Main events in The service was inspected by the Care Quality Commission and received a rating of Good across the service

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2 INTRODUCTION This report details the main events for Avon Forensic Community Learning Disabilities Team in It also outlines plans for 2017 and potential service needs. We have an accessible version of this report for our service users. Main events in 2016 The team received 59 formal referrals in In addition we provided consultation to AWP and non-awp services in relation to service users with borderline LD and other cognitive problems who are not eligible for LD services in their area. The service was inspected by the Care Quality Commission and received a rating of Good across the service The team provided advice on good practice to NHS England on the development of community services for people with LD at risk of offending, Public Health England regarding substance use and people with LD and to the National Offender Management Service on community treatment for PWLD serving sentences for offending The team followed up its audit of domestic violence and abuse referrals and commenced the development of a project with Professor Erica Bowen of Warwick University which aims to develop, implement and evaluate an intervention for adults with intellectual disabilities identified as perpetrators of intimate partner violence and abuse The team provided placements for trainee clinical psychologists and received positive feedback regarding the team providing a positive and supportive placement with good access to clinical advice, reflection and supervision The team have had a paper published in the Journal of Intellectual Disabilities and Offending Behaviour. The paper is entitled Treating Online Inappropriate Sexualised Behaviour. The lead author is Robbie Chandler who at the time was Clinical Psychologist in Training with the team. The team have supported the development of a pilot in Bristol of Circles of Accountability and Support which aims to support adults with LD who have received treatment for sexual offending Our Service User forum celebrated its first anniversary. The forum has continued to flourish and participated in a photo-documentary project sharing experiences of PWLD in the Criminal Justice System. Alongside Cary Ward, Fromeside the team put forward proposals to AWP Bright Ideas for funding to help develop our website and improve accessible information. The team completed a joint piece of work with Bristol CLDTs on the development of an Internet Safety training package for staff working with individuals using the internet The South West and Wales Practitioners Forum for clinicians and others who work with people with LD who are at risk of offending continues to meet in Bristol on a quarterly basis The team delivered a number of presentations and training sessions, at a National and Local level, related to the care and treatment of people with learning disabilities who are at risk of offending In July the team were voted AWP team of the month. Our team secretary Lynn Anstee retired from service in December and Vicky Tozer Clinical Psychologist left the team in January Erin Waites, Assistant Psychologist completed her temporary contract with us before moving to BASS

3 1. Referrals to the team We reviewed the referrals to the team during Avon The team received 59 new referrals for 56 people 50 male (89%), 6 female (11%) 27 were re-referrals (46%) Mean age = 29 (range 18-66) Source of referrals Referrals mainly came from CLDT, Criminal Justice System sources and specialist services. 20 Referrals to FCLDT Figure 1: Source of referrals to Avon Forensic CLDT in 2016 Ethnicity White British White Other Mixed White/Black Carribean Black British Asian British Figure 2: Ethnicity of new referrals to Avon Forensic CLDT in (8%) referrals in 2016 came from Ethnic Minority communities (4 of whom were from Bristol and 1 of whom was from BaNES).

4 Review of referrals by geographic area Bristol BANES North Somerset South Gloucestershire Figure 3: Referrals by geographical area for Avon Forensic CLDT in 2016 Offence Type The majority of referrals related to sexual (32%) or violent (33%) offences. Sexual Violence/Threats Theft Damage to Property Firesetting Driving Public Order Offence Other

5 Bristol In 2016 the service received 41 referrals from Bristol for 38 people (North 14, South 22, Central 5) Figure 4: Referral source for new referrals to Avon Forensic CLDT from Bristol in 2016 Figure 4 shows the referral source for service users from Bristol. The majority of referrals were received from the Criminal Justice System, comprising the Probation Service, HMP Bristol and the Liaison and Diversion Service; followed by referrals from the Bristol CLDTs. Interventions carried out for Bristol service users: Eligibility assessments: The Forensic CLDT acts as a first point of contact for the criminal justice system when they are seeking assessment of eligibility for LD offender interventions. Eight eligibility assessments were completed of people not previously known to CLDTs in The team carries out a joint assessment with an experienced colleague from the local CLDT and a joint decision is made on whether they are eligible for LD services. Five were assessed as having insufficient learning difficulties to be eligible for LD services, one did not attend for assessment, and two individuals were assessed as eligible for services. Therefore, 32 of the 38 people referred by Bristol were accepted as eligible and offered a service. 3 of these people were referred twice in the year and therefore we received 41 referrals for Bristol. Those not accepted by the service received advice and were signposted to other services. Detailed Forensic risk assessment and risk management advice: Four full forensic risk assessment reports were completed for new referrals and four were either started or

6 completed for service users on the pre-existing caseload. Forensic risk assessments involve working closely with the service user and those involved in their care, gathering and examination of detailed historical information, assessing the service users current presentation, interviewing significant others, such as family and care staff and compiling a detailed report with recommendations. Advice and consultancy and assessment: Eight new referrals and three cases from the preexisting caseload received advice, consultancy and further assessment (including risk assessments, IQ and other psychological assessments). Individual therapy: Eight new referrals received individual therapy which was provided by a psychologist, a nurse, or in conjunction with the probation service. Thirteen of the existing caseload also received individual therapy. A further thirteen people were offered individual work, but they either declined or did not attend. Group work: The team started another round of the Men s Group (sex offender treatment). 3 men from Bristol participated in the course which is due to end in Summer 2017 Offence type for referrals from Bristol Sexual Violence Theft Damage to property Fire setting Driving Public order Other Figure 5: Offence type for new referrals from Bristol in 2016 Notes: 7 referrals were requesting work with 2 different offending behaviours; therefore, the above pie chart represents 49 different offences for the 41 referrals to Bristol in Other includes: Risk of breaching probation, hoax emergency calls, drugs offence, and generalised support around risk.

7 South Gloucestershire In 2016 the team received 6 referrals from South Gloucestershire Social Care CLDT Probation Care Provider ADHD Service Figure 6: Referral source for new referrals to Avon Forensic CLDT from South Glos in 2016 Offence type for referrals from South Gloucester Sexual Violence/Threats Fire Setting Figure 7: Offence type for new referrals to Avon Forensic CLDT from South Glos in 2016

8 Interventions carried out for South Gloucester service users: Eligibility assessments: The Forensic CLDT acts as a first point of contact for the criminal justice system when they are seeking assessment of eligibility for LD offender interventions. One eligibility assessment was completed for a person not previously known to CLDTs in This person was accepted as eligible for LD services. The team carries out a joint assessment with an experienced colleague from the local CLDT and a joint decision is made on whether they are eligible for LD services. Therefore, all of the 6 referrals to South Glos were accepted as eligible and offered a service. Detailed Forensic risk assessment and risk management advice: One full forensic risk assessment report was completed for a new referral and three were either started or completed for service users on the pre-existing caseload. Forensic risk assessments involve working closely with the service user and those involved in their care, gathering and examination of detailed historical information, assessing the service users current presentation, interviewing significant others, such as family and care staff and compiling a detailed report with recommendations. Advice and consultancy and assessment: Two new referrals received advice, consultancy and further assessment (including advice on risk management). Individual therapy: Two new referrals received individual therapy. Two people from the existing caseload also received individual therapy during A further one person declined the offer of individual work. Group work: The team started another round of the Men s Group (sex offender treatment). No one from South Glos participated in this course.

9 Bath & North East Somerset The team received 6 referrals from B&NES in Probation LADS Social Care Complex Health Needs Team Early Intervention Family/Self Figure 8: Referral source for new referrals to Avon Forensic CLDT from B&NES in 2016 Offence type for referrals from BANES Sexual Violence/Threats Damage to Property Fire Setting Figure 9: Offence type for new referrals to Avon Forensic CLDT from B&NES in 2016 Note: Two referrals were requesting work with two different offending behaviours; therefore, the above pie chart represents 8 different offences for the 6 referrals to BANES in 2016

10 Interventions carried out for Bath & North East Somerset service users: Eligibility assessments: The Forensic CLDT acts as a first point of contact for the criminal justice system when they are seeking assessment of eligibility for LD offender interventions. All of the people referred to the service in 2016 were already known to LD services, therefore we did not need to undertake any eligibility assessments for new BANES clients. One person on the existing caseload was in the process of being assessed, and was found not to be eligible for LD services. This person received advice and signposting to other services. Detailed Forensic risk assessment and risk management advice: Two full forensic risk assessment reports were completed for new referrals in Forensic risk assessments involve working closely with the service user and those involved in their care, gathering and examination of detailed historical information, assessing the service users current presentation, interviewing significant others, such as family and care staff and compiling a detailed report with recommendations. Advice and consultancy and assessment: One new referral and two cases from the preexisting caseload received advice, consultancy and further assessment Individual therapy: Three people on the existing caseload received individual therapy. A further three people declined the offer of individual work. Group work: The team started another round of the Men s Group (sex offender treatment) and one man from BANES participated in the full course which is due to end in summer 2017.

11 North Somerset The team received 6 referrals from North Somerset in Social Care CLDT Probation BASS Figure 10: Referral source for new referrals to Avon Forensic CLDT from North Somerset in 2016 Sexual Violence/Threats Figure 11: Offence type for new referrals to Avon Forensic CLDT from North Somerset in 2016 Note: One referral was requesting work with 2 different offending behaviours; therefore, the above pie chart represents 7 different offences for the 6 referrals to North Somerset in 2016 Interventions carried out for North Somerset service users:

12 Eligibility assessments: The Forensic CLDT acts as a first point of contact for the criminal justice system when they are seeking assessment of eligibility for LD offender interventions. Two eligibility assessments were completed for a people not previously known to CLDTs in Neither of these people were assessed as eligible for LD services and thus received advice and signposting. Therefore, 4 of the 6 referrals to North Somerset were accepted as eligible and offered a service. Detailed Forensic risk assessment and risk management advice: Two full forensic risk assessment reports were completed for new referrals in Forensic risk assessments involve working closely with the service user and those involved in their care, gathering and examination of detailed historical information, assessing the service users current presentation, interviewing significant others, such as family and care staff and compiling a detailed report with recommendations. Assessment and advice: Two new referrals received advice and consultation. In addition five people on the existing caseload received consultation and advice from the team. Individual therapy: One person on the existing caseload received individual therapy with the team. Group work: During 2016 no service users from North Somerset participated in the Men s Group sex offender treatment programme. 2. Clinical Programmes The team provide the majority of their clinical interventions on an individual basis, however we also run a group for men with LD who are at risk of sexual offending (The Men s Group). During 2016 there was not sufficient clinical demand to run the Good Thinking! Course and therefore the service provided Thinking Skills work on an individual basis. Men s Group Sex Offender Treatment The sex offender treatment programme is a comprehensive and specialist approach to the treatment of this hard to engage client group and aims to: Improve understanding of the individuals risks and how risk can be mediated Inform risk management plans through greater understanding of the individuals offending behaviours Develop the individuals sense of responsibility and their ability to manage their own risks with support from agencies Help the individual reduce the severity and/or frequency of their sexual offending Provide advice to services on safe care management aiming for the individual to lead as independent a life as is possible within the constraints of appropriate risk management. For example, those successfully completing the programme may move to a less restrictive placement.

13 The programme involves: Detailed forensic risk assessment Engagement and motivation work Consultation, advice and support to the service user, clinical teams, support services, family members, police, probation and other involved services regarding the care, treatment and risk management needs of the individual Contribution to and attendance at MAPPA meetings, CPA and other reviews Specialist psychological assessments to inform treatment approach 18 month sex offender treatment group comprising weekly sessions of 2 hours duration, regular liaison with direct care providers and others Minimum of 6 months of maintenance sessions provided every month once active treatment has concluded Administration of pre and post group outcome measures to aid evaluation of treatment goals Full and detailed report on the participants progress with full recommendations Ongoing support to the individual, their care team and local CLDT until this support is no longer required The team started a new round of the Men s Group in June 2016 and this is likely to be completed in July The group is comprised of four men from Bristol and Bath. The team maintains a list of potential participants for future groups and will provide individual therapy prior to the group starting if appropriate. We provide sex offender treatment on an individual basis where group therapy is not appropriate. Progress: This is a difficult and demanding course for the participants, and despite this we have a high completion rate. We aim to measure the efficacy of the group and, to that end, a number of outcome measures are used, including measures of sexual knowledge, victim empathy, denial, locus of control and attitudes towards sexual offending. Individual progress reports are written for each group member at the end of the programme. Combined results showing overall progress will be presented in the 2017 report. 3. Domestic Violence In 2016, the team completed a service evaluation to identify the number of domestic violence referrals received by the Forensic CLDT and the number of referrals received by the sector CLDTs with whom the Forensic CLDT works. A literature review completed as part of the evaluation demonstrated a lack of an empirical evidence base for working with perpetrators of domestic violence who have a learning disability, and it was concluded that this has implications for the delivery of interventions for this group. Within the Probation Service, an individual is likely to be excluded from DVA perpetration programmes if they have an intelligence quotient (IQ) under 80. One element of an intellectual

14 disability is an IQ below 70 (British Psychological Society, 2000). Therefore, if no alternative treatment programmes for DVA perpetration exist, there is likely to be a group of people who are not receiving an evidence based intervention on the basis of their IQ. The evaluation noted that the observed dearth in the literature suggests that there is a lack of understanding of the prevalence of DVA perpetration by individuals with an intellectual disability, including the likely treatment pathways and recidivism risks. The evaluation was completed in May 2016 and found that a significant proportion of referrals to the Avon Forensic CLDT relate to the perpetration of domestic violence abuse. However, the majority of those referrals did not directly refer to the violence as domestic violence abuse and for a significant proportion, the reason for referral was not specifically due to DVA. In regard to referrals made to the sector Community Learning Disabilities Teams, the results of the evaluation indicated that a number of referrals made to these teams reference behaviours that, according to the Home Office definition, would be classified as Domestic Violence Abuse, however such behaviour was infrequently referred to as DVA. The finding that the CLDTs receive a lower percentage of referrals referencing DVA than the AFCLDT was seen as positive as it indicates that there is no significant unmet need within the CLDTs, thus suggesting that the current care pathway for offenders is effective. Copies of the completed report are available from the team on request. Charlotte Swift and Erin Waites presented initial findings at the International Conference for Offenders with Learning Disabilities in Manchester in April Charlotte Swift has been collaborating with Professor Erica Bowen, Professor of Violence Prevention Research with the National Centre for the Study and Prevention of Violence and Abuse (NCSPVA) at the University of Worcester, to develop a programme of research to study the issue of domestic violence within the field of intellectual disabilities. 4. Substance Misuse The team have been developing their links with substance misuse services in Bristol in order to effectively support service users where substance use issues are integral to their offending risk. Several pieces of joint working with organisations such as Bristol Drugs project (BDP), Addiction Recovery Agency (ARA) and AWP Specialist Drug and Alcohol Services (SDAS) have been achieved. This has had the benefit of not only supporting the individual service user but has helped develop the knowledge, skills and confidence of the practitioner s involved in meeting the complex needs of a person with learning disabilities who has alcohol and/or substance misuse needs. A meeting was held with key representatives from Recovery Orientated Alcohol and Drugs Services (ROADS) in November to explore how the pathways for people with learning disabilities accessing and engaging with these services could be improved. Further meetings and a possible pilot project in an area of Bristol will hopefully be explored further.

15 Substance misuse was a topic of discussion at one of our Forensic Practitioners forums last year. The forum was attended by members of staff from community learning disability teams as well as representatives from specialist drug and alcohol services. This was a great opportunity to learn and share information and advice about best practice. A member of the forum presented an informative session about novel psychoactive substances (legal highs), their effects, risks, treatment and the new Psychoactive Substances Act which has been developed to try to curb the production and supply of such substances. The team have also been involved in providing Learning disability awareness training for substance misuse practitioners in prisons. The team provided resources and good practice examples to Public Health England for the development of their best practice guide: with_learning_disabilities:_making_reasonable_adjustments_to_services 5. Women Women continue to account for a small percentage of our referrals (11% in 2016, 14% in 2015). We continue to provide individual offender treatment to women when appropriate and liaise closely with Vinney Hui, LD nurse practitioner in Eastwood Park women s prison. The team s experience of working with women reflects the well-documented experiences of those working with women in mainstream forensic services who present with a range of interpersonal and intrapersonal difficulties in addition to their forensic risks. We will continue to review the way that we work with women and the services we offer. 6. Internet Offending An internet safety training pack for support staff was completed in 2016 jointly with colleagues from Community Learning Disability Teams in Bristol and Bristol Intensive Response Team. The working group presented the pack at a South West and Wales Practitioners Forum Meeting December. A pilot of the training pack was delivered to Bristol CLDT staff in 2016, and similarly a pilot was also run for college staff working with young people with learning disabilities. Feedback was positive, and staff reported that the package was useful and gave them ideas for how to deliver training to service users. The package includes a training package and top tips for service users. The package is available on request from our team or the CLDT. 7. Service User Involvement. The Service User Forum has continued to meet on a monthly basis, with service user representatives invited from each area the team serves. The Forum celebrated its first anniversary in October The meetings take place on the 4 th Thursday of every month at 1pm at

16 Petherton Road Resource Centre and last for an hour. Service users are paid for attending and any travel costs incurred can also be reimbursed. Service users can attend independently or with support from family or carers who are welcome to participate in the meetings. The Forum has been well attended and has been very busy. The focus of the group is to gain service users views and encourage engagement and involvement on a number of issues.the Forum has welcomed speakers from AWP and other organisations, who have talked to the group and answered questions about their job roles and the services they provide. Members of the group are enthusiastic and have enjoyed taking part in a variety of activities outside of the monthly meetings. Two forum members presented with the team at the AWP Specialised Services day. They talked about the work the forum does and how they feel about being a part of it. The same two service users went on to attend and participated in a large service user and carer engagement and involvement event at Fry s conference centre. This event was held to seek opinion about the AWP Service User Engagement and Involvement Strategy. Our representatives made sure that people with learning disabilities were included and had an opportunity to share their thoughts and views. One of the members recently attended the AWP trust wide Service user group as a representative of the forum. This year service users have helped the team to change their Family and Friends survey form to make it more accessible and meaningful to them. The group has reviewed and commented on Easy Read information and leaflets from other AWP services including a sharing information and consent form used by the AWP Liaison and Diversion service. The forum has also been asked to review other Trust Easy read information leaflets and documents and a plan is in place for this work to start in The forum members have been involved in staff training, one member has been happy to share his story of involvement with criminal justice services, another participated in student nurse training. An opportunity for members to share their stories more widely to help other people to understand the needs of people with Learning disabilities in the criminal justice service has been taken up. A work shop was organised by MultiStory Project and some forum members signed up to tell their stories and become part of a book which will be produced. Some of the forum members are going to be involved in helping us to make our website more accessible and have agreed to be involved in a short information film. One of our regular forum members has been actively involved in recruitment of new staff and has successfully helped our service and another service recruit to two posts during Over recent months the forum has been thinking about and planning for the forthcoming Learning Disability Celebration Day to be held on 16 th June The members have been involved in thinking about what they would like the day to be about, the types of activities and performances as well as being involved in the design of the advertising poster and fundraising at a recent ALDERN conference.

17 8. Interface with other Services The team maintain and continue to develop links with other agencies on a local and national basis. We continue to provide Rehabilitation Activity Requirement (RAR previously known as a SOBAR) in liaison with Bristol probation service and continue to provide this throughout Avon. This involves a formal pathway and joint working process whereby the Forensic CLDT provides specialist LD offender treatment whilst the Probation Service provides supervision to the individual. The RAR is normally agreed at the pre-sentence stage of the court process. The team continued to attend MAPPA meetings throughout Avon and provide advice and consultation to other LD practitioners attending MAPPA meetings. A small number of people who have LD and present significant risk to themselves and others require a period of assessment and treatment in specialist LD inpatient settings. During 2016, 1 individual on the Forensic CLDT caseload was admitted to a specialist Learning Disabilities inpatient facility. Where admission to an inpatient facility is being considered the team liaise closely with the local CLDT, social services, prison LD nurse and others involved in the persons care. In addition, where the individual may require low or medium-secure settings the team liaise with the Forensic Intellectual and Neuro-Developmental Disorders (FINDD) team who gate-keep for secure services in this area. Where the individual is likely to be an inpatient for some time, the team normally close the case with the view to accepting a re-referral when a return to local community services is being considered. The team are happy to continue in a liaison and advisory role throughout the inpatient stay in individual cases if this is thought to be appropriate and useful. The team have worked closely with the FINDD team during 2016 in order to provide peer supervision and sharing of expertise as both services recognise the value of the other and the importance of joined-up working. The team continue to work closely with the LD Nurse Practitioner, Pip Hodge, at HMP Bristol and LD Nurse Practitioner, Vinney Hui, at HMP Eastwood Park. Liaison with the prison nurse involves joint assessments, joint therapeutic sessions with inmates who have LD and supporting Pip and Vinney in their roles. During 2016 the team continued to work closely with the Court Liaison and Diversion Service (previously known as CARS) and Angela Phillipou, LD Nurse Practitioner. The service covers all areas across Avon and Wiltshire and has now expanded to provide a service to Police Stations at Salisbury, Swindon, Melksham, and stations in Bristol including Broadbury Road, Southmead, Trinity Road and Staple Hill. Team practitioners also work in Weston Police Station and North Somerset Magistrates Court. The LD practitioner provides advice and support to the whole L&DS area. If potential LD cases are identified by other practitioners, they are discussed and advice, consultation and signposting is provided as necessary. The Forensic CLDT works closely with the L&DS alongside the local CLDT. This greatly enhances the Care Pathway and enables a timely response to the courts. The team continue to work closely with local CLDTs, including joint eligibility assessments, joint therapeutic work, training and the development of different projects including Internet Safety with Bristol CLDTs. The team recognise and highly value these good working relationships. 9. Training Provided to Others

18 The team continues to provide supervision and training to other AWP and non-awp services within Avon, including opportunities to co-facilitate group work, observe assessments and other interventions and engage in joint working opportunities as well as more formal supervision arrangements. The team have a role in training Psychiatrists of all levels in aspects of Forensic LD. Clinicians from other teams attend the teams referrals meetings as a means of enhancing their knowledge and skills in this area. During 2016 the team taught on and provided placements to trainees on the Clinical Psychology Doctoral course at the University of Bath University. Alongside colleagues from related services and service users we have taught 3 rd Year student LD nurses at the University of West of England on working with offenders who have LD and provided opportunities for student LD nurses to observe assessments and interventions where appropriate to do so. We also provided training to Eastwood Park and Bristol Prison staff on LD awareness alongside our AWP colleagues. 10. South West and Wales Practitioners Forum In 2016, the team continued to chair the Practitioners Forum for clinicians who work with (or have an interest in) people with LD who are at risk of offending. The Forum is aimed at those working in the South West of England and Wales and aims to meet with others working in the field of forensic LD or who have an interest in the area and to discuss clinically relevant issues, to share ideas, experiences and areas of good practice. During 2016 the forum met quarterly and discussed the following topics: Working with LD service users who misuse substances Guest speakers from the University of Bath discussing their research, including: Autism and Offending: A quantitative understanding of the reasons for offending and Autistic Vulnerability in Police Interviews: Suggestibility vs. Compliance Guest speakers from Circles South West and their unique contribution to public protection Guest speaker from NHS England presenting on the topic of Community Forensic Support for people with a learning disability and or autism - a national perspective 11. Research and audit The team have an on-going commitment to demonstrating the efficacy and efficiency of the service. To this end, the team continue to develop a comprehensive database of referrals, to assess pathways and outcomes of referrals to the service and analyse these on an on-going basis. Wendy Goodman continues in her role on the editorial board of the Journal of Intellectual Disabilities and Offending Behaviour and has provided peer reviews for a number of articles during Charlotte Swift has jointly written a literature review paper with Professor Erica Bowen entitled The Prevalence and Correlates of Partner Violence Used and Experienced by Adults with Intellectual

19 Disabilities: A Systematic Review and Call to Action. This has been submitted to the academic journal Trauma, Violence and Abuse and is currently under review. The team will submit a paper for publication in an academic journal in 2017 about the domestic violence service evaluation that has been completed. Charlotte Swift is named as a Co-Investigator on a proposal for a programme of research looking at domestic violence in individuals with learning disabilities and this proposal will be submitted to ESRC in The team presented research and clinical applications at the following conferences: ALDERN (Avon Learning Disabilities Education & Research Network) on Domestic Violence and Abuse and Internet Safety Annual ALDERN conference on the assessment and treatment of LD fire setters International Care & Treatment of Offenders with an Intellectual or Developmental Disability on Domestic Violence & Abuse AWP Specialised Conference (jointly presented with two service users) on the Service User Forum Summary of outstanding issues and recommendations: The team alongside colleagues in CLDTs and social services have experienced difficulties identifying and accessing appropriate support and accommodation for some service users, particularly those with a sexual offending or fire setting history Action: The team would like to discuss this need with Commissioners The team have received a number of enquiries regarding assessment and treatment for adults at risk of offending who have Autism and who do not have learning disabilities. We plan to examine this need more closely in 2017 with a view to advising commissioners. Action: Carry out consultation/audit in regard to local prevalence and needs of adults with Autism (Non-LD) at risk of offending Forensic CLDT goals for 2017and beyond are attached to this report

20 Team contact details: Team secretary: Team base: Petherton Resource Centre, 3 Petherton Road, Hengrove, Bristol, BS14 9BP. T: F: ~ This report is also available in an accessible version ~