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|Title: ||Am I there yet? The views of people with learning disability on forensic community rehabilitation.|
|Authors: ||McCorkell, Alana Deborah|
|Supervisor(s): ||O'Rourke, Suzanne|
|Issue Date: ||25-Nov-2011|
|Publisher: ||The University of Edinburgh|
|Abstract: ||Introduction: Previously diversion from the criminal justice system for people with
LD and forensic needs had meant hospitalisation, but more recently a model of
community-based rehabilitation has become possible via new mental health
legislation. Community-based orders aim to rehabilitate clients via compulsory,
intensive staff support. Although this model is beneficial in theory, empirical
evidence suggests there may be a number of issues in practice. The current study
aimed to capture the subjective experience of a group of individuals with LD and
forensic needs currently on community-based orders.
Method: Semi-structured interviews were conducted with ten participants subject
to a community-based order which obliged them to accept intensive staff support.
All participants were male. Ages, index behaviour, and time spent on order varied.
The data was transcribed and analysed using Interpretative Phenomenological
Results: The main themes which emerged from the data were A taste of freedom, Not
being in control, Getting control back, Loneliness, and Feeling like a service user. Overall
the results indicated a general ambivalence towards support.
Discussion: Participant accounts suggest that the current community rehabilitation
model has some shortcomings which need to be addressed. The system as it stands
appears to promote high levels of external control, failing to empower clients to
self-manage. Suggestions are made for improvements to the current model relating
to: achieving clarity over the role of support staff and pathways out of the system;
increasing opportunities for service users to voice concerns; empowering staff
teams via extensive training and supervision; and directly addressing internalised
stigma to promote integration.|
|Keywords: ||learning disability|
|Appears in Collections:||Clinical Psychology thesis collection|
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