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Antilibidinal Medication – Medical Management of Sexual Arousal (MMSA) in the UK
Approaches to Risk Management of Complex Offenders in Scotland
POLAR The development of an integrated intervention pathway in prisons
Filicide – An Overview and the Challenges Facing Treating Clinicians
Looking For Love in All The Wrong Places’ – Chemsex Crime, Risk & Vulnerability
Consequences and needs after miscarriages of justice
Risk and threat assessment and management: Same but different
Antilibidinal Medication – Medical Management of Sexual Arousal (MMSA) in the UK
Date of Webinar: 7th May 2024.
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About this webinar:
The prescription of antilibidinal medication to men who have committed sex offences has a long and at times controversial history. In some jurisdictions it can be a mandatory condition of release from prison, in effect making doctors agents of social control. Even outside legal settings international prescribing protocols tend to focus on risk management rather than clinical need. A different approach has been taken in the UK, however, where prescribing is driven by medical considerations, and is on a voluntary basis. The Medical Management of Sexual Arousal (MMSA) programme was introduced in 2014 in order to facilitate the provision of antilibidinal to those who would benefit, and to provide support for doctors in doing so.
This webinar provides an overview of MMSA in the UK. It will be chaired by Professor Don Grubin, who has been involved in the development of MMSA from its start. Professor Belinda Winder will review the limited evidence base for MMSA and describe the steps that are being taken to address this, Dr Callum Ross will present data from an audit of the use of MMSA in both the criminal justice and hospital systems, including its use under the provisions of the Mental Health Act, and Dr Rebekah Bourne will review the principles of MMSA in the context of a large pilot programme running in the southwest.
Speakers:
Professor Don Grubin – Professor of Forensic Psychiatry, Newcastle University.
Dr. Callum Ross – Consultant Forensic Psychiatrist, Broadmoor Hospital.
Professor Belinda Winder – Professor of Forensic Psychology, Nottingham Trent University.
Dr. Rebekah Bourne – consultant forensic psychiatrist in the Birmingham and Solihull Mental Health NHS Foundation Trust. Approaches to Risk Management of Complex Offenders in Scotland
Date of Webinar: 9th April 2024.
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About this webinar:
This event considers two unique approaches to risk assessment and management of complex offenders in Scotland.
The Risk Management Authority in Scotland works to reduce the risk of serious harm posed by violent and sexual offending. They provide training and advice in this area as well as setting standards for risk assessment and management. In addition to this, they have a statutory role with regards to Order for Life Long Restriction (OLR) sentences. Dr.Joe Judge is a clinical psychologist with a wide range of experience in forensic and non-forensic mental health settings. He is a member of the RMA board. He will be providing an overview of risk assessment and management in the context of the RMA’s work.
The Serious Offender Liaison Service (SOLS) in NHS Lothian, provides clinical consultation, assessment and management advice to support criminal justice agencies in the management of complex and high risk violent and sexual offenders in the community. They also provide the statutory health board input to local MAPPA meetings. This unique service, does not provide treatment or case management but rather supports frontline team to implement psychologically informed management approaches. Dr Sarah Gladden is a clinical psychologist working with the SOLS team. She has worked across forensic mental health settings in Scotland and England. She will be sharing how the SOLS service supports MAPPA and colleagues in working with this complex group.
Speakers:
- Dr Jo Brown – Consultant Forensic Psychiatrist. Clinical Director and lead consultant for the Forensic Women’s Service.
- Dr Joe Judge – Consultant Clinical Psychologist and a Cognitive Analytic Therapy Practitioner.
- Dr Sarah Gladden – Consultant Clinical Psychologist and Lead Psychologist for the Serious Offender Liaison Services in NHS Lothian
POLAR The development of an integrated intervention pathway in prisons
Date of Webinar: 9th April 2024.
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About this webinar:
People in the criminal justice system, including police custody, courts and prisons, have often experienced adverse and traumatic events in childhood, such as physical, sexual and emotional abuse and neglect. These developmental experiences in turn increase the likelihood of re-traumatisation in adulthood, through later experiences such as physical violence. They are also highly associated with substance misuse, mental health difficulties and complex social issues such as homelessness.
The estimated prevalence of post-traumatic stress disorder (PTSD) amongst people in prison is 7.7%, and for Complex-PTSD amongst people in prison it is 16.7% (Facer Irwin et al., 2021). People in prison and the criminal justice system who have experienced developmental trauma are often most in need of effective mental health services, but are also likely to face barriers that prevent access to this care (Home Office, 2007). These barriers include short stays and transition within the prison estate and into community services, being on remand and awaiting trial, and high levels of uncertainty about future charges (Forrester & Hopkin, 2009). In addition, there can be a lack of capacity within prison mental health services to provide the evidence based psychological therapies for PTSD and Complex-PTSD that is required to stabilise and manage these conditions (Forrester et al., 2014). Co-occurring substance misuse and complex mental health presentations often require specialist, individualised multi-disciplinary care. In addition, the prison environment can itself be counter-therapeutic and re-traumatising and may prohibit recovery from traumatic stress (Bradley, 2021).
There have been a number of programmes, pathways and initiatives within the Welsh prison estate and criminal justice system, as well as bespoke training programmes within individual services. Early scoping work has shown that there is variability in approaches offered and a disjointed picture across the system. In addition, there may be difficulties in ensuring sustainable implementation. There is also variability in whether interventions and approaches are evaluated; inconsistency in terms of the types of outcomes that are measured; and a lack of clarity about outcomes that are meaningful for service users and staff.
In collaboration with Welsh Government, Traumatic Stress Wales, Cardiff University and Greenwich University, we have been carrying out a project entitled ‘the development of an integrated intervention pathway in prisons’ (Polar). The aim of the current project was to survey existing services to understand what provision is currently in place and how this is delivered, to undertake qualitative work to complement this understanding, to describe gaps and barriers to implementation, and to understand views regarding an optimal pathway.
Speakers:
- Andrew Forrester – Professor of Forensic Psychiatry at Cardiff University
- Natasha Kalebic – research assistant in forensic psychiatry at Cardiff University
- Jack Tomlin – Senior Lecturer in Criminology
- Clare Crole-Rees – Consultant Psychologist within Oxford Health NHS Foundation Trust
- Lewis Jones – Psychotherapist and High intensity Psychological Practitioner
Filicide – An Overview and the Challenges Facing Treating Clinicians
Date of Webinar: 10th May 2023.
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About this webinar:
Filicide, or the killing of one’s child, can be traced back through the centuries. Under the Roman law of ‘Patria Potestas’, fathers were given the right to commit infanticide, but it was a punishable act for mothers. The term the ‘Medea Complex’ was coined by Stern in 1948 and denotes spousal revenge. It originates from the Greek play ‘Medea’ by Euripides, which describes the story of a jealous wife who punishes her husband by killing their children.
Over the years, various typologies have developed to describe the characteristics of the perpetrators of filicide and their victims, and a plethora of theoretical knowledge exists.
There is little written however on the practicalities of managing mentally disordered offenders who commit filicide. Clinically, these patients are often treatment responsive, rapidly responding to medical treatment, only to be faced with the reality of what they have done.
The particularly emotive nature of their offence presents with unique set of challenges for treating teams. These include managing the interpersonal dynamics on a ward, the media interest which surrounds the case and rehabilitation back into the community.
This symposium will provide a background to filicide, with a particular focus on perpetrators with mental illness.
Through case vignettes, complex cases will be discussed and in particular our experiences of managing the practical difficulties for which no guidance exists.
Speakers:
- Dr. Paula Murphy, Consultant Forensic Psychiatrist, John Howard Centre, East London NHS Foundation Trust
- Dr. Vivek Bisht, Consultant Forensic Psychiatrist, Locum (North East London NHS Foundation Trust)
- Dr. Rachel Proctor ST6 Forensic Psychiatry (Barnet, Enfield and Haringey NHS Trust)
Looking For Love in All The Wrong Places’ – Chemsex Crime, Risk & Vulnerability
Date of Webinar: 23rd November 2023.
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About this webinar:
Chemsex is an increasingly recognised phenomenon involving the use of certain substances (primarily crystal methamphetamine, GHB/GBL and mephedrone) in sexual settings, facilitated by the use of geolocation dating apps, and often involving multiple sexual partners/group sexual activity. It predominantly (although not exclusively) occurs within the Gay, Bisexual and other men-who-have-sex-with-men (GBMSM) community.
There is increasing awareness and evidence for the use of these substances in this setting to be associated with sexual and other violence, as well as complex organised crime networks.
In this seminar we will introduce the concept of Chemsex, as well as vulnerabilities in the GBMSM group towards it; we will also explore the forensic aspects of chemsex behaviour through evidence associated with violence and Chemsex, and Project Sagamore, a Met Police and HMPPS partnership aiming to both prevent and manage Chemsex-associated criminal activity.
A significant emphasis will be placed on the dual victim/perpetrator duality that is often seen in this group of Chemsex users/offenders, and the unique hidden nature of this activity as compared to other forms of offending.
Speakers:
Dr.Bradley Hillier – Consultant Forensic Psychiatrist, States of Jersey, Channel Islands, also in London and Acting Chair London Division Royal College of Psychiatrists
Stephen Morris – Chemsex Crime Lead – London Division. Operational Lead: Project Sagamore (HMPPS & Metropolitan Police).
Ewan Mckay – Foundation years doctor York and Scarborough University Teaching Hospitals, Co-founder of HEAL – LGBTQ+ advocacy group and honorary researcher at Cardiff university.
Allen Davis – Police Inspector – Continuous Policing Improvement – Metropolitan Police Service. Consequences and needs after miscarriages of justice
Date of Webinar: 24th November 2022.
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About this webinar:
This seminar focuses on adverse effects of imprisonment from several perspectives. Sophie Ellis provided an update on the problems of IPP sentences and prospects for reform following the Report of the House of Commons Justice Committee on 28 September 2022.
Contributions from Michael O’Brien, John Kamara and Adrian Grounds consider the psychological and social consequences of miscarriages of justice; and Shona Minson considers the effects of imprisonment on families. Issues needing or further research will be highlighted.
Risk and threat assessment and management: Same but different
Date of Webinar: 22nd October 2024.
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About this webinar:
Mental health practitioners have a long history of involvement in clinical risk assessment and management. Indeed, most of the pioneers of today's standard harm prevention practices in forensic mental health care and criminal justice are - were - psychologists, psychiatrists, psychiatric nurses and social workers.
However, mental health practitioners are increasingly being drawn into threat assessment and management work, supporting the endeavours of police and security agencies trying to manage live threats such as active criminal investigations and hostage situations, as well as corporate and public sector agencies trying to understand and prevent evolving threats within and to the working environment. In this presentation, risk and threat assessment and management practice are compared and contrasted, and the role of mental health professionals is described.
Case examples will be provided to illustrate what mental health professionals can uniquely bring to the harm prevention task.
Speakers: Dr. Frank Farnham and Dr. Caroline Logan.
Dr Frank Farnham
Dr. Caroline Logan
Dr Frank Farnham
Frank Farnham is a Consultant in Forensic Psychiatry at the North London Forensic Service, and Honorary Associate Professor of Security and Crime Science at the Jill Dando Institute of Security and Crime Science at University College London. He has worked in all areas of forensic psychiatry and has been involved in various multi-agency projects as a contractor with law enforcement for over twenty years.
Dr Farnham has ongoing research and clinical interests in stalking, grievance fuelled violence and violent extremism, fixation, and suicide in high-risk groups. He has published two books, ten book chapters and forty-five articles on these subjects.
Dr. Caroline Logan
Caroline Logan is a Consultant Forensic Clinical Psychologist. She has worked as a lead Consultant Forensic Clinical Psychologist in high and medium-secure forensic mental health services in the north of England and as a consultant/contractor with law enforcement agencies in the UK for almost 30 years.
She is also an honorary senior lecturer at the University of Manchester and a scientist at Helse Bergen in Norway.
Dr Logan has ongoing clinical and research interests in personality disorder (including psychopathy), risk, violent extremism, and forensic clinical interviewing, and she has a special interest in gender issues in the range of offending behaviour.
She has published five books and over 80 articles on these subjects, including Violent Extremism: A Handbook of Risk Assessment and Management, a book co-edited with Randy Borum and Paul Gill, published in November 2023, and a second edition of Managing Clinical Risk: A Guide to Effective Practice, co-edited with Lorraine Johnstone, published in December 2023.
She has commenced work on a new book on violent extremism and youth, once again with Professors Randy Borum and Paul Gill, and another on personality and risk.