Case Study: NZ’s Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003

Ms Louisa Medlicott1

1Private Practice, Dunedin, New Zealand


This is a case study of a man who has a Compulsory Care Order under New Zealand’s Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003.  W is in his 40s, has a mild intellectual disability, and suffered a traumatic brain injury as a child (developmental delay was clear prior to the accident).  W has lifelong behaviours of concern, and as a young man came before the Courts on multiple occasions. He became notorious and targeted by criminal associates in his home town.  He was supported by community providers and had multiple inpatient admissions because of significant behavioural dysregulation.  By 2005 he had over 80 convictions for substance related offences, driving offences, dishonesty offences, aggressive/violent offences, and breaches or contraventions of Court orders.  In 2005 he was charged with wilful damage, disorderly behaviour, theft, and threatens to kill.  He was made a Care Recipient under the IDCCR Act with a three-year order with two extensions because of ongoing offending behaviour.  He spent time with specialist community providers and in the National ID Secure Service.  He has had two further orders made after other offending came before the Courts.  This presentation will provide more information about his history as well as discussing his current situation and plans for the future.  He was happy to have his story presented as a case study.


Clinical Psychologist with over 20 years specialising in the area of intellectual disability.  Appointed as Specialist Assessor under NZ’s IDCCR Act 2003.

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