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In-patient management of men with schizophrenia who commit serious sexual offences

  • Alan D. Smith (a1)
Abstract
Aims and method

A survey of the management of all 84 restricted hospital order in-patients with schizophrenia, resident in any hospital in England and Wales, during May 1997, with an index conviction for a contact sex offence against a woman, was carried out.

Results

Treatment concentrated upon pharmacological therapy for psychiatric symptoms. Only a small minority of patients received specific psychological therapy to address sexual offending issues, despite responsible medical officers reporting that over four-fifths of patients continued to have marked social or sexual difficulties relating to women, and that non-psychotic factors appeared to make a significant contribution to index sexual offending in about three-quarters of cases.

Clinical implications

Many in-patients with schizophrenia who have committed sexual offences may not be receiving optimal management and more research is required to elucidate their treatment needs.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Barker, M. & Morgan, R. (1993) Sex Offenders: a Framework for the Evaluation of Community-Based Treatment A Report for the Home Office. London: Home Office.
Beckett, R., Beech, A., Fisher, D., et al (1994) Community Based Treatment for Sex Offenders: An Evaluation of Seven Treatment Programs. Report for the Home Office by the STEP team. London: Home Office.
Marshall, W. L. (1993) The treatment of sex offenders. What does the outcome data tell us? Journal of Interpersonal Violence, 8, 524 530.
Marshall, W. L. & Barbaree, H. E. (1990) An integrated theory of the etiology of sexual offending. In Handbook of Sexual Assault: Issues, Theories, and Treatment of the Offender (eds Marshall, W. L., Laws, D. R. & Barbaree, H. E.). pp. 257 275. New York: Plenum.
Quinsey, V. L., Harris, G., Rice, M. I., et al (1993) Assessing treatment efficacy in outcome studies of sex offenders. Journal of Interpersonal Violence, 8, 512 523.
Sahota, K. & Chesterman, P. (1998) Mentally ill sex offenders in a regional secure unit. II: cognitions. perceptions and fantasies. Journal of Forensic Psychiatry, 9, 161 172.
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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In-patient management of men with schizophrenia who commit serious sexual offences

  • Alan D. Smith (a1)
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