Psychiatric Bulletin (2001) 25: 280. doi: 10.1192/pb.25.7.280-a
© 2001 The Royal College of Psychiatrists
Psychiatric Bulletin (2001) 25: 280
© 2001 The Royal College of Psychiatrists
Working with Sex Offenders in Prisons and through Release to the Community: A Handbook
By Alec Spencer
Dr Peter Snowden, Consultant Forensic Psychiatrist
Edenfield Centre, Mental Health Services of Salford NHS Trust, Bury New
Road, Prestwich, Manchester M25 7BL
London & Philadelphia: Jessica Kingsley Publishers. 1999. 252 pp.
£17.95 (pb). ISBN: 1-85302-767-7
Let me first come clean. I remain to be convinced that the sex offender
treatment industry as currently organised can justify its existence. I accept
the need to do something to reduce the risk of re-offending. Nevertheless, sex
offenders are a group par excellence where longterm follow-up is
necessary because the risk of recidivism remains for many years. Alec Spencer
reinforced my prejudices to a degree by describing a sophisticated treatment
programme in Peterhead Prison, Scotland, with a maintenance programme to
continue this work throughout the sentence, and then what? How will any gains
be maintained in the community? To be fair, in the two chapters on
bridging the gap the author does tackle these issues, but the
effort put into the Sex Offenders Treatment Programme (STOP in Scotland, but
SOTP in England and Wales) cannot be supported on the evidence available. It
would be surprising if their own treatment programmes in a locked institution
could have a significant impact without similar (rather than the current
patchy provision) systems in the community for prison programmes to plug
into.
Nevertheless, although I did not think I would like the book, I was won
over. I liked the style and I liked the layout, with a summary of key points
after each section. The section on offenders (particularly female offenders)
was informative. At times there was an uneasy shift of focus from Peterhead
Prison to a national perspective, which was not always convincing. The author
also slips from evidence to opinion rather too easily, sometimes restating
opinions as though they are facts. I was mistaken in thinking that this book
would only interest those engaged in this work. There are excellent sections
on child visiting, the victim's perspective and on pornography in prison,
which will be of interest to staff of all disciplines based in secure forensic
inpatient units. These services have struggled with these issues (and Ashworth
Hospital comes to mind here) and I agree with all that the author says on
these topics. Why cannot secure hospital units also be pornography free
zones?