Substance-abusing women in a medium secure psychiatric setting: characteristics and psychometric test performance

Long, Clive G.; Hall, Louise; Dolley, Olga; Hollin, Clive R.

doi:10.3109/14659891.2010.540296

Cited by 4 publications

(3 citation statements)

References 56 publications

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“…Existing empirical research strongly supports the relationship between craving and RTC (Chakravorty et al, 2010;C. G. Long, Hall, Dolley, & Hollin, 2011;McEvoy, Stritzke, French, Lang, & Ketterman, 2004;Morley, Teesson, Sannibale, Baillie, & Haber, 2010;Narsavage & Idemoto, 2003;Silverman, 2011).…”

Section: Readiness For Change and Treatmentmentioning

confidence: 96%

Predictive Factors of Readiness for Change During Inpatient Treatment

Bradshaw

Shumway

Harris

et al. 2013

Alcoholism Treatment Quarterly

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Recovery blesses those it rescues from addiction; however, alcoholics/addicts must be ready for recovery before it can claim them. Inpatient treatment therefore can be effective if it increases addicts' readiness for change. However, research is needed on factors associated with an alcoholic/addict becoming ready for change. Hope, resiliency, family functioning, and craving are important factors of addiction and recovery included in this study in a logistic regression that assesses their relationship to an addict's readiness for change. Along with baseline treatment levels of readiness, increases in hope and decreases in craving significantly associated with increased readiness for change posttreatment.

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Section: Readiness For Change and Treatmentmentioning

confidence: 96%

Predictive Factors of Readiness for Change During Inpatient Treatment

Bradshaw

Shumway

Harris

et al. 2013

Alcoholism Treatment Quarterly

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“…Substance misuse treatment in secure settings may also need to be informed by gender specific issues as there may be specific barriers to treatment amongst female MDO's (e.g. beliefs about treatment effectiveness in female personality disordered MDO's; Long et al, 2012), despite often high levels of risk-relevant substance use (Long et al, 2011) amongst this population. Preliminary findings for females suggest that integrated treatments in secure settings are appropriate (Long et al, 2010), although as with male participants in such programmes, the issues of timing and intensiveness of treatment at the appropriate stage in the care pathway remain relevant.…”

Section: Woodmentioning

confidence: 99%

“A new horizon?”: evaluation of an integrated Substance Use Treatment Programme (SUTP) for mentally disordered offenders

Miles

2015

Advances in Dual Diagnosis

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Purpose – The treatment of substance use amongst mentally disordered offenders (MDOs) remains a challenge for secure forensic mental health services. The purpose of this paper is to present an integrated three-stage substance use treatment programme (SUTP) for male and female MDO’s in medium security. Design/methodology/approach – In total, 45 (72.6 per cent) MDO’s were referred (39 males/6 females). Standardised outcome measures were administered pre-SUTP, post-SUTP and at one year follow-up. Abstinence rates and location was determined via case notes at three year follow-up. Findings – All MDO’s had a past history of substance use, approximately three-quarters reporting problematic use prior to admission. Over half completed all three SUTP stages, less than 5 per cent dropping out during active treatment. The SUTP supported abstinence throughout the one year follow-up period and significantly improved MDO’s adaptive beliefs about substances and craving by one year follow-up amongst attendees. At three years, most MDO’s were in the community and almost three-quarters were abstinent. There was no significant difference in abstinent rates between community and hospital. There was a non-significant trend suggesting SUTP attendance supported abstinence. Both male and female participants appear to have benefited from treatment and satisfaction was high, reflecting the specific aims and objectives of treatment. Research limitations/implications – The small non-randomised sample from one area limits the generalisability of findings and statistical power. Originality/value – Findings indicate further support for the limited evidence base that small but clinically meaningful and maintained changes to problematic substance use are possible following integrated substance use treatment for male and female MDO’s.

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“…2011a). The majority of these service users also have a previous history of abuse (sexual, emotional or physical) and problems with substance misuse sometimes associated with working in the sex trade (Long et al. 2011b; Weinhardt et al.…”

Section: Introductionmentioning

confidence: 99%

Assessing the sexual knowledge of women in secure settings: the development of a new screening measure

Long¹,

Krawczyk²,

Kenworthy³

2012

Brit J Learn Disabil

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Accessible summary• This article addresses the need for more appropriate sexual health assessment materials for use with women with a learning disability. • It gives a summary of other assessment measures that have been developed and why they are not suitable for women with a learning disability. • It describes the development of a new assessment measure that can be used to assess the sexual knowledge needs of women in secure settings, with a learning disability. • This research is important because it acknowledges that people with a learning disability have the same rights as others with regard to information about sexual health matters. As such people with a learning disability should be asked the questions about the sexual knowledge in an easy and straightforward way that allows them to discuss concerns. SummaryLittle research has been published on the need for sexual education for women in secure psychiatric facilities when patients present with a combination of learning disability, mental illness and personality disorder. The development of a brief, feasible, gender-specific sexual knowledge questionnaire is described, which has validity and reliability and which is comprehensible by 95% of adults. Results of a pilot study show significant sexual knowledge deficits in learning disability and mentally ill women along with risk and vulnerability factors. Ways of addressing these issues are discussed.

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Substance-abusing women in a medium secure psychiatric setting: characteristics and psychometric test performance

Cited by 4 publications

References 56 publications

Predictive Factors of Readiness for Change During Inpatient Treatment

Predictive Factors of Readiness for Change During Inpatient Treatment

“A new horizon?”: evaluation of an integrated Substance Use Treatment Programme (SUTP) for mentally disordered offenders

Assessing the sexual knowledge of women in secure settings: the development of a new screening measure

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