Reasoning and rehabilitation cognitive skills programme for mentally disordered offenders: predictors of outcome
File(s)
Published version
Author(s)
Young, SJ
Das, M
Gudjonsson, G
Type
Journal Article
Abstract
AIM
To investigate factors predicting treatment completion and treatment outcome of the
Reasoning and Rehabili
tation Mental Health Programme
(
R&R2MHP
)
cognitive
skills programme for mentally disordered offenders (MDOs).
METHODS
Secondary analysis of data previously obtain
ed
from 97 male patients who were
sectioned and detained under the U
nited Kingdom
Mental Health Act in low,
medium and high security hospitals and who had completed R&R2MHP. Predictors
of treatment completion included background variables and five outcome measures:
four self
-
reported measures of violent attitudes, social problem
-
solvin
g skills,
reactive anger and locus of control and an objective measure of behaviour on the
ward that was completed by staff.
Completion of the 16 session programme, which
was delivered on a weekly basis, was classified as ≥ 12 sessions.
RESULTS
It was fou
nd that the
R&R2MHP
is appropriate for delivery to
participants of
different ages, ethnic background, and at different levels of security without the
completion rate or treatment effectiveness being compromised. Participants taking
oral typical psychotropi
c medication were over seven times more likely to complete
the programme than other participants. Behavioural disturbance on the ward prior
to commencing the programme predicted non
-
completion (medium effect size). As
far as treatment completion was concer
ned, none of the background factors
predicted treatment effectiveness (age, ethnic background, level of security, number
of previous convictions and number of previous hospital admissions). The best
predictor of treatment effectiveness was attitude towards
violence suggesting that
this should be the primary outcome measure in future research evaluating outcomes
of the R&R2MHP cognitive skills program. CONCLUSION
The findings suggest that a stable mental state is a key factor that predicts treatment
completion.
To investigate factors predicting treatment completion and treatment outcome of the
Reasoning and Rehabili
tation Mental Health Programme
(
R&R2MHP
)
cognitive
skills programme for mentally disordered offenders (MDOs).
METHODS
Secondary analysis of data previously obtain
ed
from 97 male patients who were
sectioned and detained under the U
nited Kingdom
Mental Health Act in low,
medium and high security hospitals and who had completed R&R2MHP. Predictors
of treatment completion included background variables and five outcome measures:
four self
-
reported measures of violent attitudes, social problem
-
solvin
g skills,
reactive anger and locus of control and an objective measure of behaviour on the
ward that was completed by staff.
Completion of the 16 session programme, which
was delivered on a weekly basis, was classified as ≥ 12 sessions.
RESULTS
It was fou
nd that the
R&R2MHP
is appropriate for delivery to
participants of
different ages, ethnic background, and at different levels of security without the
completion rate or treatment effectiveness being compromised. Participants taking
oral typical psychotropi
c medication were over seven times more likely to complete
the programme than other participants. Behavioural disturbance on the ward prior
to commencing the programme predicted non
-
completion (medium effect size). As
far as treatment completion was concer
ned, none of the background factors
predicted treatment effectiveness (age, ethnic background, level of security, number
of previous convictions and number of previous hospital admissions). The best
predictor of treatment effectiveness was attitude towards
violence suggesting that
this should be the primary outcome measure in future research evaluating outcomes
of the R&R2MHP cognitive skills program. CONCLUSION
The findings suggest that a stable mental state is a key factor that predicts treatment
completion.
Date Issued
2016-12-22
Date Acceptance
2016-10-22
Citation
World Journal of Psychiatry, 2016, 6 (4), pp.410-418
ISSN
2220-3206
Publisher
Baishideng Publishing Group Inc.
Start Page
410
End Page
418
Journal / Book Title
World Journal of Psychiatry
Volume
6
Issue
4
Copyright Statement
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
License URL
Sponsor
Shire Pharmaceuticals Development Ltd
Grant Number
RTJ6011480
Publication Status
Published