Forensic mental health intellectual and developmental disability service: an analysis of referral patterns and comparison with community mental health intellectual disability (MHID) services in Ireland
| Date | 01 November 2023 |
| Pages | 253-261 |
| DOI | https://doi.org/10.1108/AMHID-06-2023-0020 |
| Published date | 01 November 2023 |
| Author | Afwan Abdul Wahab,Calvin Har,Sarah Casey,Hugh Ramsay,Brendan McCormack,Niamh Mulryan,Anita Ambikapathy,Anthony Kearns |
Forensic mental health intellectual and
developmental disability service: an
analysis of referral patterns and comparison
with community mental health intellectual
disability (MHID) services in Ireland
Afwan Abdul Wahab, Calvin Har, Sarah Casey, Hugh Ramsay, Brendan McCormack,
Niamh Mulryan, Anita Ambikapathy and Anthony Kearns
Abstract
Purpose –The purpose of this study is to analyse thecharacteristics of all the referrals to the forensic
MHIDD service over the past fiveyears and to compare these characteristics to the cohort of service
users attending the three general MHID services based in Dublin which are Service 1, Service 2 and
Service3.
Design/methodology/approach –This is a cross-sectionalstudy of adults attending the three generic
MHID services and the nationalforensic MHIDD service. The medical files of service usersattending the
MHID services were reviewed, and data such as age, gender, level of intellectual disability and
psychiatric diagnoses were extracted and compiled into a database. Theforensic MHIDD service has
since its inceptionmaintained a database of all referrals received and reviewed.The characteristics data
needed were extractedfrom the forensic MHIDD database. All these data were then analysedusing the
StatisticalPackage for Social Sciences (SPSS).
Findings –The majority of the three MHID service users were in the moderate to profound range of
intellectual disability, while the majority of the cases assessed by forensic MHIDD had normal IQ,
borderlineIQ and mild intellectual disability with 66.1%. The prevalenceof neurodevelopmental disorder,
schizophreniaand emotionally unstable personality disorderin the forensic MHIDD is comparable to the
three MHID services. Theprevalence of depression, bipolar affective disorder(BPAD), anxiety disorder
and obsessive-compulsive disorder (OCD) is higher in the three MHID services than in the forensic
MHIDD service.
Originality/value –The FHMIDD received referralsat a greater level of overall ability, with two-thirdsof
the service users havingmild intellectual disability to normal IQ. The prevalenceof neurodevelopmental
disorder such as ASD and schizophrenia is comparable between the forensic MHIDD and the three
MHID services.There is a higher prevalence of depression, BPAD,anxiety disorder and OCD in the three
MHID servicesas compared to the forensic MHIDD service.
Keywords Psychiatry, Forensic psychiatry, Forensic mental health intellectual disability,
Mental health intellectual disability, Psychiatry of intellectual disability,
Forensic mental health intellectual, Developmental disability
Paper type Research paper
Introduction
In the UK and Ireland, there is a long history of secure care for people with mentaldisorders
and prior involvement with the criminal justice system or a need for high secure clinical
(Informationabout the
authorscan be found at the
end of this article.)
Received 27 June 2023
Revised 27 June 2023
Accepted 27 June 2023
Ethical approval: Ethics
approval completed and
obtained from the Research
Ethics Committee in National
Forensic Mental Health Service
and Avista (formerly Daughters
of Charity).
Declaration of interest: The
authors report no conflicts of
interest. The authors are
responsible for the content and
writing of this article.
Funding: No financial support
received from any source.
PAGE 252 jADVANCES IN MENTAL HEALTH ANDINTELLECTUAL DISABILITIES jVOL. 17NO. 4 2023, pp. 252-260,©Emerald Publishing Limited, ISSN 2044-1282DOI 10.1108/AMHID-06-2023-0020
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