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S38

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55

Patients with an intellectual disability (ID) have a disorder with

onset during the developmental period that includes both intel-

lectual and adaptive functioning deficits in conceptual, social,

and practical domains (according to the DSM-5). These deficits

in adaptive functioning result in failure to meet developmental

and sociocultural standards for personal independence and social

responsibility. Without ongoing support, the adaptive deficits limit

functioning in one or more activities of daily life. Therefore, it is

not surprising that these patients cross physical/sexual boundaries

quite often. Above that, a proportion of all sex offenders have an

intellectual disability.

The treatment of these sex offenders with an ID has to focus on

protective factors, next to risk factors in order to decrease the risk

of recidivism. Due to the chronicity of their disorder, quality of life

is an important issue in these patients.

In this paper, we want to address some ethical controversies:

– hormonal treatment in patients with ID who are sex offenders;

– the right to have a ‘normal’ sexual life in these ID offenders,

and the Dutch experience of the Stichting Alternatieve Relatiebe-

middeling (SAR, that can be translated as foundation of alternative

relationship mediation).

The SAR is an alternative dating service, giving information about

the sexuality of physically or mentally disabled people and orga-

nizing sexual encounters for them.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.877

S62

Assessment of people with intellectual

disability for the court: What does a

psychiatrist need to know?

R. Latham

East London NHS Foundation Trust, London, United Kingdom

This presentation will focus on the importance of psychiatrists

understanding that they operate at an interface between two very

different disciplines; medicine and law. There will be consideration

of what and why psychiatrists need to understand the law, the way

it operates and the likely implications of their opinions. There will

be consideration of an example from England and Wales to illus-

trate the way inwhich psychiatry and lawmight interpret the same

information. The aim is that psychiatrists will be better equipped

to face the challenges the law presents.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.878

S63

Use of risk assessment tools for people

with intellectual disability: The latest

evidence

C. Morrissey

1 , 2 ,

1

University of Nottingham, School of Medicine, Nottingham, United

Kingdom

2

Lincolnshire Partnership NHS Trust, Clinical and Forensic

Psychology, Lincoln, United Kingdom

Correspondence.

A relatively high proportion of people detained in forensic psychi-

atric hospitals have intellectual disabilities (up to 3000 people in

the UK; Royal College of Psychiatrists, 2013), and people with intel-

lectual disability are significantly over-represented among those

psychiatric patients with long lengths of hospital stay (CQC, 2013;

Vollm, 2015). Peoplewithmild to borderline intellectual disabilities

are also prevalent in the UK prison system.

Although the relationship between intelligence and offending is

complex, lower intelligence is a known actuarial risk factor for

offending behaviour. Studies, which have investigated the predic-

tion of re-offending risk in populations with intellectual disability,

have nevertheless found lower rates of recorded re-offending com-

pared to those in mainstream forensic populations (e.g. Gray et al.,

2010). The relatively high rate of ‘offending-like’ behaviour, which

is not processed through the criminal justice system in people

with intellectual disability makes risk prediction a more complex

exercise with this group of people. It also makes outcomes mea-

surement more difficult.

This paper will give an overview of the current research evidence

and clinical practice in the field of risk assessment, risk manage-

ment and outcome measurement with offenders with intellectual

disability. It will summarise the findings of a recent NIHR funded

systematic review by the author, which pertains to this area, and

will point to future developments in the field.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.879

S64

Prisoners with intellectual disability:

How to adapt interventions and the

environment

V. Tort Herrando (Coordinador)

Unitat Polivalent de Psiquiatria Quatre, Camins, Parc Sanitari Sant

Joan de Deu, Sant BoI de Llobregat, Barcelona, Spain

There is an increasing interest in the Spanish prison to give the

appropriate care when they are in prison. This situation has a spe-

cial meaning in inmates with learning disabilities, as they are a

vulnerable group inside prison. They are vulnerable in different

areas as they have a high prevalence dual diagnosis (both with

mental illness and drug misuse), they could suffer from abuse from

other inmates, difficulties to understand prison regulations, etc. The

prevalence of intellectual disability (ID) in the prison setting has

been poorly evaluated. In Spain, despite various approximations or

estimates regarding people with intellectual disabilities no reliable

data is available.

In our presentation, we will give an overview of the care of this

group of patients, presenting some data from an epidemiological

study in Spain. The rate of learning disabilities was of 3.77% of the

study population has an IQ below 70, and 7, 3% has borderline IQ

rate. We also describe a new setting in one of wards of a prison of

Barcelona where has a model of therapeutic community for treat-

ing offenders with intellectual disabilities. This resource open two

years ago and is run between prison services and an organization

“Accepta” (specialized in people with learning disability and penal

law problems). This is an effort from the prison services to adapt

to the needs of inmates and deliver a better service with a good

post-release follow-up.

And finally, we present some data about learning disability in pen-

itentiary psychiatric settings (the prevalence as a main diagnose is

around 10%).

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.880