ABSTRACT

This case study serves to highlight the importance of considering Autism Spectrum Disorder (ASD) profiles within female forensic contexts. Literature reports difficulties attempting to assess, formulate, treat, and manage females with Learning Disability (LD) and additional mental health needs within forensic services. Additional challenges arise when considering those with potential ASD. Gaining insight into this population is essential in developing effective gender-responsive assessment tools and treatment programmes. The psychological assessment and psychoeducation intervention completed with a female psychiatric inpatient in a medium secure LD setting is summarised. It details patient history, referral pathway, and tiered assessment process, including the application of ASD screening and diagnostic assessments as recommended by the National Institute for Health and Care Excellence guidelines. Assessment outcomes are presented and the potential influence of identified ASD traits upon the formulation and subsequent treatment recommendations is explored. Comment is also made upon logistical and practical difficulties of ASD assessment administration within such contexts. It appears important that individuals within forensic contexts be appropriately screened and assessed for other co-morbid disorders. This is to inform understanding, the development of management strategies, and treatment with the ultimate aim of increasing quality of life and reducing future risk of reoffending.