CBT in a Caribbean Context: A Controlled Trial of Anger Management in Trinidadian Prisons

Hutchinson, Gerard; Willner, Paul; Rose, John; Burke, Ian C.; Bastick, Tony

doi:10.1017/s1352465816000266

Cited by 20 publications

(35 citation statements)

References 39 publications

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“…This is compatible with the results of some previous investigations [ 20 , 21 ]. However, several studies assessing the effect of cognitive behavioral approach on anger management came to contradictory results.…”

Section: Discussionsupporting

confidence: 94%

Anger management in substance abuse based on cognitive behavioral therapy: an interventional study

et al. 2017

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BackgroundAnger and aggression have been developing notably in societies, especially among patients depending on substance abuse. Therefore, this study aimed to investigate the effect of anger management based on group education among patients depending on substances according to Patrick Reilly’s cognitive behavioral approach.MethodsIn a quasi- experimental study, all patients who met the inclusion criteria were evaluated regarding their aggression level. The participants were assigned to 12 educational sessions based on group therapy and Patrick-Reilly’s anger management by focusing on using a combination of cognitive intervention, relaxation, and communication skills. The data were analyzed using the SPSS statistical software, version 16.ResultsThe findings showed a significant difference between the two groups regarding aggression level after the intervention (p = 0.001). No significant relationship was observed between aggression level and demographic variables (p > 0.05).ConclusionThe intervention of this study can be used for establishing self-management and decreasing anger among patients depending on substances. They can also be used as a therapeutic program in addition to pharmacotherapy.Trial registration IRCT2016102030398N1.

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Section: Discussionsupporting

confidence: 94%

Anger management in substance abuse based on cognitive behavioral therapy: an interventional study

et al. 2017

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“…Despite the relatively brief treatment, the Bergen 4-day treatment (B4DT) has been shown to yield a good outcome [ 3 – 5 ]. At post-treatment assessment the proportion of responders varied from 83% [ 4 ] to 93.8% [ 5 ] with a weighted mean of 89.4%. At 6- or 12-month follow-up the mean response rate was 82.4%.…”

Section: Introductionmentioning

confidence: 99%

“…At 6- or 12-month follow-up the mean response rate was 82.4%. The post-treatment remission rate varied between 73.8% [ 4 ] and 77.1% [ 3 ] with a weighted mean of 76.0%, and at follow-up the average rate was 69.7%. Also, the 4-day format has shown to be acceptable for the patients and has a 'low drop-out rate; 0.7% (only 1 out of 142 patients; [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment

et al. 2018

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BackgroundOslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%.MethodsNinety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format.ResultsPost-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD.ConclusionsWe conclude that the B4DT is an acceptable and potentially effective OCD-treatment.

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“…Prison officers from the prisons were briefed about the anger management programme and were asked to disseminate information to prisoners who could opt into the programme as part of the prisons rehabilitation services. Results of the trial of anger management (Hutchinson et al , 2017) are reported separately. Volunteers were excluded if their release dates were within six months of the anticipated start date of the programme.…”

Section: Methodsmentioning

confidence: 99%

The prevalence of mental health difficulties in a sample of prisoners in Trinidadian prisons referred for anger management

Rose

Hutchinson

Willner

et al. 2018

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Purpose The purpose of this paper is to evaluate the prevalence of mental health disorder symptoms in a sample of prisoners in Trinidadian prisons who volunteered to attend anger management groups. Design/methodology/approach A survey was conducted using the 90-item Symptom Check-List revised (SCL-90-R) which was administered to prisoners in groups within the prison system. In total 132 prisoners (about 9 per cent of the prison population) completed the measure. The effect sizes of prisoners’ similarities to a psychiatric inpatient group and their differences from a non-patient group were used to identify symptoms most indicative of pathology in these prisoners. Findings The results on the SCL-90-R indicate that this group of prisoners (77.3 per cent male) had scores of psychiatric symptomatology that were much closer to a psychiatric inpatient population rather than to a general community population. Practical implications These results suggest there may be unmet psychiatric need among the population served by the prison services in Trinidad. It is not known how this sample differs from the general prison population. However, the unmet psychiatric need in this specific population suggests that a greater mental health focus in health services within prisons is to be considered to meet these needs. Originality/value These data suggest that there are significant mental health issues for some prisoners in Trinidad and possibly more generally in similar prison systems within the Caribbean and this may have significant implications for the treatment of prisoners and the delivery of mental health services in these prisons.

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CBT in a Caribbean Context: A Controlled Trial of Anger Management in Trinidadian Prisons

Cited by 20 publications

References 39 publications

Anger management in substance abuse based on cognitive behavioral therapy: an interventional study

Anger management in substance abuse based on cognitive behavioral therapy: an interventional study

Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment

The prevalence of mental health difficulties in a sample of prisoners in Trinidadian prisons referred for anger management

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