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Seattle University Collaborative Projects - International Academy of ...

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violent and sexual re-<strong>of</strong>fending). We will determine if the concept <strong>of</strong> protective factors is usefulwith those high risk <strong>of</strong>fenders. The presentation will discuss the results <strong>of</strong> a pilot study using theSAPROF as part <strong>of</strong> the assessment <strong>of</strong> dangerous <strong>of</strong>fenders. Interestingly, this study indicates thepresence <strong>of</strong> protective factors and the utility <strong>of</strong> the SAPROF with dangerous <strong>of</strong>fenders. Thisinstrument made it possible to divide the sample into two clusters. New data concerning subtypes<strong>of</strong> dangerous <strong>of</strong>fenders will also be discussed, as well as implications for assessment, treatmentand further legal recommendations.Older Mentally Ill Offenders: Pr<strong>of</strong>ile and Treatment TrajectoriesStefaan De Smet, <strong>University</strong> College Ghent (stefaan.desmet@hogent.be)In parallel with the ageing <strong>of</strong> the general population in Western Europe and the U.S., policymakers, practitioners and academics gradually seem to be recognizing that ageing in <strong>of</strong>fenderpopulations is an important treatment challenge. Because <strong>of</strong> specific age-related issues, theseclients seem to have special needs with regard to adapted forensic treatment. Like most Westerncountries, Belgium accepts the legal principle <strong>of</strong> providing psychiatric treatment to <strong>of</strong>fendersjudged as irresponsible for their <strong>of</strong>fences due to a mental illness. Research on the situation <strong>of</strong>older mentally ill <strong>of</strong>fenders (60 +) is still scarce, although this seems to be a growing population.The objectives <strong>of</strong> this presentation are two-fold. First, the results <strong>of</strong> a retrospective case studythat was set up to investigate the characteristics <strong>of</strong> older mentally ill <strong>of</strong>fenders in Flanders (theDutch-speaking region <strong>of</strong> Belgium) will be presented and discussed. Besides socio-demographicresults, the emphasis will be laid on distinguishing pr<strong>of</strong>iles with regard to their life coursetrajectories in mental health care and justice settings. A second part <strong>of</strong> the presentation will focuson the perceptions <strong>of</strong> older mentally ill <strong>of</strong>fenders with regard to the treatment and support theyhave received. Implications for practice and research will be discussed.An Examination <strong>of</strong> the Pre-Offence Clinical Care <strong>of</strong> Known Psychotic PatientsWho Subsequently OffendGraham Mellsop, Waikato Clinical School, New Zealand(graham.mellsop@waikatodhb.health.nz)Patients/<strong>of</strong>fenders admitted to the Forensic Psychiatric Services at three sites in Australia andNew Zealand (Auckland, Dr. Skipworth; Queensland, Dr. Hefferman; Waikoto, Dr. Tapsell), andwho have received treatment for a psychosis at some time in the preceeding 12 months, form thestudy cohort. The total catchment population for these forensic services is approximately 7million. This retrospective, observational study will examine the clinical care provided to thiscohort to seek an understanding <strong>of</strong> why that care did not prevent future <strong>of</strong>fending. Particularemphasis will be placed on those aspects <strong>of</strong> clinical care (eg. pharmacolocial, medico-legal,283

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