Interventions for learning disabled sex offenders.
BACKGROUND
The management of sex offenders is a major public concern. Behavioural and pharmacological interventions have been used for many years and more recently cognitive behavioural based interventions have become popular around the world. Programmes designed for the general population have been modified for those sex offenders with learning disability, to address their cognitive deficits. The efficacy of these modified programmes is unclear.


OBJECTIVE
To determine the efficacy of interventions with learning disabled sex offenders.


METHODS
The reviewers searched electronically EMBASE, PsycINFO, Medline, Cinahl, Cochrane Library, SPECTR, National Clearinghouse on Child Abuse and Neglect Information and National Criminal Justice Reference Service and Biological Abstracts.


METHODS
All randomised controlled trials comparing an intervention for learning disabled sex offenders to any other, or no intervention.


METHODS
Data were independently extracted.


RESULTS
No randomised controlled trial was identified.


CONCLUSIONS
Using the methods described the reviewers found no randomised controlled trial evidence to guide the use of interventions for learning disabled sex offenders. Until the urgent need for randomised controlled trials is met, clinical practice will continue to be guided by either extrapolation of evidence from randomised controlled trials involving sex offenders without learning disability or non-randomised trial evidence of interventions for the learning disabled sex offender.
Ashman
L
L
Lifespan NHS Trust, Lifespan NHS Trust, Douglas House, 18b Trumpington Road, Cambridge, UK, CB2 2AH. lorraineashman@mail01.onetel.net.uk
Duggan
L
L
D000726:Androgen Antagonists / Q000627:therapeutic use; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D007859:Learning Disabilities / Q000150:complications / Q000628:therapy*; D008297:Male; D055502:Secondary Prevention; D012742:Sex Offenses / Q000517:prevention & control*
D000726:Androgen Antagonists