Intervention Review

Interventions for learning disabled sex offenders

  1. Lorraine LM Ashman1,*,
  2. Lorna Duggan2

Editorial Group: Cochrane Developmental, Psychosocial and Learning Problems Group

Published Online: 23 JAN 2008

Assessed as up-to-date: 31 AUG 2007

DOI: 10.1002/14651858.CD003682.pub2


How to Cite

Ashman LLM, Duggan L. Interventions for learning disabled sex offenders. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD003682. DOI: 10.1002/14651858.CD003682.pub2.

Author Information

  1. 1

    Northamptonshire Healthcare NHS Trust, Learning Disability Psychiatry, Kettering, Northants, UK

  2. 2

    Care Principles Ltd, Newmarket, Suffolk, UK

*Lorraine LM Ashman, Learning Disability Psychiatry, Northamptonshire Healthcare NHS Trust, Barton Hall, Barton Road, Kettering, Northants, NN15 6SG, UK. Lorraine.ashman@nht.northants.nhs.uk, vivienneallport@nht.northants.nhs.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 23 JAN 2008

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Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

The management of sex offenders is a major public concern. Behavioural and pharmacological interventions have been used for many years and more recently cognitive behavioural based interventions have become popular around the world. Programmes designed for the general population have been modified for those sex offenders with learning disability, to address their cognitive deficits. The efficacy of these modified programmes is unclear.

Objectives

To determine the efficacy of interventions with learning disabled sex offenders.

Search methods

The reviewers searched the Cochrane Library 2006 (Issue 1), MEDLINE (1966 to Sept 2006), Embase (1980 to September 2006), CINAHL (1982 to September 2006), PsycINFO (1872 to September 2006), Biological Abstracts (1980 to September 2006).

Selection criteria

All randomised controlled trials comparing an intervention for learning disabled sex offenders to any other, or no intervention.

Data collection and analysis

Data were independently extracted.

Main results

No randomised controlled trial was identified.

Authors' conclusions

Using the methods described the reviewers found no randomised controlled trial evidence to guide the use of interventions for learning disabled sex offenders. Until the urgent need for randomised controlled trials is met, clinical practice will continue to be guided by either extrapolation of evidence from randomised controlled trials involving sex offenders without learning disability or non-randomised trial evidence of interventions for the learning disabled sex offender.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Interventions for learning disabled sex offenders

Sex offending is of increasing public concern with calls for longer terms of imprisonment and closer supervision of such offenders in the community. Currently a variety of treatment approaches are used including medication and talking therapies, though little is known about their success rates. The small group of sex offenders with learning disabilities pose a particular challenge as talking therapies need to be modified to account for the offender's limited understanding. We could find no randomised controlled trial evidence to guide us in the treatment of learning disabled sex offenders.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

對具學習障礙的性侵害加害人之介入治療

處理性侵害加害人是一項主要的公共考量。行為及藥物治療被使用多年,而近來以認知行為為基礎的治療也變得普遍。針對有學習障礙之性侵加害者,現已修正給一般大眾所用之方案,以加強其認知不足的部份。這經修飾後的計畫的成效仍是不清楚的。

目標

要去評估治療這些有學習障礙的性侵害加害人的效果

搜尋策略

我們搜尋了許多資料庫,包括Cochrane Library 2006 (第1期), MEDLINE (1966年至2006年9月), Embase (1980年2006年9月), CINAHL (1982年至2006年9月), PsycINFO (1872 年至2006年9月), Biological Abstracts (1980年至2006年9月) 。

選擇標準

將有學習障礙的性侵害加害人的治療和其他種治療做比較,或是和沒有治療做比較之隨機對照試驗。

資料收集與分析

資料是獨立得到的。

主要結論

沒有發現隨機對照試驗的結果。

作者結論

用文獻回顧者所描述的方法並未發現有隨機控制試驗的証據可以指引使用對於有學習障礙的性侵害加害人的治療。在臨床實務上會持續受到由沒有學習障礙之性侵犯之隨機對照試驗或由有學習障礙之性侵犯之隨機對照試驗之需求有迫切為止。

翻譯人

本摘要由成功大學附設醫院謝佩君翻譯。

此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。

總結

性侵害加害的問題漸漸成為公眾關注的議題,特別是長期的監獄治療及在社區當中對於這些性侵害加害人密切的監督。目前在治療方面有各樣不同的模式,包括藥物及談話治療,雖然關於這些的成功率所知仍舊很少。性侵害加害人中一小群有學習障礙的人對於治療更是一種特別的挑戰,例如談話治療需要再修正以符合加害人有限的理解能力。目前來說,我們發現並沒有隨機對照試驗的証據可以指引我們在治療有學習障礙的性侵害加害人這方面。