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Assessment and Treatment of Young Adults

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Presentation on theme: "Assessment and Treatment of Young Adults"— Presentation transcript:

1 Assessment and Treatment of Young Adults
Shauneen Lenzi & Ian Mc Glade PBNI Sarah-Jane Morgan & Mandy Wright NIPS

2 The Challenge Small numbers Diverse group – Risk and Needs
Traditional programmes are for ‘adults’

3 Problems with Traditional Programmes
Group based Start, middle and end same for all Similar needs (risk and deviance) Assumptions about sexual interests and distorted thinking patterns

4 Prior to Safer Lives? Single Agency Assessment work
Non-offending specific programmes available Offer to transfer to adult establishment to do group work

5 Key Driver for Change Trevor Hamilton case (2003)
Not required to address offending Released regardless of risk Very High Risk Escalating offending Attitude to offending Failure to address offending behaviour SCR – need for programme intervention New Sentencing Framework – CJO (2008)

6 Project Team set up to consider
Needs of this offender group Programmes/Approaches available A programme which is transferable (custody & community) Multidisciplinary

7 Key Themes / Findings Developmentally group were more similar to juveniles than to traditional adult offenders Variance in risk and deviance classifications Programmes available & accredited for this group

8 AIM Project & GMAP Approach designed for Under 18’s
Focuses on the individual and their needs Holistic Approach – not focusing solely on sexual offending Considers strengths as well as concerns

9 3 Levels / Phases AIM2 Initial Assessment AIM Comprehensive Assessment
Intervention (sexual and non-sexual)

10 Holistic Approach – 4 Domains
Sexual and Non-sexual harmful behaviour Developmental Family Environmental Strengths and Concerns Static and Dynamic

11 Why Safer Lives Project
Based on the Good Lives Model About the young person and others having safer lives An approach - ‘Programme’ implies group work

12 Therapeutic Approaches Utilised
Provides experience and knowledge from a variety of disciplines Enables to transference of good practice between agencies Provides continuity for the young person and their significant others Sharing of resources Multi agency decision making

13 Case Study – Tony Background Information (Court Report)

14 Exercise Based on what we know about Tony, who has just come into custody what would be your thoughts or concerns as? Tony Landing Staff Professional Staff Other inmates

15 Tony’s Areas of Need Poor Sexual Knowledge / Sex Education
Emotional Loneliness Sexual Interests? Anger Lack of Assertiveness Self Esteem & Coping Strategies (Art Therapy) Victim Awareness Risk Scenarios and Preparing for Release

16 Sexual Interests Did not establish positive peer relationships
Missed a lot of school Bullied at home and at school (Tony was victim) On his own a lot (EL) Identified with younger children

17 Sexual Interests Line Drawings / Pictures – of limited benefit as more teenage/adult based Developmental Silhouettes – identified preferred victim outline Skinny (long lean look) ) No curves ) Short hair ) “ Prepubescent” Shorter than Tony *NB ) Male or female ) Younger (6-10) )

18 Anger & Control Recognised ‘Mr Nice’ and ‘Mr Nasty’
Reputation for fighting – liked to be seen as a hard man Recognised that loneliness led to anger Knew from an early age how to get what I wanted Carry a stick Being in charge = Power Secrets and threats

19 Preparing Tony for Release
Identified potential feelings, thoughts, situations and scenarios ACE Approach (Don’t go there, Keep in control… think of the consequences, Get away from it NOW!)

20 Risky Things Identified
Feelings (lonely, angry, isolated) Situations / Events (family problems, illness, singling someone out, being around younger ones, things not going right for me) Behaviour (walking around tensed up, secretive behaviour, asking a young one to meet him somewhere, offering a young one a cigarette) Places (Parks, schools, where I live, places where no-one can see me)

21 Supports Self awareness and self talk Family & Friends Professionals
Activities Education Developing interests Get a job

22 How work with these? Recognise the situation
Consider inner/self talk – develop alternatives Roleplay the scenarios and alternatives (e.g. on a bus or in a queue).

23 Tony’s Personal Reminder Statement
“Think of the family I will lose and the people I will hurt.”

24 Transition into the Community
Exercise: From your Table’s perspective (on card); Thinking, concerns, challenges of Tony’s release? What needs to be put in place to assist Tony and you? Handovers into the community?

25 Release

26 Risk Management

27 Change Management

28 Labels

29

30

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32 Living In The Community
Early Days Present

33 Strengths-Based Approach
Reintegration/desistance Specific Praise & Encouragement Create Hope & Optimism Display Empathy Supporting desisting identities Encourage Personal Responsibility Develop Strengths & Abilities

34 What were the challenges? Were they ‘normal behaviours’?
Personal Identity – media & community Social Media Friendships Family & friends Relationships Practical Moving out Living alone for the first time

35 What worked

36 Relationships

37 When is enough enough? Life beyond supervision
Creating the opportunity for ‘normal’ life development Reflect and tune in to what you are presented with in terms of past behaviour and who you are working with in relation to young adult development

38 Hope


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