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Dr Rajan Darjee Consultant Forensic Psychiatrist Dr Katharine Russell Consultant Forensic Clinical Psychologist The Orchard Clinic, Royal Edinburgh Hospital.

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Presentation on theme: "Dr Rajan Darjee Consultant Forensic Psychiatrist Dr Katharine Russell Consultant Forensic Clinical Psychologist The Orchard Clinic, Royal Edinburgh Hospital."— Presentation transcript:

1 Dr Rajan Darjee Consultant Forensic Psychiatrist Dr Katharine Russell Consultant Forensic Clinical Psychologist The Orchard Clinic, Royal Edinburgh Hospital

2 Referral Criteria

3 Clinical input Attend MAPPA meetings Available for telephone consultation and advice Regular meetings with police sex offender management units and criminal justice social work sex offender service Detailed case discussion meetings with case manager Full clinical assessment

4 Issues we have been asked to address What is the risk of serious harm? Who does he pose a risk to? Is it safe for him to have contact with children? Is it safe for him to work with women? Can he do offence focussed work? Does he need treatment from mental health services? What are the signs that he is moving towards offending? Are these restrictions necessary? What response has he made to treatment? Does he need further treatment? What was his motivation for offending? What should be the focus of supervision sessions? Should a disclosure be made to employers? Is this behaviour concerning? How should staff interact with him? Will this treatment make him more risky?

5 Case discussions Documents provided in advance or at meeting Attended by anyone involved with case Discuss case in detail Use structured professional judgment framework Provide formulation, scenarios and management advice Consider suitability for full assessment

6 Assessment Feedback to referrer Management recommendations Formulation including risk scenarios Risk assessment instruments Ratings of psychopathy and personality disorder Interviews Information gathering Initial referral and case discussion

7 Communication with referrer Make sure report layout is structured Use understandable language Explain clinical terms (e.g. psychopathy, personality disorder, paraphilia) Don’t have long sections explaining methodology etc. (use appendix if necessary) Written report Discuss report and implications with referrer Attend case conferences, e.g. Risk Management Case Conferences (RMCCs), Multi-Agency Public Protection Arrangement (MAPPA) meetings Available for follow-up queries or advice at any point in the future Verbal feedback & discussion

8 Outcome of assessment What should and shouldn't be monitored Tailored restrictions Appropriate victim safety measures Disclosure Risk management Understanding interpersonal functioning Interactions with staff Team dynamics Managing relationships Suitability for programmes Preparatory work Method of treatment delivery Impact on others in group Sex offender treatment Referral for psychological treatment Support from forensic mental health Assessment and treatment for cormorbid mental illness Mental health input

9 Serious Offender Liaison Service Consultant Psychologist Consultant Psychiatrist Psychology Assistant Senior Social Worker Secretary

10 Personality disordered offenders Sexual harm Domestic abuse StalkingArson Other serious violence

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