1. Adapted offending behaviour programmes
Andy Inett
Consultant Forensic Psychologist
Learning Disability Forensic Service
Kent and Medway Partnership NHS and Social Care Trust
PowerPoint in 16:9 ratio, i.e. Widescreen

2. KMPT Learning Disability Forensic Services:
Tarentfort Centre
20 Low secure beds, adult males
Brookfield Centre
13 bedded step down / locked rehab unit, adult males
East Kent Community Forensic
Psychology Service
The learning disability services covers: inpatients services such as Tarentfort Centre (20 service users, Forensic and mental health needs), Brookfield (Mostly Forensic needs looking a rehabilitation 12 SU), Birling Centre (A&I Non Forensic but SU that challenge the service 10 SU) and east Kent Community team ….

3. Pathways into LD forensic services (Lindsay et al 2013)
Childhood adversity
Witnessing violence
Offending
Intellectual disability
PD / ADHD

4. CBT for PWLD
Insufficient evidence to conclude that CBT is an empirically validated treatment, although promising evidence base (Verenooghe and Langdon, 2013)

5. Adapted SO Treatment
Williams et al 2007: Adapted SOTP in Prison: reductions in assessment scores after treatment in 150 men with LD
SOTSEC ID (2010): Significant improvement in offence supporting attitudes, victim empathy and sexual knowledge post group and at 6 month follow up
Treatment gains maintained, and Low recidivism rate at follow up (Heaton and Murphy, 2013).

6. Treatment groups
Kent Partnership Adapted Sex Offender Treatment Programme (KPA-SOTP), run in partnership with Kent probation
Received Howard league nomination, recognised by the courts as accredited program.
Year long program based on SOTSEC-ID / Adapted probation model.
Two referral routes:

7. Person displaying risky sexual behaviour becomes known to Community LD team
Person commits sexual offence, enters CJS
Identified as a person with LD pre trial / pre sentence
Referral to Forensic Psychology team
Legally stipulated attendance via a treatment order via the courts / licence conditions post release from prison
Assessed for suitability, discussed at central supervision meeting
KPA SOTP

8. KPA SOTP modules 1. Getting to know you
outline of the group/ what to expect,
Introduce ways of working
pre group assessments ,
Brief disclosure
Group rules,
group formation activities (e.g. Geese Theatre exercises)

9. KPA SOTP modules 2. Sexuality and the law
How the body develops and changes
Pregnancy, STDs
Relationships
Consent
Illegal behaviours
Use pictures, group tasks and discussions, videos, role-plays, quiz.

11. KPA SOTP modules: 3. My Offending
Understanding thoughts, and the link to feelings and behaviour
How thoughts can be unhelpful and increase risk of offending
Self talk
Steps to offending
Aim is to help the men take responsibility, identify their unhelpful thinking and behaviour.
Good Lives model

12. How we adapt GLM for ID offenders:
Learning new things
Being creative / Making things
Relationships
Enjoying activities that you are good at
Spirituality
Healthy Living
Feeling in control of what happens to you
Feeling Calm/Stress Free

14. KPA SOTP Modules 4. Victim Empathy
Understanding victim's perspective
Negative effects of offending
Taking action to address the harm that was done
Victim statements, ripple effect, role-play, videos

15. KPA SOTP modules: 5. Relapse Prevention / New life planning
Planning to live a good life in the future
Possible barriers to achieving your goal of not offending
Skills training
Managing feelings
Assertiveness and relationship skills
Problem solving: STOP THINK DO
Developing “Steps away from offending”

16. Outcomes Service user feedback on Staying Safe group:
They felt that the group would help them to remember to keep safe and not to re-offend.
They described learning new strategies to cope,
One service user felt that they group helped him to understand that at times his behaviour was inappropriate
Described the group as “good” and “worth it”

17. Outcomes
Audit in 2014 showed positive shifts in attitudes that support offending and Victim empathy in 70 – 90% of KPA SOTP participants (n=10)
Similar patterns in 2014 and 2015 groups
Follow up recidivism audit underway

18. Fire setting Intervention Program for Developmental and Intellectual Disabilities (FIP DID)
Some evidence for fire setting treatment in ID, i.e. Taylor et al, 2002; 2006
28 week group based adapted Cognitive Behaviour Therapy (CBT) based intervention, based on FIP MO, adapted for people with LD
Collaboration between Kent forensic services and University of Kent
Piloted at Trevor Gibbens Unit, manual developed and being trialled across the UK
Based around Risk Need and Good lives model

19. FIP DID Modules: Group formation (2 sessions)
Understanding my offending (6 sessions)
Fire interest / safety (4 sessions)
Mood and coping (2 sessions)
Communication and relationships (4 sessions)
Offence supporting cognitions (2 sessions)
Mental Health and offending (1 session)
Exploring offence patterns (4 sessions)

20. Other EKCFPS adapted treatments
Staying Safe group
Thinking Skills
EQUIP

21. Challenges Compliance / Coercion
Lack of legal frameworks/ robust provision
Valuing people vs risk management
Consent
Understanding of legislation / prohibitions
Lack of LD training for probation staff