Managing risk: a qualitative study of community-based professionals working with learning-disabled sex offenders

J Psychiatr Ment Health Nurs. 2012 Feb;19(1):53-61. doi: 10.1111/j.1365-2850.2011.01754.x. Epub 2011 May 25.

Abstract

This study reports on research conducted to examine how community practitioners manage the difficulties of risk assessment in relation to people with a learning disability and a history of sexually offensive or abusive behaviour. Semi-structured interviews were conducted with a number of key professionals from various disciplines, all currently involved in the assessment process with the aim of determining potential referral to community settings. Data analysis revolved around a thematic exposition of factors influencing the relationship between the objective science of psychiatric investigation and the subjective interpretation of real-world practicalities in working with this group. Findings surrounded three major themes, frame conflict, relating to the difficulties of decision making in this area, therapeutic performance, whereby professionals were expected to engage in some form of active intervention, and safety outcomes, involving consideration of the problematic nature of judging the likelihood of re-offending.

MeSH terms

  • Adult
  • Community Health Services
  • Decision Making
  • Female
  • Humans
  • Learning Disabilities / diagnosis
  • Learning Disabilities / nursing*
  • Learning Disabilities / therapy*
  • Male
  • Medical Staff / psychology*
  • Professional-Patient Relations
  • Qualitative Research
  • Referral and Consultation
  • Risk Assessment / methods*
  • Risk Assessment / standards
  • Sex Offenses / prevention & control
  • Sex Offenses / psychology*
  • Workforce