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Autism: Implications for high secure psychiatric care and move towards best practice
1Broadmoor High Secure Psychiatric Hospital, Crowthorne, RG457EG, Berkshire, United Kingdom.
Research in Developmental Disabilities
|March 1, 2020
Summary
Individuals with Autism Spectrum Disorder (ASD) are overrepresented in high secure psychiatric care (HSPC) and present unique challenges. Staff knowledge significantly impacts therapeutic outcomes for this population.
Area of Science:
- Psychiatry
- Neurodevelopmental Disorders
- Forensic Mental Health
Background:
- Autism Spectrum Disorder (ASD) is increasingly recognized in secure psychiatric settings.
- High Secure Psychiatric Care (HSPC) manages individuals with complex needs and high risk behaviors.
Purpose of the Study:
- To explore the role of HSPC in assessing and managing individuals with ASD.
- To examine ASD-specific issues within HSPC, including prevalence, characteristics, and patient experiences.
- To discuss best practices and specialist ASD services in HSPC.
Main Methods:
- Literature review
- Clinical experience synthesis
Main Results:
- Individuals with ASD are overrepresented in HSPC compared to the general population.
- Specific challenges include clinical/cognitive traits, emotional regulation, and seclusion use.
- Patient experiences in HSPC are generally positive, but therapeutic outcomes are variable.
Conclusions:
- Staff knowledge of ASD significantly influences therapeutic outcomes.
- HSPC plays a clear role in managing individuals with ASD, complex needs, and high-risk behaviors.
- Continuous improvement of ASD services in secure settings is essential.
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