Academic Background

Qualifications

MBBS, University of Kerala, India (1989)

DPM, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India (1993)

MRCPsych (1996), FRCPsych (2008)

Professional career

SHO/ Registrar, St Mary’s Hospital Rotation, London (1994-96)

Specialist Registrar,   North Thames (West) Psychiatry of Learning Disability, London (1997-2000)

Consultant Psychiatrist in Learning Disability, Leicestershire Partnership NHS Trust, UK (2000-2002)

Consultant Psychiatrist in Learning Disability, St John’s House Hospital, PiC LDS, Norfolk, UK (2003- date): St John’s House Hospital is a medium secure service for people with learning disabilities and offending behaviours.

All Publications

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Morrissey, C., Langdon, P. E., Geach, N., Chester, V., Ferriter, M., Lindsay, W. R., McCarthy, J., Devapriam, J., Walker, D., Duggan, C., Alexander, R.

(2017)

A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities,

in BJPsych Open

3

(1)

pp. 41-56

Full Text UEA Repository

(Article)

(Published)


Lindsay, W. R., Dana, L. A., Alexander, R. T., Griffiths, D. M., Wilkinson, S.

(2017)

Personality Disorders,

in Diagnostic Manual – Intellectual Disability (DM-ID-2) : A Textbook of Diagnosis of Mental Disorders in Persons with Intellectual Disability.

NADD Press

ISBN 1-57256-134-3

UEA Repository

(Chapter)

(Published)


Lindsay, W., Alexander, R.

(2016)

Personality Disorders,

in Psychiatric and Behavioural Disorders in Intellectual and Developmental Disabilities.

Cambridge University Press

ISBN 9781107645943

UEA Repository

(Chapter)

(Published)


Alexander, R., Bhaumik, S.

(2015)

Personality Disorders,

in The Frith Prescribing Guidelines for Adults with Learning Disability.

John Wiley and Sons Ltd

pp. 215-224

ISBN 978-1-118-89720-1

UEA Repository

(Chapter)

(Published)


Alexander, R., Devapriam, J., Michael, D., McCarthy, J., Chester, V., Rai, R., Naseem, A., Roy, A.

(2015)

“Why can’t they be in the community?” A policy and practice analysis of transforming care for offenders with intellectual disability,

in Advances in Mental Health and Intellectual Disabilities

9

(3)

pp. 139-148

Full Text UEA Repository

(Article)

(Published)


Esan, F., Chester, V., Gunaratna, I. J., Hoare, S., Alexander, R. T.

(2015)

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service,

in Journal of Applied Research in Intellectual Disabilities

28

(3)

pp. 193-200

Full Text UEA Repository

(Article)

(Published)


Alexander, R. T., Chester, V., Green, F. N., Gunaratna, I., Hoare, S.

(2015)

Arson or fire setting in offenders with intellectual disability: Clinical characteristics, forensic histories, and treatment outcomes,

in Journal of Intellectual and Developmental Disability

40

(2)

pp. 189-197

Full Text UEA Repository

(Article)

(Published)


Devapriam, J., Rosenbach, A., Alexander, R.

(2015)

In-patient services for people with intellectual disability and mental health or behavioural difficulties,

in BJPsych Advances

21

(2)

pp. 116-123

Full Text UEA Repository

(Article)

(Published)


Cooray, S. E., Bhaumik, S., Roy, A., Devapriam, J., Rai, R., Alexander, R.

(2015)

Intellectual disability and the ICD-11: towards clinical utility?,

in Advances in Mental Health and Intellectual Disabilities

9

(1)

pp. 3-8

Full Text UEA Repository

(Article)

(Published)


Kiani, R., Biswas, A., Devapriam, J., Alexander, R. T., Kumar, S., Andrews, H., Tromans, S. J.

(2015)

Clozapine use in personality disorder and intellectual disability,

in Advances in Mental Health and Intellectual Disabilities

9

(6)

pp. 363-370

Full Text UEA Repository

(Article)

(Published)


Cheshire, L., Chester, V., Graham, A., Grace, J., Alexander, R.

(2015)

Home visits: a reflection on family contact in a specialist forensic intellectual disability service,

in Advances in Mental Health and Intellectual Disabilities

9

(4)

pp. 186-195

Full Text UEA Repository

(Article)

(Published)


Devapriam, J., Alexander, R., Gumber, R., Pither, J., Gangadharan, S.

(2014)

Impact of care pathway-based approach on outcomes in a specialist intellectual disability inpatient unit,

in Journal of Intellectual Disabilities

18

(3)

pp. 211-220

Full Text UEA Repository

(Article)

(Published)


Fitzgerald, S., Gray, N. S., Alexander, R. T., Bagshaw, R., Chesterman, P., Huckle, P., Jones, S. K., Taylor, J., Williams, T., Snowden, R. J.

(2013)

Predicting Institutional Violence in Offenders with Intellectual Disabilities: The Predictive Efficacy of the VRAG and the HCR-20,

in Journal of Applied Research in Intellectual Disabilities

26

(5)

pp. 384-393

Full Text UEA Repository

(Article)

(Published)


Devapriam, J., Alexander, R. T.

(2012)

Tiered model of learning disability forensic service provision,

in Journal of Learning Disabilities and Offending Behaviour

3

(4)

pp. 175-185

Full Text UEA Repository

(Article)

(Published)


Alexander, R., Chester, V., Gray, N., Snowden, R.

(2012)

Patients with personality disorders and intellectual disability – closer to personality disorders or intellectual disability? A three-way comparison,

in Journal of Forensic Psychiatry & Psychology

23

(4)

pp. 435-451

Full Text UEA Repository

(Article)

(Published)


Alexander, R., Hiremath, A., Chester, V., Green, F., Gunaratna, I., Hoare, S.

(2011)

Evaluation of treatment outcomes from a medium secure unit for people with intellectual disability,

in Advances in Mental Health and Intellectual Disabilities

5

(1)

pp. 22-32

Full Text UEA Repository

(Article)

(Published)


Chester, V., Green, F., Alexander, R.

(2011)

An audit of a smoking cessation programme for people with an intellectual disability resident in a forensic unit,

in Advances in Mental Health and Intellectual Disabilities

5

(1)

pp. 33-41

Full Text UEA Repository

(Article)

(Published)


Plant, A., Mcdermott, E., Chester, V., Alexander, R.

(2011)

Substance misuse among offenders in a forensic intellectual disability service,

in Journal of Learning Disabilities and Offending Behaviour

2

(3)

pp. 127-135

Full Text UEA Repository

(Article)

(Published)


Alexander, R., Green, F., O'Mahony, B., Gunaratna, I., Gangadharan, S., Hoare, S.

(2010)

Personality disorders in offenders with intellectual disability: a comparison of clinical, forensic and outcome variables and implications for service provision,

in Journal of Intellectual Disability Research

54

(7)

pp. 650-658

Full Text UEA Repository

(Article)

(Published)


Smith, A., Petty, M., Oughton, I., Alexander, R.

(2010)

Establishing a work-based learning programme: vocational rehabilitation in a forensic learning disability setting,

in British Journal of Occupational Therapy

73

(9)

pp. 431-436

Full Text UEA Repository

(Article)

(Published)


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Key Research Interests

 

Research Interests: 

Mental Health in Learning & Developmental Disability, Forensic learning disability, Personality Disorders (Please refer to publication list).

Research Grants:

2015: National Institute of Health Research (NIHR) Research for Patient Benefit (RfPB) Programme: PB-PG-0214-33040: People with autism detained within hospitals: defining the population, understanding aetiology, and improving care pathways, £345,600, Co applicant.

2014: National Institute of Health Research (NIHR), HS&DR Project: 13/114/37 - Outcomes from forensic services for people with intellectual and/or developmental disabilities: evidence synthesis and expert and patient consultation, £60000, Co-applicant.

2012: Mental Health Research Network (MHRN), National Institute of Health Research (NIHR) to set up a Clinical Research Group (CRG) in Forensic Intellectual & Developmental Disabilities (FIDD), £5000. (www.forensiclearningdisability.com), Lead Applicant.

 

External Activities and Indicators of Esteem

  • 2015 to date: Chair, Quality Network in Learning Disability (QNLD) Advisory Group, Royal College of Psychiatrists, London.
  • 2014 to date: Appointed as CALC Board Member responsible for International Congress, Royal College of Psychiatrists & Co-chair of the International Congress, Royal College of Psychiatrists from 2015.

  • 2014 to date: Appointed as Member of the Guidelines Development Group on Learning Disability and Mental Health, National Institute of Health and Care Excellence (NICE), UK

  • 2014 to date: Finance Officer, Faculty of Psychiatry of Intellectual Disability, Royal College of Psychiatrists (elected for a four year term from 2014-2018)

  • 2014: Editor of the Royal College of Psychiatrists Report on Forensic Care Pathways in People with Learning disabilities  http://www.rcpsych.ac.uk/pdf/FR%20ID%2004%20for%20website.pdf

  • 2013: Editor of the Royal College of Psychiatrists Report on People with Learning Disability and Mental Health, Behavioural or Forensic Problems: The Role of In-Patient Services http://www.rcpsych.ac.uk/pdf/FR%20ID%2003%20for%20website.pdf

  • 2012 to date: Convenor of the Clinical Research Group on Forensic Intellectual and Developmental Disabilities (CRG FIDD) funded by the Mental Health Research Network (MHRN), National Institute of Health Research (NIHR). Applicants and collaborators in this CRG are drawn from over 10 UK Universities and 25 hospitals within the NHS and independent sectors. They include academics, psychiatrists, psychologists, nurses, social workers, occupational therapists, teachers, health service managers and service users http://www.forensiclearningdisability.com

  • 2009 to 2013: Academic Secretary & elected member of the Executive committee of the Eastern Division, Royal College of Psychiatrists, London

  • 2008 to 2012: Academic Secretary & elected member of the Executive committee of the Faculty of Learning Disability Psychiatry, Royal College of Psychiatrists, London.

  • 2003 to date: Honorary Visiting Clinical Fellow, Department of Health Sciences, University of Leicester & 2002 to date: Member, Board of Examiners, MRCPsych examination, Royal College of Psychiatrists, London

  • 2002 to date: Member, Board of CASC Examiners, MRCPsych, Royal College of Psychiatrists, London,

  • 2009-2013: Academic Secretary, Eastern Division, Royal College of Psychiatrists, London

  • 2008-2012: Academic Secretary, Faculty of Learning Disability Psychiatry, Royal College of Psychiatrists, London