ABSTRACT

Some people with intellectual disability who have sexually offended require long-term support with risk management. This paper demonstrates how least restrictive practices within a Swiss social care setting are utilised to support a young man with intellectual disability, mental health difficulties and persistent high risks. It is underpinned by the social model of disability, which directs attention away from individual pathology onto environmental support structures. Data was generated through qualitative interviews with the patient, forensic psychologist and social care provider and an in-depth analysis of the patient file. Current approaches to community support are synthesised and applied to this exemplary case. Hence, the analysis compares empirically based patterns from the case with the aims of risk management, person-centred planning and sexual offending treatment, highlighting the mechanisms that enable this support package to work. This results in a novel conceptualisation of sexual offending treatment success that encompasses environmental support structures.

摘要

一些遭受过性侵犯的智障人士需要风险管理方面的长期支持。本文展示了如何利用瑞士社会护理环境中限制最少的做法来支持患有智力障碍、心理健康困难和持续高风险的年轻人。它以残疾的社会模式为基础，将注意力从个体病理转移到环境支持结构上。数据是通过与患者、法医心理学家和社会护理提供者的定性访谈以及对患者档案的深入分析生成的。综合了当前的社区支持方法并将其应用于此示例性案例。因此，该分析将案例中基于经验的模式与风险管理的目标进行了比较，以人为本的规划和性犯罪治疗，强调使这一支持包发挥作用的机制。这导致包含环境支持结构的性犯罪治疗成功的新概念化。