Women in medium secure care: tracking treatment progress for changes in risk profiles and treatment engagement

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

doi:10.1111/j.1365-2850.2010.01678.x

Cited by 17 publications

(12 citation statements)

References 35 publications

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“…In part, this may reflect differences in admission characteristics of such patients, with women admitted from prison, e.g. having had less previous exposure to psychiatric treatment, and perhaps being more behaviourally disturbed at the point of original admission to any service (Long et al, ). Findings also reflect the relationship between engagement, length of stay and disturbed behaviour (Sigafoos and Kerr, ) and impulsivity (McCarthy and Duggan, ; Long et al, ).…”

Section: Discussionmentioning

confidence: 58%

“…having had less previous exposure to psychiatric treatment, and perhaps being more behaviourally disturbed at the point of original admission to any service (Long et al, ). Findings also reflect the relationship between engagement, length of stay and disturbed behaviour (Sigafoos and Kerr, ) and impulsivity (McCarthy and Duggan, ; Long et al, ). The lower levels of symptoms of any kind, including trauma symptoms, for high treatment attendees would fit with a finding that patients with higher levels of distress may be better suited to individual methods of treatment delivery rather than group‐based approaches (Beutler et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

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Engagement in psychosocial treatment: Its relationship to outcome and care pathway progress for women in medium‐secure settings

Long

Dolley

Hollin

2012

Criminal Behav Ment Health

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Attendance at groups in this medium security unit had clear advantages for patients and potential cost savings for services and the community, but we found a subgroup of women who found it difficult to attend. Given the small sample size, we advocate replication, but our findings suggest the following: Implications for practice development of motivational interventions to help patients make a therapeutic alliance more accurate assessment of treatment readiness, to avoid mistimed interventions that are counterproductive more effective deployment of milieu therapeutic approaches to stabilise behaviour at an early stage of hospitalisation abandonment of a 'one size fits all' approach to groups for mixed patient populations. More 'customised' approaches would allow more appropriate 'pacing' of treatment and adaptations of interventions according to need during the treatment course.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Engagement in psychosocial treatment: Its relationship to outcome and care pathway progress for women in medium‐secure settings

Long

Dolley

Hollin

2012

Criminal Behav Ment Health

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“…External exclusions relating in the main to ''circumstances'' reflects a broader issue of management and in particular the need for integrated levels of the treatment programme and staffing models that ensure treatment sessions occur as planned and that attendance is actively encouraged (Long et al, 2011a).…”

Section: Discussionmentioning

confidence: 99%

Barriers to treatment: reasons for non‐attendance in women's secure settings

Long

Banyard

Fox

et al. 2012

Advances in Dual Diagnosis

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The aim of this paper is to investigate reasons for treatment non-attendance for dual diagnosis women in secure psychiatric settings.Design/methodology/approach -A semi structured interview was used to investigate patients' reasons for session non attendance on the day of non participation across four wards. Reasons for non attendance were grouped using the mulifactorial offender readiness model (MORM) categories of affective, volitional, behavioural, cognitive and external. Assignment of responses to categories was undertaken by a two person team and inter rater reliability was assessed.Findings -Patients' rates of attendance varied by ward and level of security (low vs medium); and diagnosis. Systematic enquiry about the reasons for non attendance led to increased session attendance. Reasons for non attendance were cognitive reflecting negative evaluations of treatment and treatment outcomes. Psychological therapies and educational sessions were deemed the most important along with one-to-one clinician appointments.Originality/value -Issues of treatment engagement and the timing of treatment interventions are major issues in the care of secure psychiatric patients, particularly those with a primary diagnosis of personality disorder. Findings highlight the importance of systematic enquiry about reasons for non attendance and suggest potential interventions designed to improve engagement.

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“…settings are to reduce symptoms of psychopathology and address criminogenic needs such as substance abuse. Engaging patients in therapy can also be seen as part of risk management (Daffern et al 2004) and there is evidence that increased therapeutic engagement is significantly correlated with clinically significant reductions in risk (Long et al 2011).…”

Section: Childhood Trauma and Engagementmentioning

confidence: 99%

Examining the effect of childhood trauma on psychological distress, risk of violence and engagement, in forensic mental health

Macinnes

Macpherson

Austin

et al. 2016

Psychiatry Research

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Previous research has found an association between childhood trauma and insecure attachment and psychological distress, risk of violence and engagement in therapy. The aim of this study was to investigate the relationships between these factors in a forensic population. Sixty-four participants from three secure psychiatric hospitals completed the Childhood Trauma Questionnaire (CTQ), the Relationship Scales Questionnaire (RSQ) and the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Overall scores from participants' Historical Clinical Risk Management Violence Risk Assessment Scheme, (HCR-20) were calculated. Staff evaluated participants' engagement in therapy via completion of the Service Engagement Scale (SES). This retrospective study found childhood trauma and insecure attachment significantly predicted psychological distress and risk of violence. No associations with engagement were found, but methodological reasons for this outcome were acknowledged. The importance of routinely assessing for a history of childhood trauma and insecure attachment was highlighted.

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Women in medium secure care: tracking treatment progress for changes in risk profiles and treatment engagement

Cited by 17 publications

References 35 publications

Engagement in psychosocial treatment: Its relationship to outcome and care pathway progress for women in medium‐secure settings

Engagement in psychosocial treatment: Its relationship to outcome and care pathway progress for women in medium‐secure settings

Barriers to treatment: reasons for non‐attendance in women's secure settings

Examining the effect of childhood trauma on psychological distress, risk of violence and engagement, in forensic mental health

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