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