Do early therapeutic alliance, motivation, and stages of change predict therapy change for high‐risk, psychopathic violent prisoners?

Polaschek, Devon L. L.; Ross, Elizabeth C.

doi:10.1002/cbm.759

Cited by 99 publications

(103 citation statements)

References 25 publications

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“…A significant relationship between therapeutic relationship and risk factors for violence was found and that staff responsiveness was particularly important for those with at risk of suicide or self-harm. Staff who listened to prisoners needs counteracted the significant frustration, powerlessness and uncertainty that health problems experienced in prison engendered [53, 54]. Although none of these studies directly examined the variables, the strong inference is that a positive therapeutic relationship and high level of service user satisfaction is likely to reduce a range of difficult behaviours and also reduce levels of frustration and powerlessness in the service user group.…”

Section: Discussionmentioning

confidence: 99%

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

et al. 2014

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BackgroundThis small-scale study examines an often neglected patient group (service users in forensic mental health settings). The research investigates their therapeutic relationship with staff and which therapeutic relationship factors are associated with their level of satisfaction with services.MethodsA cross sectional survey was undertaken in two medium secure units in the UK with seventy seven participants completing self-report measures examining service user satisfaction with services and their therapeutic relationship with staff. Multiple regression analysis was used to identify the main predictor variables associated with satisfaction with the service provided.ResultsThe respondents had a generally positive view of services and also of their therapeutic relationships with staff. However, the therapeutic relationship scores were lower than those recorded in community samples. One predictor variable was significantly associated with service user satisfaction; feeling respected and well regarded.ConclusionsThe therapeutic relationship domain of being respected and well regarded by staff was identified as the most significant factor among the therapeutic relationship domains when examining the association with satisfaction with services. The important role mental health clinicians play in enabling service users to recognize they are being treated respectfully is noted as service users judge the degree of honesty, caring and interest that staff show in them. Staff also need to be available and accessible while having good listening and information giving skills. The importance of having both positive therapeutic relationships and service user satisfaction in forensic settings is also discussed.

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Section: Discussionmentioning

confidence: 99%

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

et al. 2014

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“…Although the importance of the practitioner is well documented within the general clinical field of psychotherapy (Wampold, 2015), less is known about the importance of the practitioner relationship with clients who are involuntary or those who are part of a criminal justice response. One exception has come from a small number of studies in the probation criminal justice field (e.g., Kennealy et al, 2012;Paparozzi & Gendreau, 2005;Polaschek, & Ross, 2010) which have argued that while working with offender populations can make relationship building factors difficult, it can be done. Here, there is some recognition that the dual role of support person and control agent can be balanced: firm and authoritative but still fair and respectful.…”

Section: Facilitator Educationmentioning

confidence: 99%

“…A small number of studies in the probation criminal justice field (e.g., Kennealy et al, 2012;Paparozzi, & Gendreau, 2005;Polaschek & Ross, 2010) support the notion that the dual role of support person and control agent can be balanced: firm and authoritative but still fair and respectful. The IPV literature indicates that the facilitator and offender relationship is a key component required for reduced recidivism, and when facilitators take a more active role through continuous assessment, they can readily identify clients who are not progressing in treatment and can intervene and assess why the client is not improving before the client terminates prematurely (Reese et al, 2009).…”

Section: Perpetrator Treatment and Practitioner-client Relationshipsmentioning

confidence: 99%

Domestic Violence Perpetrator Programs: A Proposal for Evidence-Based Standards in the United States

Armenti²,

et al. 2016

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In the United States, the judicial system response to violence between intimate partners, or intimate partner violence (IPV), typically mandates that adjudicated perpetrators complete a batterer intervention program (BIP). The social science data has found that these programs, on the whole, are only minimally effective in reducing rates of IPV. The authors examined the social science literature on the characteristics and efficacy of BIPs. More than 400 studies were considered, including a sweeping, recently conducted survey of BIP directors across the United States and Canada. Results of this review indicate that the limitations of BIPs are due, in large part, to the limitations of current state standards regulating these programs and, furthermore, that these standards are not grounded in the body of empirical research evidence or best practices. The authors, all of whom have considerable expertise in the area of domestic violence perpetrator treatment, conducted an exhaustive investigation of the following key intervention areas: overall effectiveness of BIPs; length of treatment/length of group sessions; number of group participants and number of facilitators; group format and curriculum; assessment protocol and instruments; victim contact; modality of treatment; differential treatment; working with female perpetrators; working with perpetrators in racial and ethnic minority groups; working with lesbian, gay, bisexual, and transgender (LGBT) perpetrators; perpetrator treatment and practitioner–client relationships; and required practitioner education and training. Recommendations for evidence-based national BIP standards were made based on findings from this review.

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“…Different patterns of collaboration (improving, stable high, and deteriorating collaboration) have been shown. These groups generally manifest differences with respect to outcome rates in different treatment settings (Polaschek and Ross, 2010). …”

Section: Introductionmentioning

confidence: 99%

Patterns of Change in Collaboration Are Associated with Baseline Characteristics and Predict Outcome and Dropout Rates in Treatment of Multi-Problem Families. A Validation Study

Bachler¹,

Fruehmann²,

Bachler

et al. 2017

Front. Psychol.

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Objective: The present study validates the Multi-Problem Family (MPF)-Collaboration Scale), which measures the progress of goal directed collaboration of patients in the treatment of families with MPF and its relation to drop-out rates and treatment outcome.Method: Naturalistic study of symptom and competence-related changes in children of ages 4–18 and their caregivers.Setting: Integrative, structural outreach family therapy.Measures: The data of five different groups of goal directed collaboration (deteriorating collaboration, stable low collaboration, stable medium collaboration, stable high collaboration, improving collaboration) were analyzed in their relation to treatment expectation, individual therapeutic goals (ITG), family adversity index, severity of problems and global assessment of a caregiver’s functioning, child, and relational aspects.Results: From N = 810 families, 20% displayed stable high collaboration (n = 162) and 21% had a pattern of improving collaboration. The families with stable high or improving collaboration rates achieved significantly more progress throughout therapy in terms of treatment outcome expectancy (d = 0.96; r = 0.43), reaching ITG (d = 1.17; r = 0.50), family adversities (d = 0.55; r = 0.26), and severity of psychiatric symptoms (d = 0.31; r = 0.15). Furthermore, families with stable high or improving collaboration maintained longer treatments and had a bigger chance of finishing the therapy as planned. The odds of having a stable low or deteriorating collaboration throughout treatment were significantly higher for subjects who started treatment with low treatment expectation or high family-related adversities.Conclusion: The positive outcomes of homebased interventions for multi-problem families are closely related to “stable high” and an “improving” collaboration as measured with the MPF-Collaboration Scale. Patients who fall into these groups have a high treatment outcome expectancy and reduce psychological stress. For therapeutic interventions with multi-problem families it seems beneficial to maintain a stable high collaboration or help the collaboration, e.g., by fostering treatment expectation.

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Do early therapeutic alliance, motivation, and stages of change predict therapy change for high‐risk, psychopathic violent prisoners?

Cited by 99 publications

References 25 publications

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

Domestic Violence Perpetrator Programs: A Proposal for Evidence-Based Standards in the United States

Patterns of Change in Collaboration Are Associated with Baseline Characteristics and Predict Outcome and Dropout Rates in Treatment of Multi-Problem Families. A Validation Study

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