An evaluation of group work as an intervention to reduce the impact of substance misuse for offender patients in a high security hospital

Morris, Chad; Moore, Estelle

doi:10.1080/14789940802263736

Cited by 25 publications

(23 citation statements)

References 29 publications

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“…The current study provides further support for the value of cognitive behaviour therapy for forensic patients who complete treatment (McMurran, 2007) and reinforce the notion that genderspecific interventions must be combined with empirically validated approaches (Johns, Baker, Webster & Lewin, 2009). While these changes cannot be attributed to Mental Health and Substance Use: dual diagnosis 233 the substance misuse intervention alone, over a wider system of care (Morris & Moore, 2009) the consistency of self reported change attests to overall clinical improvement (Hughes, Hogue, Hollin & Champion, 1997).…”

Section: Discussionsupporting

confidence: 65%

“…Thus research describing treatment programme and outcomes for patients in high and medium secure settings is limited (Derry & Batson, 2008;Miles, Dutheil, Welsby & Haider, 2007;Morris & Moore, 2009;Oddie & Davies, 2009) and concerns small, largely male samples. Although there is more information about 'what works' with offenders (McMurran, 2007), services specific to the needs of women offenders are underdeveloped.…”

Section: Introductionmentioning

confidence: 97%

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Group substance abuse treatment for women in secure services

Long

Fulton

Fitzgerald

et al. 2010

Mental Health and Substance Use

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Background: The treatment of substance abuse in secure settings needs to be informed by gender specific considerations. Aim: To assess the effectiveness of a manualised CBT substance abuse treatment programme designed for women in medium security. Method: Assessment of pre-post changes following treatment using substancespecific and other outcome indicators. Results: Positive outcomes were identified for treatment completers (n ¼ 23) in terms of improved substance-related self-efficacy, lower perceived costs and greater benefits of change. These differences, which were not evident in the non-completer group (n ¼ 11), were paralleled by positive clinical changes on subscale of the BPRS, CANFOR needs and increased general self-efficacy. Conclusions: Treatment was successful in engaging two-thirds of patients to complete treatment in readiness for conditions of lower security and potential exposure to alcohol and other drugs. Differences between completers and non-completers raise issues about the timing and intensiveness of treatment at stages in treatment paths for women in secure settings.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 97%

Group substance abuse treatment for women in secure services

Long

Fulton

Fitzgerald

et al. 2010

Mental Health and Substance Use

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Section: Therapies Targeting Mental Illness and Other Psychological Nmentioning

confidence: 98%

“…Of the two articles that were found on this topic, one described a drug and alcohol education and awareness program (Ritchie, Billcliff, McMahon, & Thomson, 2004) and the other a CBT intervention (Morris & Moore, 2009). These studies reported significant treatment effects on detained MDO's self-reported knowledge of alcohol and drug issues (Ritchie et al, 2004) and awareness of substance misuse behaviors and associated problems (Morris & Moore, 2009). There is a pressing need for further research in this area given the high rates of substance misuse in forensic populations (e.g., Ritchie et al, 2004) and the established epidemiological links between substance misuse, mental illness, and violent behavior (e.g., Steadman et al, 1998).…”

Section: Therapies Targeting Mental Illness and Other Psychological Nmentioning

confidence: 98%

Sailing uncharted seas without a compass: A review of interventions in forensic mental health

Barnao

Ward

2015

Aggression and Violent Behavior

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“…F o r e n s i c P r a c t i c e 4 and this was also the case for use of alcohol (Harty et al, 2004). Research has shown that treatment makes a significant, positive difference to certain attitudes towards substances, such as ambivalence (Morris and Moore, 2009).…”

Section: Introductionmentioning

confidence: 99%

Substance misuse in personality disorder and schizophrenia: findings and clinical implications from a high secure hospital

Cappai

Wells

Tapp

et al. 2017

JFP

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IntroductionPrevious evidence has demonstrated that the rate of Substance Misuse (SMU) within the psychiatric population is considerably higher than within a general population (D'Silva and Ferriter, 2003; Farrell et al., 1998). For forensic psychiatric patients, statistics are often even higher, with rates among patients admitted to forensic units typically between 50% and 90% (Derry, 2008). There is no clear agreement with regards to the link between mental disorder and violence; the link between a particular diagnosis and violence has been defined as "controversial and emotive" by some authors (Fazel et al., 2009). A variety of studies indicate that there is an association between serious violence and Schizophrenia, and that this link could be explained simply on the basis of either comorbid substance abuse, or prior criminal offending (Bennett et al., 2011; Fazel et al., 2009). In addition, many studies have attested an association between violence and psychopathic traits (Serin, 1991). Thus, the relationship between violence, mental disorders and substance misuse has been widely documented (Johnson et al., 2014;Steadman et al., 1998).In contrast, some studies have suggested that rather than clinical factors, criminogenic risk factors appear to contribute more to risk (Bonta et al., 1998;Phillips et al., 2005). In this respect, there is an increasing amount of evidence to demonstrate that the risk of offending is enhanced by comorbidity with substance misuse (Short et al., 2013), and that "dual diagnosis" patients are significantly more violent than patients who suffer from either condition exclusively (Swanson et al., 1990). Comorbid patients have been found to use a greater frequency of violent behaviour; involving more victims and with the use of weapons (Phillips, 2000).Comorbid patients spent less time in the community in comparison with those without a history of substance misuse (Derry and Batson, 2008). Substance misuse is also indicated to be related to an increased risk of criminal recidivism; hence many authors underlining the need for specific interventions, in both the health service and prison settings and in adolescent populations (Flynn et al., 2012).Several authors indicate the lack of services, or current consensus on appropriate treatment interventions for patients whose mental illness is made more complex by substance misuse, both in and outside of secure hospital settings (McMahon et al., 2003;Lindqvist, 2007). Morris and Moore, (2009) put forward that identifying and meeting patients' needs in those with comorbid diagnoses should be addressed whilst in secure settings in order to minimise potential relapse once the patient has been discharged. Research into the needs of patients detained in high secure hospital settings in England reported that unmet needs for male patients were related to drug use in 23% of the sample

show abstract

An evaluation of group work as an intervention to reduce the impact of substance misuse for offender patients in a high security hospital

Cited by 25 publications

References 29 publications

Group substance abuse treatment for women in secure services

Group substance abuse treatment for women in secure services

Sailing uncharted seas without a compass: A review of interventions in forensic mental health

Substance misuse in personality disorder and schizophrenia: findings and clinical implications from a high secure hospital

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