Faculty of Forensic Psychiatry Annual Conference 6 – 8 March 2019 Hilton Vienna
Conference Programme
Wednesday 6 March
08:00 – 08:55 Registration
09:00 – 09:10 Introductory remarks
Professor Pamela Taylor, Chair, Faculty of Forensic Psychiatry
09:10 – 11:10 Themed plenary session: Causing harm to others: psychopathology and treatment Chair: Dr Andrew Forrester, Academic Secretary, Faculty of Forensic Psychiatry
09:10 – 09:30: Dying of shame: suicide in indecent images of children suspects
Dr Frank Farnham, Consultant in Forensic Psychiatry, North London Forensic Service, Honorary Senior Lecturer in Security and Crime Science, Jill Dando Institute of Security and Crime Science, University College London
Dr Alan Underwood, Clinical Psychologist, North London Forensic Service and University College London
09:30 – 09:50: Implicit tests in the assessment of sexual preferences: from scientific evidence to judicial proof
Professor Marc Graf, Professor of Forensic Psychiatry, Basel, Switzerland
09:50 – 10:10: From suicide prevention to homicide prevention: how situational crime reduction helped tackle Scotland’s knife culture and its use managing those in mental health services with histories of violence
Dr John Crichton, Consultant Forensic Psychiatrist, Chair of the Royal College of Psychiatrists in Scotland, Vice President of the Royal College of Psychiatrists
10:10 – 10:30: Homicide and mental disorder
Professor Jenny Shaw, Professor of Forensic Psychiatry, University of Manchester
10.30 – 10.50: The clinical needs of adult firesetters
#ForensicPsych19 Professor Theresa Gannon, Professor of Forensic Psychology, University of Kent
10:50 – 11:10: Questions and panel discussion
11:10 – 11:35 Refreshments, poster and exhibit viewing
11:40 – 13:00 Keynote plenary session
Chair: Professor Lindsay Thomson, Professor of Forensic Psychiatry, University of Edinburgh
11:40 – 12:05: Independent review of the Mental Health Act
Professor Sir Simon Wessely, Regius Professor of Psychiatry, King’s College London
12:05 – 13:00: A future for forensic mental health: escaping from the labyrinth of process and power politics into clinical practice
Professor Paul Mullen, Emeritus Professor of Forensic Psychiatry, Monash University, Melbourne
13:00 – 13:55 Lunch, poster and exhibition viewing
14:00 – 14:15 President’s Address Professor Wendy Burn, President of the Royal College of Psychiatrists Chair: Dr Jeremy Kenny-Herbert, Clinical Director, Secure Services, Birmingham and Solihull Mental Health NHS Foundation Trust
14:15– 15:10 Debate: This house believes that the indefinite restricted hospital order in its present form is no longer fit for purpose
Chair: Dr Jeremy Kenny-Herbert, Clinical Director, Secure Services, Birmingham and Solihull Mental Health NHS Foundation Trust
For the motion:
Dr John Baird, Risk Assessor, Risk Management Authority, Scotland
Dr Gerard Waldron, Consultant in Forensic Psychiatry, East London NHS Foundation Trust
Against the motion:
Dr Jessica Yakeley, Consultant Psychiatrist in Forensic Psychotherapy and Director, Portman Clinic, Tavistock and Portman NHS Foundation Trust
Dr Iain McKinnon, Consultant Forensic and Learning Disability Psychiatrist, Northumberland, Tyne and Wear NHS Foundation Trust
#ForensicPsych19 15:10 – 15:35 Refreshments, poster and exhibition viewing
15:40 – 17:30 Themed plenary session: Rights and responsibilities in detention Chair: Dr Tim Exworthy, Consultant in Forensic Psychiatry, Cygnet Healthcare, Stevenage, and Visiting Senior Lecturer, Institute of Psychiatry, Psychology and Neuroscience 15:40 – 16:00: Schizophrenia, violence and society Professor Hans Schanda, Emeritus Professor of Forensic Psychiatry, University of Vienna 16:00 – 16:20: The European Committee for the Prevention of Torture Dr Clive Meux OBE, Consultant Forensic Psychiatrist, Oxford Health NHS Foundation Trust 16:20 – 16:40: Restricted patients – the role of the Secretary of State for Justice Natalya O’Prey, Head of Mental Health Casework Section, Public Protection Group, Her Majesty’s Prison and Probation Service 16:40 – 17:00: Deprivation of liberty in the criminal justice system – prison or hospital? District Judge Susan Green, Designated Judge for South London Local Justice Area and First Tier Tribunal Judge 17:00 – 17:20: Taking a rights-based approach to the delivery of rehabilitation in Liverpool prison Pia Sinha, Governor, Her Majesty’s Prison Liverpool 17:20 – 17:30: Questions and discussion
17:30 – 18:00 Faculty report and business meeting
18:00 – 19:00 Drinks reception, poster and exhibition viewing
Thursday 7 March
08:45 – 09:25 Registration, refreshments, poster and exhibition viewing
09:30 – 09:40 Crime in Mind
Professor John Gunn, Chair, Crime in Mind
#ForensicPsych19 09:40 – 11:30 Clinical and research updates plenary session Chair: Professor Kris Goethals, Professor of Forensic Psychiatry, University of Antwerp
09:40 – 10:00: New care models in secure services
Dr David Fearnley, Associate National Clinical Director for Secure Mental Health and Chair, Adult Secure Clinical Reference Group, NHS England
10:00 – 10:20: Novel psychoactive substances: identifying and managing acute and harmful use
Dr Derek Tracy, Consultant Psychiatrist, Oxleas NHS Foundation Trust
10:20 – 10:40: The Engager RCT: can a complex ‘through the gate’ intervention improve outcomes for prison leavers with common mental health problems?
Professor Richard Byng, Professor in Primary Care Research, Plymouth University Peninsula School of Medicine
10:40 – 11:00: Developing an evidence base for the management of self-harm for women in prison
Dr Louise Robinson, Consultant Forensic Psychiatrist, Lancashire Care NHS Foundation Trust and Honorary Senior Lecturer in Forensic Psychiatry, University of Manchester
11:00 – 11:20: Measurement of clinicians’ awareness of staff-patient dynamics and processing emotional impact; determining validity and reliability of the Relational Aspects of CarE (TRACE) scale
Dr Helen Walker, Consultant Nurse, Forensic Network Scotland and Clinical Senior Lecturer, University of the West of Scotland
11:20 – 11:30: Panel questions and discussion
11:30 – 11:55 Refreshments, poster and exhibition viewing
12:00 – 13:00 Keynote plenary session
Forensic mental health models of care: A case for cultural inclusion
Chair: Professor Jenny Shaw, Professor of Forensic Psychiatry, University of Manchester
Professor Brian McKenna, Auckland University of Technology, Auckland, New Zealand
13:00 – 13:55 Lunch, poster and exhibition viewing
#ForensicPsych19 14:00 – 15:30 Parallel symposia
Treatment of offenders regarded as not guilty for reasons of insanity in Austrian forensic institutions Chair: Dr Alexander Dvorak, Austrian Ministry of Justice, JA Gollersdorf
Dr Gerhard Ortwein-Swoboda, Austrian Ministry of Justice, JA Gollersdorf
Dr David Holzer, Medical University of Vienna, JA Gollersdorf
Dr Sergio Rosales-Rodriguez, Medical University of Vienna, JA Gollersdorf
Medical student reviews of key topics in forensic psychiatry
Chair: Dr Aideen O’Halloran, Consultant in Forensic Psychiatry, West London NHS Trust
Talk 1: ADHD and crime: what is the relationship? Can implementation of pharmacological and psychosocial interventions facilitate offender rehabilitation?
Lucia Almazan Sanchez, GKT School of Medicine, King’s College London
Talk 2: Biological explanations of aggression and the medicolegal implications
Lavin Assad, University of Exeter Medical School
Talk 3: Does psychopathy really belong in forensic psychiatry
Esme Beer, University of Glasgow
Talk 4: Diseased or demonic: how can we understand paedophilia?
William Perchard, Leicester Medical School
Talk 5: Into the unknown: a discussion of transforming care
Andrew Taylor, University of Sheffield
Out of mind, out of sight: media issues in mental health facilities
Chair: Dr Tim McInerny, Consultant in Forensic Psychiatry, South London and Maudsley NHS Foundation Trust
John Kastner, film-maker, Toronto, Canada
#ForensicPsych19 Fusion Legislation and Forensic Psychiatry: A Discussion on a Radical Change in Mental Health Law and the Merits of Adopting a Capacity Based Approach
Chair: Dr Philip Campbell, Consultant Forensic Psychiatrist, Southern Health and Social Care Trust
Dr Adrian East, Consultant Forensic Psychiatrist, Chair of RCPsych NI Forensic Faculty, Southern Health and Social Care Trust
Dr Philip Anderson, Consultant Forensic Psychiatrist, Forensic Child and Adolescent Mental Health Service for Northern Ireland, Belfast Health and Social Care Trust
CALMED, the world’s first randomised controlled trial of Clozapine for inpatients with severe borderline personality disorder 2019-2021
Chair: Dr Marco Picchioni, Consultant Forensic Psychiatrist, St Magnus Hospital, and Honorary Senior Lecturer, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Personality disorder current treatment guidelines Dr Inti Qurashi, Consultant Forensic Psychiatrist, Mersey Care NHS Foundation Trust
The evidence for a role for clozapine in BPD Dr Piyal Sen, Consultant Forensic Psychiatrist, Elysium Healthcare and Institute of Psychiatry, Psychology and Neurosciences, King’s College London
CALMED: study aims and design Dr Katina Anagnostakis, Consultant Forensic Psychiatrist, St Andrew’s Healthcare
#ForensicPsych19 Future mental health care in prisons - where are we now and what should come next?
Chair: Dr Andrew Forrester, Consultant in Forensic Psychiatry, Greater Manchester Mental Health NHS Foundation Trust
Ms Kate Morrissey, National Programme Manager, Mental Health Secure and Detained, NHS England
Dr V M Sandeep Mathews, Consultant in Forensic Psychiatry, Greater Manchester Mental Health NHS Foundation Trust
Dr Pratish Thakkar, Consultant in Forensic Psychiatry, Tees, Esk and Wear Valley NHS Trust
Dr Steve Barlow, Consultant in Forensic Psychiatry, Tees Esk and Wear Valley NHS Trust
Dr Pamela Walters, Consultant in Forensic and Addictions Psychiatry, South London and Maudsley NHS Foundation Trust
Ms Katrina Forsyth, Research Associate, University of Manchester
Professor Jenny Shaw, Professor of Forensic Psychiatry, University of Manchester
Far North Queensland Court Liaison Service - An innovative service plan in rural and remote Australia
Chair: Dr Ian Cumming, Consultant in Forensic Psychiatry, South London and Maudsley NHS Foundation Trust
Dr Sobia Khan, Consultant Forensic Psychiatrist, Queensland Health, Australia
The management of transgender people in secure services Chair: Dr Andrew Iles, Consultant Forensic Psychiatrist, Surrey and Borders NHS Partnership Trust Dr Paula Murphy, Consultant Forensic Psychiatrist, St Andrew’s Healthcare Dr Callum Ross, Consultant in Forensic Psychiatry, West London Mental Health Trust Dr James Barrett, Consultant Psychiatrist, Charing Cross Gender Identity Clinic
Dr Sally Lopresti, Senior Lecturer and Chartered Forensic Psychologist, Nottingham Trent University
#ForensicPsych19 15:30 – 15:55 Refreshments, poster and exhibition viewing
16:00 – 17:30 Parallel symposia
Veterans in the criminal justice system: how best do we meet their needs?
Chair: Dr Steffan Davies, Consultant in Forensic Psychiatry, Nottinghamshire Healthcare NHS Foundation Trust
Dr Deirdre Macmanus, Senior Clinical Lecturer, King’s College London and Consultant Forensic Psychiatrist, South London and Maudsley NHS Foundation Trust
Professor Neil Greenberg, Professor of Defence Mental Health, King’s College London and Veteran Lead, Royal College of Psychiatrists
Exploring mechanisms of impact for the Engager Intervention to determine ‘what works for whom, where, why, and when’
Chair: Professor Richard Byng, Professor in Primary Care Research, University of Plymouth and Chief Investigator, Engager Programme
Dr Laura Weston, Research Assistant, University of Plymouth
Dr Sarah Rybczynska-Bunt, Research Fellow, University of Plymouth
Dr Tim Kirkpatrick, Research Fellow, University of Plymouth
Deprivation of Liberty: Practical problems with conditional discharges
Chair: Dr Sandeep Mathews, Consultant in Forensic Psychiatry, Greater Manchester Mental Health NHS Foundation Trust
Dr Sophia Anwar, Consultant in Forensic Psychiatry, Oxford Health NHS Foundation Trust
Hannah Taylor, Senior Associate, Bevan Brittan LLP and Chair of the South West Court of Protection Practitioner Association
Service specification to service delivery – developing a new forensic mental health service
Chair: Dr Janet Parrott, Consultant in Forensic Psychiatry, Oxleas NHS Foundation Trust
Dr Suzanne Coghlan, East of England Community FCAMHS, Consultant Child and Adolescent Forensic Psychiatrist
Dr Tina Irani, West Midlands Community FCAMHS, Consultant Child and Adolescent Forensic Psychiatrist
#ForensicPsych19 Use of formulation to understand risk of violent extremism in individuals with poor mental health: examples from clinical practice
Chair: Professor Tom Fahy, Professor of Forensic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Speaker: Dr Nicola Fowler, Clinical Psychologist, Birmingham and Sollihull Mental Health Foundation Trust
Speaker: Dr Nat Rowe, Consultant Forensic Psychiatrist, Birmingham and Sollihull Mental Health Foundation Trust
Square pegs in round holes – people with high functioning autism in forensic settings
Chair: Professor Annie Bartlett, Professor of Forensic Psychiatry, St George's, University of London
Dr Kalpana Dein, Locum Consultant Forensic Psychiatrist, HMP Thameside
Dr Marc Woodbury-Smith, Clinical Senior Lecturer/Honorary Consultant, University of Newcastle
Dr Louise Robinson, Consultant Forensic Psychiatrist, Lancashire Care NHS Foundation Trust and Honorary Senior Lecturer, University of Manchester
Dr Heidi Hales, Consultant Adolescent Forensic Psychiatrist, West London NHS Trust
Premature morbidity and obesity in forensic patients: can we change this terminal pathway? A prevention and treatment action plan.
Chair: Dr Shubulade Smith, Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust and Clinical Senior Lecturer, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Professor Lindsay Thomson, Professor of Forensic Psychiatry, University of Edinburgh
Dr Khuram Khan, Consultant Forensic Psychiatrist, The State Hospital, Carstairs
#ForensicPsych19 Research symposium (ten minute talks)
Chair: Dr David Ho, Consultant Forensic Psychiatrist, Head of Research and Innovation, Essex Partnership NHS Foundation Trust
Talk 1: Gender and prison mental health: a qualitative pilot study in a women’s prison in Chile
Dr Anne Aboaja, Consultant in Forensic Psychiatry, Tees, Esk and Wear Valleys NHS Foundation Trust
Talk 2: Prevalence of mental disorder and unfitness to plead in defendants attending Magistrates’ Court
Dr Penelope Brown, Clinical Research Fellow and Consultant in Forensic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Talk 3: Forensic psychiatry in the Victorian era: a retrospective review of male admissions in Europe’s oldest forensic hospital (1850 – 1860)
Dr Marie Lynch, Registrar, Central Mental Hospital, Dublin
Talk 4: Clinical and demographic characteristics of patients with neurodevelopmental disorders in a Canadian forensic program
Dr Ipsita Ray
Talk 5: Autopsy on the dead Doctor
Dr Karuna Sandra Thomas, Assistant Professor in Psychiatry, Believers Church Medical College Hospital, Kerala, India
Parallel working group meetings
17:30 – 18:15 Conference organising committee
Chair: Dr Andrew Forrester, Greater Manchester Mental Health NHS Foundation Trust
17:30 – 18:15 Regional representatives meeting
Chair: Dr Renarta Rowe, Birmingham and Solihull Mental Health NHS Trust
17:30 – 18:30 Adolescent Forensic Psychiatry Special Interest Group Meeting
17:30 – 18:30 Forensic Training Programme Directors
Chair: Dr Nick Taylor, East Midlands TPD
17:45 – 18:30 Fun run
#ForensicPsych19 19:30 Reception and conference dinner
Friday 8 March
08:30 – 08:55 Registration, refreshments, posters and exhibition viewing
09:00 – 10:30 Parallel Masterclass and research symposium sessions
Masterclass 1
Pathways to serious violence
Chair: Professor Norbert Nedopil, Emeritus Professor of Forensic Psychiatry, University of Munich, Germany
Professor Jeremy Coid, Professor of Epidemiology in Psychiatry, West China Brain Research Centre, Sichuan, China; Visiting Professor, Institute of Psychiatry, Psychology and Neuroscience, King’s College London; Emeritus Professor of Forensic Psychiatry, Queen Mary University of London Dr Mary Davoren, PD Pathway Broadmoor and High Secure research lead
Masterclass 2 Screening, triage and logic models of care in places of detention Chair: Dr Luke Birmingham, Consultant in Forensic Psychiatry, Southern Health NHS Foundation Trust Professor Tonia Nicholls, Professor, Psychiatry, University of British Columbia, Canada Dr Michael Martin, Manager, Mental Health Epidemiology, Correctional Services of Canada and Adjunct Professor, School of Epidemiology and Public Health, University of Ottawa, Canada Dr Roland Jones, Forensic Psychiatrist, Centre for Addiction and Mental Health, Toronto, and Assistant Professor, University of Toronto
Professor Sandy Simpson, Chief, Forensic Psychiatry, Centre for Addictions and Mental Health, Toronto, Canada
Masterclass 3
Delusional Disorder
Chair: Professor Catherine Kinane, Executive Medical Director, Kent and Medway NHS and Social Care Partnership Trust
#ForensicPsych19
Professor Paul Mullen, Emeritus Professor of Forensic Psychiatry, Monash University, Melbourne
Dr Frank Farnham, Consultant Forensic Psychiatrist, Fixated Threat Assessment Centre (FTAC), London
Dr Simon Wilson, Consultant Forensic Psychiatrist, Fixated Threat Assessment Centre (FTAC), London
Masterclass 4
Resistance to change
Chair: Dr Brian Darnley, Consultant Forensic Psychiatrist and Medical Psychotherapist, Clinical Director of Secure Services, Devon Partnership NHS Trust
Dr Cleo van Velsen, Consultant in Forensic Psychotherapy
Dr Celia Taylor, Consultant in Forensic Psychiatry, Millfields Unit, John Howard Centre, East London NHS Foundation Trust
Masterclass 5
Current thinking on mental capacity
Chair: Dr Penelope Brown, Clinical Research Fellow and Consultant in Forensic Psychiatry, King’s College London and South London and Maudsley NHS Foundation Trust
Dr Gareth Owen, Senior Lecturer and Honorary Consultant in Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Dr Tim Exworthy, Consultant in Forensic Psychiatry, Cygnet Healthcare, Stevenage, and Visiting Senior Lecturer in Forensic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London
Research symposium (ten minute talks)
Chair: Dr Wolfram Engelhardt, Consultant in Forensic Psychiatry, University of Bern, Switzerland
Talk 1: A mentalisation based therapy group for female prisoners: a pilot study
Mr Harry Stileman, Assistant Psychologist, HMP Bronzefield
#ForensicPsych19 Talk 2: Outcomes of patients discharged from a Medium Secure Unit: extension of the ALACRITy Project
Jodie Westhead, PhD student and Honorary Research Assistant, Nottinghamshire Healthcare NHS Foundation Trust
Talk 3: A training course for MSU inpatients facing Court proceedings designed to reduce their anxiety and increase their knowledge of the Court process
Dr Marc Jeanneret, ST6 Forensic Psychiatrist, Oxleas NHS Foundation Trust
Talk 4: Development of a ligature assessment tool
Dr Reena Panchal, Specialty Doctor, South Staffordshire and Shropshire Health Care NHS Foundation Trust
Talk 5: Growing older in secure mental health services: the user experience
Dr Janet Parrott, Consultant Forensic Psychiatrist, Oxleas NHS Foundation Trust
Talk 6: How much is your ward round worth? A time cost analysis of computer functionality at Wathwood Hospital
Dr Joanne Parry, Consultant Forensic Psychiatrist, Nottinghamshire Healthcare NHS Foundation Trust
10:30 – 10:55 Refreshments, posters and exhibition viewing
11:00 – 12:30 Parallel Masterclasses sessions (repeat Masterclass sessions 1 – 5)
Research symposium (ten minute talks)
Chair: Dr Heidi Hales, Consultant Adolescent Forensic Psychiatrist, West London NHS Trust
Talk 1: Non-attendance at therapeutic engagements in Broadmoor High Secure Hospital: a cost to personal recovery and a financial burden
Dr Saima Ali, CT2 Psychiatrist, West London Mental Health NHS Trust
Talk 2: Distribution of ethnicity among admissions and discharges from Ashworth Hospital
#ForensicPsych19 Dr Pushpindr Ssidhu, ST6 Forensic Psychiatrist, Mersey Care NHS Foundation Trust
Talk 3: Why do some people with no previous criminal history commit homicide? A retrospective cohort study
Dr Kosturika Ash, CT2 Psychiatrist, South London and Maudsley and Oxleas NHS Foundation Trusts
Talk 4: When a patient kills; a survey of the impact on forensic psychiatrists of homicides by patients under their care
Professor Gill Mezey, Professor of Forensic Psychiatry, St George’s, University of London
Talk 5: Widening participation – the impact of 5 years of medical student electives in forensic psychiatry
Dr Elizabeth Masterson, ST4 Psychiatrist, Nottinghamshire Healthcare NHS Trust
Talk 6: Murder at the dinner table: family narratives of forensic psychiatrists
Professor Graham Glancy, Asosciate Professor, Department of Psychiatry, University of Toronto
12:30 – 13:25 Lunch, posters and exhibition viewing
13:30 – 15:30 Plenary session: International perspectives on forensic psychiatry
Chair: Dr Amanda Taylor, Vice Chair, Faculty of Forensic Psychiatry
13:30 – 14:00 - Dr Tim McInerny in conversation with John Kastner: a Canadian film- maker defends exposing forensic psychiatric sufferers to public view
Mr John Kastner, Film-maker, Toronto, Canada
14:00 – 14:20 - Forensic Psychiatry in Europe: legal frameworks and service provision
Professor Birgit Vollm, Professor of Forensic Psychiatry, University of Rostock, Germany
14:20 – 15:20 – Comparing Forensic Psychiatry in the UK and Austria
Dr Alexander Dvorak, Consultant in Forensic Psychiatry, Austrian Ministry of Justice, JA Gollersdorf
Mr Ashley Irons, Partner, Capsticks Solicitors
#ForensicPsych19 Dr Aideen O’Halloran, Consultant in Forensic Psychiatry, West London NHS Trust
Dr Gerhard Ortwein-Swoboda, Consultant in Forensic Psychiatry, Austrian Ministry of Justice, JA Gollersdorf
Dr David Reiss, Consultant in Forensic Psychiatry, West London Mental Health NHS Trust
15:20 – 15:30 Questions and panel discussion
15:30 Close of Conference Professor Pamela Taylor, Chair, Faculty of Forensic Psychiatry
#ForensicPsych19