Abstract
Aims and methodA 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.ResultsTreatment 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 implicationsMany 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.
Highlights
Aimsand method A surveyof 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 sexoffence against a woman, was carried out
Strategies to address the problems of nonmentally ill sex offenders may include cognitivebehavioural, psychodynamic and physical therapies, and much research continues to be associated with the formulation and evaluation of treatment programmes for such offenders (Barker & Morgan, 1993; Beckett et al 1994)
There is an absence of systematic knowledge concerning the types of treatment given to men with major mental illness, such as schizophrenia, who have committed serious sexual offences
Summary
In-patient management of men with schizophrenia who commit serious sexual offences. Aimsand method A surveyof 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 sexoffence against a woman, was carried out.
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