title: A community service for high-risk mentally disordered sex offenders: a follow-up study.
abstract: There is sparse literature on mentally disordered sex offenders, and little is published on treatment participation and outcomes for this group. This article aims to describe the characteristics of a cohort of high-risk mentally disordered-largely personality disordered-sex offenders at risk in the community in southeast London. Drawing on various measures of personality dysfunction-including key developmental variables, a self-report personality disorder questionnaire Millon Clinical Multi-axial Inventory-III (MCMI-III) and psychopathy as measured by the Psychopathy Checklist: Screening Version (PCL:SV)-the researchers describe the characteristics of a cohort of mentally disordered sex offenders referred to the Challenge project. Follow-up data for those placed in treatment are reported and include consideration of treatment completion and reconviction: the relationship between personality dysfunction and a dynamic measure of risk are also explored. Of the 137 participants, 53% were placed in the community treatment project. Seventy five percent completed treatment, and were followed up for an average of 40 months. Eleven percent were sexually reconvicted, 3% violently reconvicted. Community failure was best predicted by a combination of static risk and personality-related variables.
authors: Oxleas NHS Foundation Trust Bracton Centre, Dartford, UK. Jackie.craissati@oxleas.nhs.uk
authors: Jackie
authors: J
authors: Craissati
authors: Rachel
authors: R
authors: Blundell
mesh_terms: D000328:Adult; D003156:Community Mental Health Services; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008131:London; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis* / Q000628:therapy*; D011594:Psychometrics; D012044:Regression Analysis; D018570:Risk Assessment / Q000379:methods; D012742:Sex Offenses / Q000517:prevention & control; D011795:Surveys and Questionnaires; D055815:Young Adult