Cognitive‐Behavioural Integrated Treatment Approach for Psychosis and Problem Substance use

Graham, Hermine L.; Copello, Alex; Birchwood, Max; Orford, Jim; McGovern, Dermot; Maslin, Jenny; Georgiou, George

doi:10.1002/9780470713846.ch11

Cited by 7 publications

(8 citation statements)

References 11 publications

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“…Although the data were analysed post hoc at the group level, and were originally gathered for the purposes of monitoring patient progress and service evaluation, we believe the findings will be of interest to others. Thus, despite the high prevalence of substance misuse in forensic populations and the recent growth in dual diagnosis interventions (Farren and McElroy, 2008;Graham et al, 2003;Miles et al, 2007), few studies have attempted to address this issue to date (Long et al, 2010;Miles et al, 2007;Morris and Moore, 2009;Nagi et al, 2014;Oddie and Davies, 2009). …”

Section: Discussionmentioning

confidence: 96%

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Preliminary evaluation of a forensic dual diagnosis intervention

Tibber

Piek

Boulter

2015

Advances in Dual Diagnosis

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Purpose – This study is a post hoc service level investigation into the efficacy of a forensic dual diagnosis intervention. The treatment programme incorporated the principles of cognitive behavioural therapy and Motivational Interviewing, and was comprised of three stages: psycho-education into the links between mental/physical health, substance use and offending, the cultivation of coping strategies and relapse prevention planning. The paper aims to discuss these issues. Design/methodology/approach – Treatment outcome was tracked using pre- and post- stage 1 and 2 measures, and included self-report questionnaires that probed service users’ readiness for change, motivations for treatment and perceived effectiveness of coping strategies (n=80 and 37 patients for stages 1 and 2, respectively). In addition, service users undertook a knowledge “quiz”, which probed information retention. Findings – The results show that whilst psycho-education (stage 1) increased service users’ knowledge of key issues, this had no parallel effects on other measures. In contrast, completion of stage 2 led to an increase in external motivation for treatment, although this did not translate into a shift in service users’ readiness for change. Research limitations/implications – These findings are consistent with the Motivational Interviewing literature and highlight the need for a shift in internalised motivation for treatment if change is to be elicited. Further, they point towards the viability of using self-report measures to monitor treatment outcome in a secure forensic setting. Originality/value – These findings have a number of implications for the design and on-going evaluation of forensic dual diagnosis services, an area of research that is currently under-represented in the literature.

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Section: Discussionmentioning

confidence: 96%

“…Farren and McElroy, 2008;Graham et al, 2003;Miles et al, 2007;Piek, 2009). However, the evidencebase for this perspective is limited.…”

Section: Introductionmentioning

confidence: 97%

Preliminary evaluation of a forensic dual diagnosis intervention

Tibber

Piek

Boulter

2015

Advances in Dual Diagnosis

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“…Dual diagnosis inpatient samples have a particular difficulty in establishing a continuing therapeutic alliance (Rosenthal, 2002). Accordingly, a number of motivational enhancement and cognitive behavioral strategies employed within treatment are designed to build such an alliance (Graham et al, 2002).…”

Section: Therapeutic Alliancementioning

confidence: 99%

Assessing Comorbid Substance Use in Detained Psychiatric Patients: Issues and Instruments for Evaluating Treatment Outcome

Long

Hollin

2009

Substance Use & Misuse

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This review assesses the issues involved in the selection and treatment of patients comorbid for mental illness and substance misuse being treated in secure psychiatric facilities. It includes those individuals who have a history of offending and whose placement is the result of severe behavioral disturbance. The relevant issues in the assessment and treatment of these patients are reviewed and a battery of tests is suggested on the basis of their usefulness with this population in terms of their brevity, ease of administration, and for their value in planning treatment, providing motivational feedback, and monitoring change. The paucity of assessment tools developed specifically for this patient population is highlighted.

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“…This is done via training in Cognitive-Behavioural Integrated Treatment (C-BIT); a psychosocial treatment approach developed by Graham et al (2006). The use of the approach is then supported by COMPASS through the allocation of a COMPASS practitioner to services in order to provide specialist supervision, clinical support, consultation and co-working (Graham et al, 2003a(Graham et al, , 2003b.…”

Section: Introductionmentioning

confidence: 99%