Purpose The purpose of this paper is to adapt a social climate measure for use within a forensic intellectual and developmental disabilities (IDD) service and examine perceptions of social climate and the links with patient aggression across three levels of security. Design/methodology/approach Four staff participated in a focus group to discuss how the Essen Climate Evaluation Schema (EssenCES) could be adapted for IDD patients. Subsequently, a pilot study with three patients highlighted some difficulties in administering the adapted measure. Alterations in the administration of the measure were implemented with a further ten patients residing across three levels of security. The EssenCES was adapted to include more visual prompts to assist in the patients’ completion of the measure. The frequency of aggressive incidents in each of the three settings was also collated. Findings Statistical analysis revealed a non-significant trend where positive social climate ratings increased as the security level decreased. There was a significant difference in the frequency of aggressive incidents across the three levels of security; however, there were no significant relationships found between the questionnaire ratings and the frequency of incidents. Research limitations/implications The results lacked statistical power due to the low number of participants. Further studies with adapted social climate measures need to be conducted to assess the implications of social climate on individuals with IDD in secure forensic services. Originality/value The study adapted and piloted a social climate measure for individuals in a forensic IDD service.

中文翻译：

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IDD服务中的社会气候和侵略

目的本文的目的是使社会气候措施适合在法医智力和发育障碍（IDD）服务中使用，并检查对社会气候的看法以及在三个安全级别上与患者侵略的联系。设计/方法/方法四位工作人员参加了一个焦点小组，讨论如何针对IDD患者调整Essen气候评估方案（EssenCES）。随后，一项针对三名患者的试点研究突显了在实施适应性措施方面的一些困难。对该措施的管理进行了更改，另外十名患者位于三个安全级别。EssenCES进行了修改，以包括更多的视觉提示，以帮助患者完成该措施。还比较了三种情况下侵略性事件的发生频率。调查结果统计分析显示出不显着的趋势，随着安全级别的降低，积极的社会气候评级也随之提高。在三个安全级别上，侵略性事件的频率存在显着差异。但是，调查问卷评分与事件发生频率之间没有显着关系。研究局限/意义由于参与者人数少，结果缺乏统计能力。需要进行进一步的研究，采用适当的社会气候措施，以评估社会气候对IDD个人在安全的法医服务中的影响。