igsev esgvi
et l rnsforming re nd intelletul disilities ylor
IS gre ulity gommissionF gount we in PHIHXesults of the PHIH xtionl U elexnder D riremth eD ghester D qreen pxD qunrtn stD rore F
gensus of snptients nd tients on upervised gommunity retment in ivlution of tretment outomes from medium seure unit for
wentl relth nd verning hisility ervies in inglnd nd lesF ggD people with intelletul disilityF edv went relth sntell hisil PHIIY SX
EQPF PHIIF PP
V ylor tvD xovo F e rief sreening instrument for emotionlly
IT heprtment of relthF luing eopleXe xew trtegy for verning
unstle nd dissoil personlity disorder in mle offenders with
hisility for the PIst genturyF heprtment of relthD PHIIF
ESQF intelletul disilitiesF es hevelop hisil PHIQY QRX SRT
W y9frien qD ylor tvD vindsy D rollnd etD grson hD rie uD et lF IU olfenserger F oil role vloriztionX proposed new term for the
e multiEentre study of dults with lerning disilities referred to priniple of normliztionF went etrd IWVQY PIX PQR EWF
servies for ntisoil or offending ehviourX demogrphiD individulD
offending nd servie hrteristisF t vern hisil yffen fehv PHIHY IX
IV wnsell tD irisson uF heinstitutionlistion nd gommunity vivingX
EISF S
sntelletul hisility ervies in ndinviD fritin nd the eF
ghpmn nd rllD IWWTF IH relth nd oil gre snformtion gentreF verning hisility gensus
eportF rgsgD PHISF
IW eiden rD wgrthy eF gurrent ettitudes owrds hisled eopleF opeD
II xr inglndF gre nd retment eviewXoliy nd quidelines F xr PHIRF
inglndD PHISF
PH iqulity nd rumn ights gommissionF ridden in lin ightXsnquiry IP xr inglndF eople with verning hisility rve uey ole E hr tulie
into hisilityEelted rrssmentF irgD PHIIF rigginsF xr inglndD PHITF eville t httpsXGGwwwFenglndF nhsFukG
lerningdisilitiesGPHITGHSGPTGjulieEhigginsEQG @essed IS eptemer
PHITAF PI heprtment of relthF he frdley eportXvord frdley9s eview of eople
with wentl relth rolems or verning hisilities in the griminl tustie
IQ gumell tF uli poliy in intelletul nd developmentl disilityF
ystemF heprtment of relthD PHHWF
EPHF gurr ypin syhitr PHIHY PQXRIU
IR relth nd oil gre snformtion gentreF snptients pormlly hetined PP vouks xF xo yne unowsXyffenders with verning hif®ulties nd verning
in rospitls under the wentl relth et IWVQD nd tients ujet to hisilitiesF eview of revlene nd essoited xeedsF rison eform
gommunity retmentXennul eportD inglndD PHIQGIR F rgsgD PHIRF rustD PHHTF
reventX wht is preEriminl spec
I I P
hvid qoldergD ushrut tdhvD rek ounis
ftsyh fulletinD PHVEPIID doiX IHFIIWPGpFpFIITFHSRSVS
I
niversity gollege vondonD vondonD
ummry revent is uEwide progrmme within the government9s ntiEterrorism
P
  Á  uY niversite du uee wontrelD
strtegy imed t stopping individuls from supporting or tking prt in terrorist
wontrelD gnd
tivitiesF xr inglnd9s revent rining nd gompetenies prmework requires
gorrespondene to ushrut tdhv
helth professionls to understnd the onept of preEriminl speF his rtile
@sFjdhvdulFFukA
exmines preEriminl speD new term whih refers to period of time during
pirst reeived PW wr PHITD ®nl
whih person is referred to spei® reventErelted sfegurding pnelD ghnnelF st
revision PS tun PHITD epted QI eug
is unler wht the onept of preEriminl spe dds to the revent progrmmeF he PHIT
term should e either lri®ed or removed from the prmeworkF
f PHIU he euthorsF his is n openE
ess rtile pulished y the oyl
helrtion of interest xoneF
gollege of syhitrists nd distriuted
under the terms of the gretive
gommons ettriution viense @httpXGG
retiveommonsForgGliensesGyG
RFHAD whih permits unrestrited useD
distriutionD nd reprodution in ny
mediumD provided the originl work
is properly itedF
I
dilistion is omprle to other forms of exploittionY he revent rining nd gompetenies prmework egins
it is therefore sfegurding issue stff working in the helth
thusX
setor must e wre ofF FFFtff must e le to reognise
revent is prt of the qovernment9s ounterEterrorism
signs of rdilistion nd e on®dent in referring individuls
strtegy gyxi nd ims to stop people eoming
who n then reeive support in the preEriminl speF9 @pF SA
terrorists or supporting terrorismY s suh it is desried s
the only long term solution to the thret we fe from he prmework is sded down the xtionl relth
terrorismF revent fouses on ll forms of terrorism nd
ervie @xrA hierrhies in inglnd to ensure tht ll
opertes in preEriminl speD providing support nd reE
frontEline stff in the xr reeive mndtory trining in
diretion to vulnerle individuls t risk of eing groomed in
to terrorist tivity efore ny rimes re ommittedF the revent proessF xr stff refer ptients onsidered PHV
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igsev esgvi
et l ht is preEriminl spec qolderg
P Q
vulnerle to rdilistion to lol revent leds nd nd ghnnel huty quidneD preEriminl spe is revent
onwrd to revent se mngers nd the ghnnel pnelF likely to strt on eptne of referrl of person within
he ghnnel ts s multiEgeny pnel long the lines of the ghnnel pnelD or perhps on referrl or disussion of
other sfegurding pnels in inglndF the possiility of referrl y xr stff to ghnnel
his rining nd gompeteny prmework follows personnelF husD preEriminl spe hs temporl nd
P
the ghnnel huty from the revent huty quidneD sptil spetsF es the time nd spe is deided y
Q
nd the ghnnelX ulnerility essessment prmeE quidne negotition with nd etween professionlsD the term lso
R
produed y the government following gyxiX work hs interEprofessionl dimensionsF his is supported y
S
he nited uingdom9s trtegy for gountering errorism prmework nming douments tht fous on effetive
nd the gounterEerrorism nd eurity et PHISF he multidisiplinry work rther thn the revent nd
TDU
prmework does not nme these douments ut mentions ghnnel huty guidelinesF
two other douments whih fous on multiEgeny workingF he prmework doument views the revent
T
detils he ®rstD fegurding ghildren nd oung eopleD progrmme s prt of the wider sfegurding gendF
the roles nd ompetenies for helthre stff when roweverD there is one importnt differene ompred with
working with other professionls to sfegurd hildren other sfegurding pnelsX the oordintor of the ghnnel
nd young peopleF he seondD fuilding rtnershipsD proessD the ghnnel olie rtitioner @gAD is polie
U
stresses the importne of effetive interE tying feD of®er or is employed y the polie @refF QD prF QHAF husD
professionl workingF unlike other sfegurding proeduresD the polie hve
he fous of the prmework is on triningF emong the entrl oordinting funtionF
ompetenies listed within is to understnd the onept of
preEriminl speF his rtile exmines this term using
goining of preEriminl spe9
pulily essile government douments nd internet
he term preEriminl spe is newF st ws introdued y serhes performed on qoogle nd qoogle holrF st is
this prmework nd sded to ll trusts y xr inglndF
textul nlysisD red in the ontext of other government
V
he term does not our in nonExr revent douments or whih presumes tht wht is red my not doumentsD
in gyxiF eferenes to preEriminl spe sine the term neessrily e wht the uthors initilly intendedF wenings
ws introdued re lrgely found in trust doumenttion pplied to wordsD prtiulrly new ompound wordsD gin
W
nd xr oweroint presenttionsD together with some yne of the presumptions of signi®ne over time nd useF
journlist reports nd logsF por instneD the elegrph this method is tht textul nlysis my not relte diretly
omments on the polie use of the term nd possile
to wht is hppening in prtieF
IH
reperussions on stte Ewuslim reltionsF
ell xr trusts in inglnd re mndted to ent the
reEriminl spe in the xr inglnd
prmework doument nd produe poliy or guidne
prmework
doumentsF xone of these douments de®ne preEriminl
spe ny furtherF wny use preEriminl spe with reEriminl spe9 ppers four times in the prmework
quottion mrksD few prefing the term with soElled9F doumentD inluding twie in the introdutionX
he usul sttement is reitertion of revent opertes
I revent fouses on ll forms of terrorism nd
in the preEriminl spe9F ysionlly the hyphen is
opertes in preEriminl spe9 @pF SA
repled y spe etween pre9 nd riminl9 ut the
P FFFindividulsFFF nthenreeivesupportin
words re never pled diretly togetherF he most detiled
the preEriminl spe9 @pF SA
de®nition we hve found omes from glossry in revent
Q FFFwreness tht FFF the helth setor
doument from wersey gre xr rustD eginning with
ontriution opertes in preEriminl spe9 @pF VA
preutionry noteX hese de®nitions relte to iix
R nderstnd F F F the onept of preEriminl spe9
nd re not lwys uthorittive in ny wider ontextF9 reE
@pF IHAF
griminl etivityGpe9 is explined y fousing on multiE
he mening of preEriminl spe9 n e dedued from
geny working to ensure tht individuls re diverted wy
these quotesF revent fouses on ll forms of terrorism nd II
efore ny rime is ommitted9F his de®nition merges
opertes in preEriminl spe9 suggests tht preEriminl
spe9 with multiEgeny tivityF
spe my relte to spei® physil spes nd times where
professionls operte9 or t within the ims of the revent
henottion nd onnottion
progrmmeF he sttement tht individuls FFFnthen
o fr we hve rgued tht preEriminl spe refers to the reeive support in the preEriminl spe9 suggests tht the
time when person is engged y the ghnnel pnel nd professionl tivity involved is support9F ht onstitutes
Q
relted professionlsF st denotes the timeD spe nd interE he ft support9 is detiled in the ghnnel huty quidneF
professionl tivity involved in plnningD oordinting tht the helth setor ontriution opertes in preEriminl
support nd possily monitoring in the xr inglnd spe9 implies tht other helth setor tivities my not
revent progrmmeF ht is unler is whether the operte in the preEriminl speF sn wht wy xr tivity
ghnnel proess nd pnel meetings re in ny wy in this spe9 is different from tht in other spe is not
different from other multiEgeny tivitiesF his my e stted nywhereF he need for helth professionls to
dedued y exmining possile onnottions of the term understnd the onept of preEriminl spe9 suggests
sed on prtiipnts9 understnding of lnguge use in its tht there is n importnt differene etween wht preE
soil ontextF riminl spe is nd wht it is notF ed in the ontext of PHW
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igsev esgvi
et l ht is preEriminl spec qolderg
wekened from externl ssult or internl de®ienyY reEriminl spe onsists of three termsX pre9
mening eforeD riminl9 s person who hs ommitted struturl support is provided from outside so the individul
rime or repeted rimesD nd spe9 s ontinuous n withstnd potentil ssults or thretsF iven the e
physil reF re9 ppers to modify the seond termD ronym @orkshops to ise ewreness of reventA suggests
riminl9D rther thn speF ryphens re not usully used physil odily protetion ginst externl thretF he
fter pre®xes suh s pre9D unless the resulting mening riminl justie terms @iFeF rdilistionD extremismD
eomes miguousD for exmple preEorder9 rther thn gyxiD ounterEterrorismD strtegyA suggest heightened
preorder9F husD the use of the hyphen oth gives
sptil metphorD polristion nd diretion of movementF
seprtion etween preErime nd rime nd retes the
he retion of the term preEriminl spe my e n
linkF he term implies tht the spe9 is preEriminlD not
ttempt to ridge the helth nd polie use of metphorX the
the individulF hile the use of the term spe9 suggests
helth metphor iming for stility nd preditilityD while
physil speD suh s meeting roomD there re no
the riminl justie metphor fouses on dptilityF he
referenes to where the vulnerle person is to e
lkof effetive de®nition of preEriminl spe llows for
supportedF pe9 in this ontext is used s reltionl
evolving interEgeny norms during the ghnnel proess to
oneptD ommon in expressions suh s s need spe to
vry with ontextF
think9D mening s need ple for myselfD wy from ertin
IS
sf new onepts emerge y visul nlogyD preE
soil reltionships9F
riminl spe n e seen s n extension of rime
preventionF st n e visulised s system of ontinuous
he derivtion of preEriminl spe nd ontined pssgesF rior to the vent @derived from the
vtin rootD s in preventAD professionls diret rdilsD he etymology of the term is signi®nt to the disussionF
people who hve n ttrtive or repulsive hrge or energyD reErime9 nd spe9D s seprte wordsD suggest they re
potentilly independent oneptsF he term prerime9 ws pst the vent nd into the hnnelF es the rdils pss
sid to e oined y siene ®tion writer hilip uF hikin long the vent their hrge or energy eomes less strong
IP
he drm is sed on the his short story winority eportF nd the rdil no longer moves towrds the extremeF
onept tht rime hs not ourred yet ut will our in sf the term preEriminl spe moilises helthre
future unless mesures re tkenF he elief tht rime n professionls nd ghnnel prtners towrds rime
e prevented y identi®tion nd intervention hs long prevention role of helth interventionD preEriminl spe
historyF sn the IWth enturyD vmroso9s theory of riminl
hs the potentil to t s form of exitle speeh9 to
IT tvism fmously purported to identify future riminls y
lert listeners to the thret of terrorismF he rhetoril
their norml physil pperneF sn reent yersD
use of the term preEriminl spe during the ghnnel
riminologists use the term preErime to ritiise the
proess ould e pereived s n ttempt to persude
move to riminlise people prior to the ommitting of
professionls to dislose informtion or mke deisions they
IQ
wore reentlyD the term preEriminl spe9 hs rimeF
would otherwise not mke in other sfegurding forums nd
een used in the seurity industry in reltion to sslmi
in omprle irumstnesF IR
e ®nd no evidene tht the fundmentlist terrorismF
onept of spe9 in preEriminl spe derives from
demi theorising out speF hepending on ontextD
ypinion
howeverD spe onnotes elements of time s well s
he rining nd gompeteny prmeworkis n tion plnD physil or strt forms of speF pe in preEriminl
lying out who does whtD when nd with whomF por the spe n thus gin different metphori ssoitions
depending on the immedite soil ontextF reEriminl implementtion of reventD terms need to e de®ned to
spe my desrie the physil spe where support9 is suh degree tht the prtiipnts n understnd the
plnnedD operted9 or monitoredF st my lso relte to the onepts involvedF sndeedD the prmeworkitself sksxr
time tht the person is sujet to the ghnnel pnel proessD stff to understnd the onept of preEriminl spe @pF IHAF
or to differenes in the soil rules of interprofessionl reEriminl spe lerly denotes period of time in the
intertionD s ompred with different sfegurding pnel revent proess without dding further mening nd
disussionsF pinllyD it my refer to differing soil identities keeping open the opportunity for the term9s possile
of the person referred to the ghnnel pnel nd the
rhetoril use in ghnnel meetingsF
professionls involvedF
yne synonym for preEriminl spe is rime preventionF
his rises the possiility of hnging the wording of the
prmeworkto reple this osure nd newly oined term hetori
with rime prevention9F elterntivelyD disussion nd
he prmeworkprovides n revited nd resoned
lri®tion of the onept of preEriminl spe would
rgument in support of the revent progrmme nd the
llow it to de®ne the prtiipnts9 reltionships s the rime involvement of helth professionlsF vike ll rgumentsD it
prevention tivity proeedsF purther multidisiplinry persudes through the use of the metphori qulities whih
reserh linking xr douments to prtie my enle the words gin in useF here re two sets of metphors within
revent guidne nd frmeworkto e linked with prtieF the prmeworkD one pertinent to xr professionls nd the
hen the time omes for the revent frmeworkto e other to the polieF he helth metphors re orrowed
updted @lthough no suh dte is given in the doumentAD we from struturl engineeringD with vulnerility nd support
reommend tht the term should e lri®ed or removedF Estress modelF he person is suggesting the dithesis PIH
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igsev esgvi
et l ht is preEriminl spec qolderg
S rw qovernmentF gyxiX he nited uingdom9s trtegy for gountering eknowledgements
errorismX ennul eport for PHIRF rw ttionery yf®eD PHISF
e thnk the xewton snterntionl pellowshipD supported y the oyl
T oyl gollege of editris nd ghild relthF fegurding ghildren nd
oietyD the fritish edemyD nd the edemy of wedil ienesF
oung eopleX oles nd gompetenes for relth gre tff @snterollegite
houmentD Qrd ednAF ggrD PHIRF
U heprtment of relthF fuilding rtnershipsD tying feX he relth eout the uthors
etor gontriution to rw qovernment9s revent trtegyX quidne for
hvid qolderg is isitingeserher in the hivision of syhitryD relthre orkersF gentrl yf®e of snformtionD PHIIF
niversity gollege vondonD nd medil nthropologistD vondonD uF
V pirlough xF gritil hisourse enlysisX he gritil tudy of vngugeF
ushrut tdhv is onsultnt psyhitristD gmden 8 sslington xr
outledgeD PHIHF
poundtion rustD vondonD nd glinil enior veturer in grossEulturl
W sser F he et of edingX e heory of eestheti esponseF tohns ropkins syhitryD niversity gollege vondonD uF rek ounis is hhGsyh
niversity ressD IWVHF Â Â Á Â ndidte t niversite du uee wontrelD gndD nd onsultnt for
 the wontrel polie regrding erGwuslim ommunity issuesF IH ussell tF wking n opinion illegl is not going to stop terrorismF
elegrph PHISY IQ wyF
II fegurding edult vedD revent vedF revent @version PAF wersey gre eferenes
xr rustD PHISF
I xr inglnd xursing hiretorte edult fegurdingF xr inglnd E
IP hik uF winority eportF qollnzD PHHPF revent rining nd gompetenies prmeworkF xr inglndD PHISF
IQ edner vF reErime nd preEpunishmentX helth wrningF gtw PHIHY
P rw qovernmentF revent huty quidneX quidne for pei®ed
ESF VIXPR
euthorities in inglnd nd les on the huty in the gounterEerrorism
nd eurity et PHIS to rve hue egrd to the xeed to revent eople IR eine D gohen tD frnnegn hF woving feyond wotiveEfsed gtegories
from feing hrwn into errorismF rw qovernmentD PHISF of rgeted ioleneF ergonne xtionl v @exvAD PHISF
Q rw qovernmentF ghnnel huty quidneX roteting ulnerle eople IS resse wF wodels nd enlogies in iene @revisedD edFAF xotre hme
from feing hrwn into errorismF rw qovernmentD PHISF niversity ressD IWTTF
IT futler tF ixitle peehX e olitis of the erformtiveF outledgeD R rw qovernmentF ghnnelX ulnerility essessment prmeworkFrw
IWWUF qovernmentD PHIPF
hrug informtion updteF etypil ntipsyhotis
nd neurolepti mlignnt syndromeX nunes nd
prgmtis of the ssoition
I P
iddhrth rkrD xitin qupt
ftsyh fulletin @PHIUAD RIDPIIEPITD doiX IHFIIWPGpFpFIITFHSQUQT
I
ell sndi snstitute of wedil ienesD
ummry xeurolepti mlignnt syndrome @xwA is rre ut potentilly ftl
P
qovernment xew helhiD sndiY
dverse event ssoited with the use of ntipsyhotisF elthough typil
wedil gollege nd rospitlD
ntipsyhotis were initilly onsidered to rry no risk of xwD reports hve
ghndigrhD sndi
umulted over time implitingthem in xw ustionF elmost ll typil
gorrespondene to xitin qupt
ntipsyhotis hve een reported to e ssoited with xwF he linil pro®le of @nitinguptTSWdyhooFoFinA
xw used y ertin typil ntipsyhotis suh s lozpine hs een reported to
pirstreeivedPPtnPHITD®nlrevision
e onsiderly different from the xw produed y typil ntipsyhotisD with PQ ep PHITD epted PW ep PHIT
diphoresis enountered more ommonlyD nd rigidity nd tremor enountered less
f PHIU he euthorsF his is n openE
frequentlyF his rtile rie¯y disusses the evidene reltingto the ourreneD ess rtile pulished y the oyl
gollege of syhitrists nd distriuted presenttion nd mngement of xw indued y typil ntipsyhotisF
under the terms of the gretive
gommons ettriution viense @httpXGG helrtion of interest xoneF
retiveommonsForgGliensesGyG
RFHAD whih permits unrestrited useD
distriutionD nd reprodution in ny
mediumD provided the originl work
is properly itedF
xeurolepti mlignnt syndrome @xwA refers to n tht hs een ssoited with oth ®rstE nd seondE
IDP
st ours in out HFHPEQ7 of idiosynrti severe dverse retion ssoited with the use genertion ntipsyhotisF
Q
xw is individuls who re presried ntipsyhotisF of ntipsyhotisF st is rre nd unpreditle sideEeffet PII
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