDataURL('image/webp').indexOf('data:image/webp') === 0; } // very old browser like IE 8, canvas not supported return false; } document.documentElement.classList.add(supportsWebpImages() ? 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class="content-title intent_article_title mt-0 mb-3">Trauma and post鈥恡raumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice</h1> <section id="intent_contributors" class="mt-4 intent_contributors"> <contributor-block block="<span class="m:contributor-display"><div class="contrib_block__contrib intent_contributor" contrib-type="author"><a rel="nofollow" class="contrib-search" href="/insight/search?q=Irene Brackenridge" aria-label="Search for more content by contributor Irene Brackenridge"> <span class="given-names">Irene</span> <span class="surname">Brackenridge</span> </a><span class="contrib_block__aff--italic intent_contributor_affiliate"> (Nottinghamshire Healthcare NHS Trust, Institute of Mental Health, Nottingham, UK) </span></div><span class="x"> </span><div class="contrib_block__contrib intent_contributor" contrib-type="author"><a rel="nofollow" class="contrib-search" href="/insight/search?q=Catrin Morrissey" aria-label="Search for more content by contributor Catrin Morrissey"> <span class="given-names">Catrin</span> <span class="surname">Morrissey</span> </a><span class="contrib_block__aff--italic intent_contributor_affiliate"> (Nottinghamshire Healthcare NHS Trust, Institute of Mental Health, Nottingham, UK) </span></div></span>" contrib-count="2" affil-count="2"> <span class="m:contributor-display"><div class="contrib_block__contrib intent_contributor" contrib-type="author"><a rel="nofollow" class="contrib-search" href="/insight/search?q=Irene Brackenridge" aria-label="Search for more content by contributor Irene Brackenridge"> <span class="given-names">Irene</span> <span class="surname">Brackenridge</span> </a><span class="contrib_block__aff--italic intent_contributor_affiliate"> (Nottinghamshire Healthcare NHS Trust, Institute of Mental Health, Nottingham, UK) </span></div><span class="x"> </span><div class="contrib_block__contrib intent_contributor" contrib-type="author"><a rel="nofollow" class="contrib-search" href="/insight/search?q=Catrin Morrissey" aria-label="Search for more content by contributor Catrin Morrissey"> <span class="given-names">Catrin</span> <span class="surname">Morrissey</span> </a><span class="contrib_block__aff--italic intent_contributor_affiliate"> (Nottinghamshire Healthcare NHS Trust, Institute of Mental Health, Nottingham, UK) </span></div></span> </contributor-block> </section> <div class="mb-2 row"> <div class="col-12 col-md-6"> <p> <span class="intent_journal_title"><a href="/insight/publication/issn/2044-1282">Advances in Mental Health and Intellectual Disabilities</a></span> </p> <p class="mt-0"> <span> <abbr title="International Standard Serial Number." class="font-weight-normal">ISSN</abbr>: <span class="intent_journal_issn">2044-1282</span> </span> </p> <p class="mt-0"> <span class="intent_journal_publication_date">Article publication date: 27 September 2010</span> <span class="ml-2" id="rights-link"> <rights-link-button root="https://marketplace.copyright.com/rs-ui-web/mp/search/all/" doi="10.5042/amhid.2010.0544"> </rights-link-button> </span> </p> </div> <div class="col-12 col-md-6 d-flex mt-3 mt-md-0"> <div class="d-flex flex-column align-items-center pr-3"> <label class="mini-caps" id="downloadCountLabel-1">Downloads</label> <div class="text-primary pt-2 d-flex align-items-center intent_download_counts_badge" aria-labelledby="downloadCountLabel-1" title="This item has been downloaded 722 times since 2010." data-toggle="tooltip" data-placement="right" tabindex="0"> <span class="fal fa-file-download fa-2x px-1"></span> <span class="intent_download_count small flex-grow-1 text-center"> 722 </span> </div> </div> <div class="altmetric-mount"> <altmetric-badge root="/insight/" content-doi="10.5042/amhid.2010.0544" publication-doi="10.1108/amhid"> </altmetric-badge> </div> </div> </div> </header> </div> </div> </div> <div class="container content_block" > <div class="row"> <div class="offset-md-2 col-md-7"> <section id="abstract" class="intent_abstract mb-5 Abstract" tabindex="0"> <h2 class="intent_title Abstract__title mb-1">Abstract</h2> <div class="intent_sub_item Abstract__block"> <h3 class="intent_sub_title Abstract__block__title mb-1 mt-3"></h3> <section class="intent_sub_content Abstract__block__text"> <p>Literature on trauma and post鈥恡raumatic stress disorder (PTSD) has neglected the needs of people with intellectual disability, particularly those in forensic settings. The National Centre for High Secure Learning Disability Services at Rampton Hospital conducted a service evaluation on aspects of trauma experience and post鈥恡rauma symptoms in the current population. File information and self鈥恟eports indicated that most individuals had experienced a great deal of lifetime trauma, typically multiple types of abuse. A high rate of potentially trauma鈥恟elated symptoms was noted in files. However, file records of potentially traumatic events, including abuse, were often lacking in detail. There was limited information about the events themselves, and there was no information to suggest that any trauma鈥恠pecific assessments had been used to measure trauma exposure or symptoms. PTSD as a diagnosis was rarely considered, and there was little consideration of trauma鈥恠pecific interventions. While some individuals said that their experiences had resulted in a lot of distress, others could not talk about the past at all. This paper discusses the problem of assessing past trauma and response in a forensic intellectual disability population, and future directions for practice in forensic services. The service under study plans to address the needs of patients who have experienced trauma and abuse by conducting routine structured assessments, offering adapted evidence鈥恇ased psychological interventions where appropriate, and providing trauma鈥恠pecific education for staff to promote a compassionate approach.</p> </section> </div> </section> <section id="keywords_list" class="intent_keywords"> <h2 class="intent_title" id="page__keywords-label">Keywords</h2> <ul class="intent_paragraph list-inline" aria-labelledby="page__keywords-label"> <li class="list-inline-item mr-0"> <a rel="nofollow" href="/insight/search?q=Post%E2%80%90traumatic+stress+disorder"class="intent_link btn btn-outline-secondary btn-sm my-1"title="Search for keyword Post鈥恡raumatic stress disorder"><span class="intent_text">Post鈥恡raumatic stress disorder</span></a></li> <li class="list-inline-item mr-0"> <a rel="nofollow" href="/insight/search?q=Intellectual+disability"class="intent_link btn btn-outline-secondary btn-sm my-1"title="Search for keyword Intellectual disability"><span class="intent_text">Intellectual disability</span></a></li> <li class="list-inline-item mr-0"> <a rel="nofollow" href="/insight/search?q=Learning+disabilities"class="intent_link btn btn-outline-secondary btn-sm my-1"title="Search for keyword Learning disabilities"><span class="intent_text">Learning disabilities</span></a></li> <li class="list-inline-item mr-0"> <a rel="nofollow" href="/insight/search?q=Forensic"class="intent_link btn btn-outline-secondary btn-sm my-1"title="Search for keyword Forensic"><span class="intent_text">Forensic</span></a></li> </ul> </section> <section class="Citation mb-2"> <h2 class="h4 intent_citation Citation__title">Citation</h2> <p> <a rel="nofollow" href="/insight/search?q=Irene Brackenridge" title="Irene Brackenridge" class="font-weight-light link-dark">Brackenridge, I.</a> and <a rel="nofollow" href="/insight/search?q=Catrin Morrissey" title="Catrin Morrissey" class="font-weight-light link-dark">Morrissey, C.</a> (2010), "Trauma and post鈥恡raumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice", <i><a href="/insight/publication/issn/2044-1282">Advances in Mental Health and Intellectual Disabilities</a></i>, Vol. 4 No. 3, pp. 49-56. <a class='intent_doi_link Citation__identifier__link' href='https://doi.org/10.5042/amhid.2010.0544' title='DOI: https://doi.org/10.5042/amhid.2010.0544'>https://doi.org/10.5042/amhid.2010.0544</a> </p> <div id="citation-download"> <citation-download doi="10.5042/amhid.2010.0544" root="/insight/"/> </div> </section> <section class="mt-1 Body" v-pre> <h2 class="d-inline h4" id="page__publisher-label">Publisher</h2>: <p class="publisher d-inline" aria-labelledby="page__publisher-label">Emerald Group Publishing Limited</p> </section> <p class="Citation__identifier"> Copyright <span class="intent_copyright_text">© 2010, Emerald Group Publishing 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Trauma and post鈥恡raumatic stress disorder (PTSD) in a high secure forensic learning disability population: future directions for practice | Emerald Insight