Recent Publications
By Dr Trixie Mottershead

Systematic Review of Shame and/or Guilt
Shame and/or guilt are complex emotions and hold important insights into rehabilitation. In a systematic review of shame and/or guilt in an offending population, the project highlighted that approaches should focus on enhancing adaptive guilt, whilst reducing maladaptive shame. Additionally, it was highlighted that future research should aim to improve the methodological rigor when exploring shame and/or guilt as offence-related emotions, as this remains a current problem in the literature.

Decision Making
To date, psychological theories of aggression have shown limited applicability to the first-hand experience of real-world violence. Examining the experiences of those directly involved in violent offending, may enable professionals to develop a strengthened and more refined understanding. The current study aimed to develop a theoretical model of offender experiences of decision making, during the commission of a violent offence.

Support Tool for Adults with Learning Disability
The purpose of this paper is to explore the clinical perspective of the practicality, utility and face-validity of the dynamic support database (DSD) Red, Amber, Green (RAG) rating support tool within adult learning disabilities services in a North West NHS Foundation Trust. The aim of the current project is to evaluate the practicality, utility and face-validity of the DSD RAG rating support tool, as reported by clinicians who have been employing it.

Patient Feedback within Forensic and Non-Forensic Mental HealthCare Services
The literature surrounding patient feedback is limited, despite government policy integrating patient feedback into how the care quality of the National Health Service (NHS) is assessed. The aim of the study is to examine the detailed contextualised accounts of patient feedback within forensic and non-forensic settings through qualitative and quantitative analyses.

Children and Young People Services
This paper aims to improve community care for people with intellectual disabilities (ID) and/or autism. Lack of coordination between agencies leads to children and young people with the most complex needs falling between services. The North West Operational Delivery Network (ODN) for learning disability and autism set out to develop a model of care for mental health services for children and young people with ID and/or autism in North West England that would improve coordination between services and lead to better community care.