Faculty of Forensic Psychiatry Annual Conference 2021 Date: 3-5 March 2021 Wednesday 3 March 09:25 Online 09:30-10:30 Faculty of Forensic Psychiatry Welcome Chair: Dr Josanne Holloway, Chair, Faculty of Forensic Psychiatry 09:30 Forensic Faculty Update Chair: Dr Josanne Holloway, Chair, Faculty of Forensic Psychiatry 09:40 Sheena Foster, Family and Carer representative, Faculty of Forensic Psychiatry Alain Aldridge, Patient representative, Faculty of Forensic Psychiatry 09:45 Dean’s update Dr Kate Lovett, Dean, Royal College of Psychiatrists 10:00 President’s address Dr Adrian James, President, Royal College of Psychiatrists 10:15 Questions 10:30-11:00 Break 11:00-12:00 Assessment and treatment of paraphilic disorders Chair: Professor Don Grubin, Emeritus Professor of Forensic Psychiatry, Newcastle University 11:00 Using crime scene behavioural scales to improve diagnostic reliability of coer- cive sexual sadism disorder and paedophilic disorder Dr Michael Davis, Consultant Forensic Clinical Psychologist, Melbourne; Adjunct Research Fellow, Centre for Forensic Behavioural Science, Swinburne University of Technology; Adjunct Senior Lecturer, Department of Psychiatry, Monash University; Honorary Fellow, Department of Psychiatry, University of Melbourne 11:20 Pharmacological treatment of paraphilic disorders and paraphilia-related disor- ders Dr Rajan Darjee, Consultant Forensic Psychiatrist, Problem Behaviour Program, Victorian Institute of Forensic Mental health, Melbourne; Senior Lecturer in Forensic Psychiatry, Centre for Forensic Behavioural Science, Swinburne University of Tech- nology 11:40 Discussant Dr Sodi Mann, Consultant Forensic Psychiatrist, Greater Manchester Mental Health NHS Foundation Trust 11:45 Questions 12:00-12:25 Lunch and poster viewing 12:25-12:45 Medical student essays Chair: Dr Aideen O’Halloran, Consultant in Forensic Psychiatry, West London Men- tal Health NHS Trust Violence and Mental Illness What is the link between violence and mental ill- ness? Does mental illness cause violence or is it only associated with violence? Poppy MacInnes, Kings College Medical School, London Is the prohibitive stance on sex and relationships in the UK Forensic System justifiable? Elena Taylor, University of Oxford, Oriel College Ethical Considerations and Political Abuse Within Forensic Psychiatry Beth Mitchell, Dundee Medical School 12:35 Questions 12:45-13:30 Keynote: Alcohol and violence: prevention is better than cure Chair: Dr Pradeep Pasupuleti, Chair, Forensic Faculty, RCPsych in Scotland and Medical Director, Priory Hospital Glasgow 12:45 Professor Jonathan Shepherd, Professor of Oral and Maxillofacial Surgery, Crime and Security Research Institute, Cardiff University 13:15 Questions 13:30-14:00 Break 14:00-15:00 Debate - This house believes that the increasing use of tele-health for forensic mental health assessments after Covid-19 leads us to trade psychological depth for convenience Chair: Dr Tim McInerny, Consultant in Forensic Psychiatry, South London and Maudsley NHS Foundation Trust For the motion: Dr Andrew Carroll, Associate Professor in Forensic Psychiatry, Swinburne Univer- sity of Technology and Consultant Forensic Psychiatrist, Victorian Institute of Fo- rensic Mental Health (Forensicare), Melbourne Dr Elizabeth Zachariah, Consultant Forensic Psychiatrist and Clinical Director, Ox- leas NHS Foundation Trust Against the motion: Dr Chantal Edge, Specialty Registrar in Public Health and NIHR Clinical Doctoral Research Fellow, UCL Collaborative Centre for Inclusion Health Dr Justin Barry-Walsh, Chair, Faculty of Forensic Psychiatry, Royal Australian and New Zealand College of Psychiatrists 15:00-15:30 Break 15:30-16:30 The practical implications of the Supreme Court Judgement in MM for re- stricted patients and their conditional discharge - learning from the context of Learning Disability and Autism Services Chair: Dr Sandeep Mathews, Consultant in Forensic Psychiatry, Greater Manches- ter Mental Health NHS Foundation Trust 15:30 Dr Roger Banks, National Clinical Director, Learning Disability and Autism, NHS England and NHS Improvement Christine Hutchinson, Consultant Nurse and Approved Clinician, Learning Disabil- ity Services and Autism Services, Lancashire and South Cumbria NHS Foundation Trust Robert Ferris-Rogers, Deputy Director of Transformation, Midlands Regional Learning Disabilities and Autism Programme Director NHS England and NHS Improvement – Midlands 16:15 Questions 16:30 End of Day Thursday 4 March 09:25 Online 09:30-10:30 Same hymn or different sheets: the roles of forensic physicians and their rele- vance to forensic psychiatrists Chair: Professor Taj Nathan, Consultant Forensic Psychiatrist and Director of Re- search and Effectiveness, Cheshire and Wirrall Partnership NHS Foundation Trust, and Visiting Professor, University of Chester 09:30 Dr Margaret Stark, President, Faculty of Forensic and Legal Medicine, Royal College of Physicians 09:50 Professor Keith Rix, Mental Health and Intellectual Disability Lead, Faculty of Fo- rensic and Legal Medicine of the Royal College of Physicians, and Honorary Consult- ant Forensic Psychiatrist, Norfolk and Suffolk NHS 10:10 Questions 10:30-11:00 Break 11:00-12:00 Sentencing offenders with mental disorders – a conversation Chair: Professor Pamela Taylor, Professor of Forensic Psychiatry, Cardiff University Foundation Trust 11:00 Sentencing offenders with mental disorders, developmental disorders, or neu- rological impairments HHJ Rosa Dean, Council Lead, The Sentencing Council 11:15 Questions and discussion Dr Penny Brown, Consultant in Forensic Psychiatry, South London and Maudsley NHS Foundation Trust 12:00-12:30 Lunch and poster viewing 12:30-13:30 Joint keynote: Race and equality issues in forensic mental health Chair: Dr Gunvant Patel, Forensic Psychiatrist, Racism Awareness Group, Victorian Faculty of Forensic Psychiatry, Melbourne 12:35 Dr Shubulade Smith, Clinical Director, Forensic Services, South London and Mauds- ley NHS Foundation Trust, and Race Equality Lead, RCPsych 13:00 Dr Rajesh Mohan, Consultant Psychiatrist, South London and Maudsley NHS Foun- dation Trust and Chair, Rehabilitation Faculty and Race Equality Lead, RCPsych 13:25 Questions 13:30-14:00 Break 14:00-15:00 Sustaining the lessons of Covid-19 Chair: Dr Derek Tracy, Consultant Psychiatrist, Oxleas NHS Foundation Trust 14:00 Neurological and neuropsychiatric complications of Covid-19 Dr Tim Nicholson, Clinical Senior Lecturer, Institute of Psychiatry, Psychology and Neuroscience, King’s College London and Honorary Consultant Neuropsychiatrist, South London and Maudsley NHS Foundation Trust 14:15 NHS Scotland Forensic Network: response to Covid-19 Professor Lindsay Thomson, Professor of Forensic Psychiatry, University of Edin- burgh 14:30 Lessons from the London Nightingale: staff well-being during and after the pan- demic Dr Derek Tracy, Consultant Psychiatrist and Clinical Director, Oxleas NHS Founda- tion Trust 14:45 Questions 15:00-15:30 Break 15:30-16:30 Research session: Legal and risk issues in Forensic Psychiatry Chair: Professor Seena Fazel, Professor of Forensic Psychiatry, University of Oxford 15:30 An analysis of existing legislation for autism under the Mental Health Act 1983 Dr Carlo Thomas, Consultant Forensic Psychiatrist, Rampton Hospital 15:40 Questions 15:45 Subjective representations of risk: a neglected topic in clinical practice and re- search Professor Taj Nathan, Consultant in Forensic Psychiatry and Director of Research, Cheshire and Wirral Partnership NHS Foundation Trust, Visiting Professor, Univer- sity of Chester 15:55 Questions 16:00 Exploration of morbidity, suicide and all-cause mortality in a Scottish forensic cohort over 20 years Professor Lindsay Thomson, Professor of Forensic Psychiatry, University of Edin- burgh 16:10 Questions 16:15 Violence risk in general psychiatry – epidemiology, need and the development of a clinically useful prediction tool Dr Daniel Whiting, NIHR Doctoral Research Fellow, Department of Psychiatry, Uni- versity of Oxford 16:25 Questions 16:30 End of Day Friday 5 March 09:25 Online 09:30-10:30 Adolescent forensic mental health services – current and future developments and challenges Chair: Dr Heidi Hales, Consultant in Forensic Psychiatry, West London Mental Health NHS Trust 09:30 Current and future developments in adolescent forensic health care Professor Prathiba Chitsabesan, Consultant Child and Adolescent Psychiatrist, Pennine Care NHS Foundation Trust, National Speciality Advisor and Co-Chair of the Clinical Reference Group, NHS England, Visiting Professor, Manchester Metropolitan University. 09:45 Separation and solitary confinement in a Pandemic – A view from HM Inspec- torate of prisons Angus Mulready-Jones, Team Leader – Children and Young Adults, HM Inspec- torate of Prisons 10:00 Health, welfare or justice: a global overview of differences between countries in the scale and approach to secure placement of young people Fleur Souverein, Forensic Psychologist, Department of Child and Adolescent Psy- chiatry, Amsterdam University Medical Centre, The Netherlands 10:15 Questions 10:30-11:00 Break 11:00-12:00 Expert witness bias in psychiatry – sources and expression Chair: Professor Tom Fahy, Professor of Forensic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London 11:00 Dr Richard Latham, Consultant in Forensic Psychiatry, East London NHS Founda- tion Trust Professor Nigel Eastman, Emeritus Professor of Forensic Psychiatry, St George’s, University of London 11:45