Forensic Case Formulation, Substance Abuse Disorders, and Anger

Vedel, Ellen; Emmelkamp, Paul M. G.

doi:10.1002/9781119977018.ch7

Cited by 1 publication

(1 citation statement)

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“…as a condition of discharge). Irrespective, in view of the strong links between alcohol use and offending (Vedel and Emmelkamp, 2011), as well as the associated harm to self and others (Nutt et al, 2010), these data suggest that a greater emphasis on the risks of alcohol use may be warranted.…”

Section: Findings From Stagementioning

confidence: 93%

Preliminary evaluation of a forensic dual diagnosis intervention

Tibber

Piek

Boulter

2015

Advances in Dual Diagnosis

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Purpose – This study is a post hoc service level investigation into the efficacy of a forensic dual diagnosis intervention. The treatment programme incorporated the principles of cognitive behavioural therapy and Motivational Interviewing, and was comprised of three stages: psycho-education into the links between mental/physical health, substance use and offending, the cultivation of coping strategies and relapse prevention planning. The paper aims to discuss these issues. Design/methodology/approach – Treatment outcome was tracked using pre- and post- stage 1 and 2 measures, and included self-report questionnaires that probed service users’ readiness for change, motivations for treatment and perceived effectiveness of coping strategies (n=80 and 37 patients for stages 1 and 2, respectively). In addition, service users undertook a knowledge “quiz”, which probed information retention. Findings – The results show that whilst psycho-education (stage 1) increased service users’ knowledge of key issues, this had no parallel effects on other measures. In contrast, completion of stage 2 led to an increase in external motivation for treatment, although this did not translate into a shift in service users’ readiness for change. Research limitations/implications – These findings are consistent with the Motivational Interviewing literature and highlight the need for a shift in internalised motivation for treatment if change is to be elicited. Further, they point towards the viability of using self-report measures to monitor treatment outcome in a secure forensic setting. Originality/value – These findings have a number of implications for the design and on-going evaluation of forensic dual diagnosis services, an area of research that is currently under-represented in the literature.

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Section: Findings From Stagementioning

confidence: 93%