Overcoming the challenges of evaluating dual diagnosis interventions in medium secure units

Swain, Eleanor; Boulter, Sara; Piek, Nicola

doi:10.5042/bjfp.2010.0036

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Given data supporting efficacy for both group and individual cognitive behaviour therapy approaches to substance abuse (Rotgers & Nguyen, 2006), the former was favoured on pragmatic grounds. This evaluation acknowledges the necessity of using outcome measures that are an indirect or proxy assessment of progress in treatment or which have been shown to relate to outcome in other settings (Long & Hollin, 2009;Swain, Boulter & Piek, 2010).…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Group substance abuse treatment for women in secure services

Long

Fulton

Fitzgerald

et al. 2010

Mental Health and Substance Use

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“…service users' readiness for change and motivations for treatment when Motivational Interviewing techniques are employed (Piek, 2009;Carey and Correia, 1998;Swain et al, 2010). However, as yet, there is little empirical evidence to support the adoption of this approach in a secure inpatient setting, where there may be complicating issues such as limited insight and low levels of compliance (Swain et al, 2010).…”

Section: Introductionmentioning

confidence: 98%

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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A service evaluation of the Behavioural Treatment for Substance Abuse (BTSA) programme for forensic dual diagnosis populations

Arsuffi

Scarborough

2022

Journal of Forensic Psychology Research and Practice

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Overcoming the challenges of evaluating dual diagnosis interventions in medium secure units

Cited by 3 publications

References 24 publications

Group substance abuse treatment for women in secure services

Group substance abuse treatment for women in secure services

Preliminary evaluation of a forensic dual diagnosis intervention

A service evaluation of the Behavioural Treatment for Substance Abuse (BTSA) programme for forensic dual diagnosis populations

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