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Case vignette

Case vignette. Dr Jana de Villiers Consultant Psychiatrist for the Fife Forensic Learning Disability Service 30 October 2012. Overview. Brief background history Management issues: Mobile phone Social media Future management Other management issues. Mr X. 23 years old

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Case vignette

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  1. Case vignette Dr Jana de Villiers Consultant Psychiatrist for the Fife Forensic Learning Disability Service 30 October 2012

  2. Overview • Brief background history • Management issues: • Mobile phone • Social media • Future management • Other management issues

  3. Mr X • 23 years old • Commenced mainstream education but transferred to ‘special needs’ school • Diagnosed with Autistic Spectrum Disorder aged 9, and with ADHD aged 11 • Global learning disability diagnosed aged 18 (FSIQ=64)

  4. Special interests • High level of interest in bin liners from primary school age • Developed sexual aspect in his teenage years • Also developed an interest in nappies • Longstanding interest in buses and bus timetables

  5. Forensic history • Public indecency 2008 (masturbating in public) • Public indecency 2009 • BOP (Sexual) 2010 – made subject to three year Probation Order • BOP (Sexual) 2012 – masturbating in a bin area, having placed a bag of soiled nappies inside his trousers

  6. Forensic history continued… • Sexual Offences (Scotland) Act Aug 2012: sexual contact involving a 15y.o. female • Further BOP charges due to his behaviour and use of social media • Reportedly followed a lone 21y.o. female in the early hours of the morning

  7. Issues relating to mobile phones • Financial exploitation: numerous requests by strangers for ‘top ups’ (telling him that they love him), at times with the offer of sexual contact • Texting females under the age of 16, using sexualized language • Taking obscene photographs of himself at the request of others

  8. Mobile phones continued… • Photographs being taken of Mr X masturbating in public areas (usually bins) • Spending many hours every day on smart phone, accessing social media sites

  9. Social media • Facebook: several accounts • Able to open new accounts rapidly • OMU aware and Facebook corporate policy is that convicted sex offenders are not permitted to have Facebook accounts • Posting comments involving suicidal ideas – response from others

  10. Social media continued… • Used Facebook to locate the relative of a young female whose death had been reported in the press • Travelled to Ayr and caused distress • Relatives of victim identified him on Facebook, posting threats to kill him

  11. Social media continued… • Social gatherings of minors identified via Facebook • Requests for obscene photographs, with which Mr X complied • Posted obscene image on Facebook • Sent obscene image to a stranger on MSN Messenger • Attempting to set up Twitter account

  12. Current situation • Compulsion Order • Inpatient in locked forensic LD ward, specified for telephones (no access to mobile phone or internet) • Has responded well to structured environment • Discharge likely within the next six months

  13. Future management • Request special powers to limit access to technology as part of a Welfare Guardianship Order • 24/7 support • How to balance benefits of access to social media with risks of exploitation/further offending?

  14. Other management issues • Patient with history of accessing child pornography – able to build his own computer and has technical skills beyond most of his staff team • Accessing offence-specific information (which is not illegal) • Patient filmed masturbating, and video put on You Tube (felt unable to refuse to participate)

  15. Other management issues • Limits of statutory measures – lack of clarity around legality of limiting access to internet/smart phones when living in the community

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