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

Trauma and post-traumatic stress disorder (PTSD) in a high secure forensic learning disability... Literature on trauma and post-traumatic 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-trauma symptoms in the current population. File information and self-reports indicated that most individuals had experienced a great deal of lifetime trauma, typically multiple types of abuse. A high rate of potentially trauma-related 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-specific assessments had been used to measure trauma exposure or symptoms. PTSD as a diagnosis was rarely considered, and there was little consideration of trauma-specific 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-based psychological interventions where appropriate, and providing trauma-specific education for staff to promote a compassionate approach. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advances in Mental Health and Intellectual Disabilities Pier Professional

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

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Publisher
Pier Professional
Copyright
Copyright © 2010 by Pier Professional Limited
ISSN
2044-1282
eISSN
2044-1290
DOI
10.5042/amhid.2010.0544
Publisher site
See Article on Publisher Site

Abstract

Literature on trauma and post-traumatic 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-trauma symptoms in the current population. File information and self-reports indicated that most individuals had experienced a great deal of lifetime trauma, typically multiple types of abuse. A high rate of potentially trauma-related 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-specific assessments had been used to measure trauma exposure or symptoms. PTSD as a diagnosis was rarely considered, and there was little consideration of trauma-specific 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-based psychological interventions where appropriate, and providing trauma-specific education for staff to promote a compassionate approach.

Journal

Advances in Mental Health and Intellectual DisabilitiesPier Professional

Published: Sep 1, 2010

Keywords: post-traumatic stress disorder

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