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empathy

borderline IQ PMP

6 posts in this topic

A 28 yr old man with borderline IQ has indecently assaulted a child for the second time.He was physically and sexually abused as a child and suffered with depression as a consequence.Discuss assessment and management. what would you recommend to the court?

Any suggestions to solve this pmp please.

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In my opinion the theme in this scenario is to

Appreciate the severity of the risk (harm to others)

Appreciate the nature of mental illness (affective) and complexity secondary to the IQ and traumattic child hood history

Some of the issues are

Assessment of mental illness and to decide if this warrants an in patient Mx in a secure hospital

Recommend to the court for a hospital dispoal (criminal section of MHA)

Support for the assaulted child (streching a bit!).

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I'd also add, conducting a comprehensive risk assessment with focus on past violent behavoiur particularly similar assult towords children and adolescents.

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A 28 yr old man with borderline IQ has indecently assaulted a child for the second time.He was physically and sexually abused as a child and suffered with depression as a consequence.Discuss assessment and management. what would you recommend to the court?

Any suggestions to solve this pmp please.

key issues here are:

1. borderline IQ...so to find out if he has any psychiatric condition causing him to offend...so go thru whole story of past psych history etc., severity of depression etc...

2. detailed psychosexual history and developemental hist....so story of orientation, understanding of sexuality, consent, porn access, adult relationships etc etc...

3. this is his second offence to child...so very grave...is he on sex offender register/ MAPPA.... risk of reoffending is high...are there any more children in his contact..at home etc??

4. recommendations to court....if mentally ill....like depressed....then can recommend admission to hosp 35/ 36/ 37sec with a 41...

5. if no mental illness, cant be detained for treatment....for being a pedophile...so criminal justice...system can take over...

6. suggest a sex offender program with all points like sex education, victim empathy, taking responsibility for offence..., understanding ofending cycle and masturbatory re-conditioning...

7. lastly is the child on at risk register....emergency protection order/ child protection order..if u have time...

that shud do i think...

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A 28 yr old man with borderline IQ has indecently assaulted a child for the second time.He was physically and sexually abused as a child and suffered with depression as a consequence.Discuss assessment and management. what would you recommend to the court?

Any suggestions to solve this pmp please.

1. Immediate safety of all those involved... get details of where these people are - inform social services

2. I assume that he has already been charged - thats why the court asking for recommendation - if so is he on bail, or in remand - what excactly does the court want from me?

3. Where I will do my assessment; with whom- appropriate adult etc - arrange for it

4. Collateral h/o from all sources to inform diagnosis - including index offence and ODP of illness

5. DD: Paraphilia; any other psychiatric illness; normal sexual expression in BIF

6. Management:

Risk : to himself; others

Underlying condition - treatment where minimum level of security to keep both people safe

Prison if just sexual offending- SOTP

Inpatient - serious mental illness

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Any LD PMP important to ask the degree of LD and get more info on that.

Most points mentioned above are helpful

ta

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