Forensic rehabilitation in Asperger syndrome: a case report

Purpose - People with Asperger syndrome are at increased risk of co-morbid mental health problems. The core features underlying autism are likely to play an important role in offending behaviour amongst this population. Forensic rehabilitation includes a multidisciplinary approach and combination of therapeutic interventions. However there is limited evidence in the literature of what constitutes effective treatment within this setting, and how the process of rehabilitation is experienced by patients. The purpose of this paper is to describe a case of Asperger syndrome with co-morbid psychosis and offending behaviour and the process of forensic rehabilitation.Design methodology approach - The authors briefly review the literature related to Asperger syndrome, offending in this population and co-morbidity. The authors then describe and reflect on a case of a young man with Asperger syndrome, sexual offending and the process of forensic rehabilitation, and offer an insight from the patient's perspective.Findings - Co-morbid mental illness, when detected early, can be successfully managed with limited additional disability. The process of forensic rehabilitation includes a multidisciplinary approach. Therapeutic interventions specifically aimed at addressing core features of autism, risk and offence-related factors are effective in promoting recovery amongst those with autism and offending behaviour.Originality value - The paper highlights how core features of autism can lead to offending behaviour, the importance of early recognition and treatment of co-morbidity, and the process of forensic rehabilitation and recovery. Also included are quotes from the patient's perspective on what it is like to have Asperger syndrome, and what has been the key learning from the rehabilitation process.