RESUMO
BACKGROUND: The effectiveness of offending behaviour programs in forensic mental health settings is not well established. Thus this study aimed to evaluate the Reasoning and Rehabilitation Mental Health program (R&R2 MHP) among a mentally disordered offender (MDO) population. METHODS: A sample of 121 adult males drawn from 10 forensic mental health sites completed questionnaires at baseline and post-treatment to assess violent attitudes, locus of control, social problem-solving and anger. An informant measure of social and psychological functioning, including disruptive behaviour, was completed by unit staff at the same time. At three month follow-up patients completed again the violent attitudes and locus of control questionnaires. The data of 67 patients who participated in the group condition were compared with 54 waiting-list controls who received treatment as usual. RESULTS: 78% of group participants completed the program. In contrast to controls, significant treatment effects were found at outcome on self-reported measures of violent attitudes, rational problem-solving and anger cognitions. Improvements were endorsed by informant ratings of social and psychological functioning within the establishments. At follow-up significant treatment effects were found for both violent attitudes and locus of control. CONCLUSIONS: R&R2 MHP was effective in a sample of MDOs and had a comparatively low drop-out rate. Future research should use a randomized controlled design.
Assuntos
Terapia Cognitivo-Comportamental , Criminosos/psicologia , Transtornos Mentais/terapia , Adolescente , Adulto , Idoso , Agressão , Ira , Atitude , Humanos , Controle Interno-Externo , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Resolução de Problemas , Inquéritos e Questionários , Resultado do Tratamento , Violência/psicologiaAssuntos
Crime/psicologia , Criminosos/psicologia , Deficiência Intelectual/reabilitação , Transtornos Mentais/reabilitação , Adulto , Crime/prevenção & controle , Criminosos/estatística & dados numéricos , Estudos de Viabilidade , Humanos , Deficiência Intelectual/psicologia , Masculino , Transtornos Mentais/psicologia , Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Psicometria , Prevenção Secundária , Adulto JovemRESUMO
This study aimed to evaluate the acceptability and efficacy of delivering the Reasoning and Rehabilitation Mental Health Program (R&R2MHP) to female mentally disordered offenders detained in medium and low secure hospital settings. Group treatment participants (N = 18) and control participants receiving treatment as usual (N = 20) completed self-report measures pre- and post-group. An informant measure of ward behavior was also completed by staff. Violent attitudes and locus of control were assessed at 3-month follow-up. Program completion was excellent (89%). A conservative intention-to-treat analysis found significant treatment effects post-group for positive problem-solving orientation, rational problem-solving style, and locus of control (medium-large effect), but no treatment effect for violent attitudes, anger, and ward behavior. At follow-up, a large treatment effect was found for locus of control. Ad hoc per protocol analyses found a large treatment effect for ward behavior. The findings provide preliminary support for the feasibility and utility of delivering R&R2MHP to females in secure psychiatric settings.