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In-patient management of men with schizophrenia who commit serious sexual offences

Published online by Cambridge University Press:  02 January 2018

Alan D. Smith
Alan D. Smith*
Affiliation:
Department of Forensic Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Abstract

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Aims and method

A survey of the management of all 84 restricted hospital order in-patients with schizophrenia, resident in any hospital in England and Wales, during May 1997, with an index conviction for a contact sex offence against a woman, was carried out.

Results

Treatment concentrated upon pharmacological therapy for psychiatric symptoms. Only a small minority of patients received specific psychological therapy to address sexual offending issues, despite responsible medical officers reporting that over four-fifths of patients continued to have marked social or sexual difficulties relating to women, and that non-psychotic factors appeared to make a significant contribution to index sexual offending in about three-quarters of cases.

Clinical implications

Many in-patients with schizophrenia who have committed sexual offences may not be receiving optimal management and more research is required to elucidate their treatment needs.

Type
Original papers
Information
Psychiatric Bulletin , Volume 23 , Issue 6 , June 1999 , pp. 358 - 360
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

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