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References. Brady, S; and Busse, W.J. (1994). The Gay Identity Questionnaire: A Brief Measure of Homosexual Identity Formation. Journal of Homosexuality Vol. 26(4)Ross, M.W; and Rosser, B.R. (1996). Measurements and Correlates of Internalized Homophobia: A Factor Analytic Study. Journal of Clinica
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1. The Q Group A Group for Gay and Bisexual Men with Learning Disabilities in a Secure Setting
Dr Paul Withers, Calderstones Foundation NHS Trust
2. References Brady, S; and Busse, W.J. (1994). The Gay Identity Questionnaire: A Brief Measure of Homosexual Identity Formation. Journal of Homosexuality Vol. 26(4)
Ross, M.W; and Rosser, B.R. (1996). Measurements and Correlates of Internalized Homophobia: A Factor Analytic Study. Journal of Clinical Psychology Vol. 52(1). 15-21.
3. Setting Up Impact of a new admission responses of staff and clients
Making/breaking of friendships/relationships
Perplexed organisation
Post-admission assessment need for and request for a group
Selecting participants
4. Responses of the Organisation Generally very positive a case of trying hard?
Some misunderstanding Is this group suitable for him?
Some lack of thinking Youd better go Paul started the group for you
Some questioning of the potential participants This isnt really you
Whats it got to do with offending?
5. Dilemmas for the Facilitators Coming out or not?
Response of participants?
Response of other clients?
Assumptions by the participants
How feelings about this changed over time
6. Evaluation Used Hospital Anxiety and Depression Scale, Culture-Free Self-Esteem Inventory, and a measure of Satisfaction with Sexual Identity, adapted from Ross and Rosser (1996), plus weekly ratings of functioning within the group
Generally participants did not self-rate as depressed, anxious, or dissatisfied with sexuality, though there were pointers to low self-esteem
7. Progress of the Group Generated a list of topics to discuss
These included How can you tell if someone is gay?
Gay celebrities
Safe sex
Relationships
One night stands
Sex toys
8. Progress of Group Initially stuck to topics
Issues in client relationships rapidly came to the fore
Early discussions about this were stilted, hesitant
Became more fluent, assertive, fair and productive
Dramatic effects of attendance/non-attendance
9. Progress of Group Changes in client relationships in and out of group?
More assertion, less bullying, more equal/equitable discussions, more awareness of homophobia
Towards the end reversion to topics focus avoiding endings or job done?
Role of less active participants important witnesses?
10. The Future Ongoing support/social group research justifies this
Repeat the group, expand the social group
Need for forum to discuss sexuality and intellectual disability
11. Role of Sexuality in Offending Some participants had index offences known to be related to poor self-esteem
Some offences were related to limited means of handling demise of relationships
Some index offences (and patterns of social interaction) appeared to be efforts to redress the perceived threat sexual orientation made to masculine identity
Participation in this group may have facilitated attendance at others e.g. SOTP