The development of a ‘best practice’ service for women in a medium‐secure psychiatric setting: treatment components and evaluation

Long, Clive G.; Fulton, Barbara; Hollin, Clive R.

doi:10.1002/cpp.591

Cited by 57 publications

(79 citation statements)

References 98 publications

(84 reference statements)

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“…The substance misuse group is part a suite of gender-specific manualised treatment programmes developed to address the needs of women in secure settings with problems of polysubstance misuse (Long, Fulton & Hollin, 2008). Two substance misuse treatment manuals have been developed as part of a pathway of care from medium to low security.…”

Section: Understanding and Overcoming Substance Use Treatment Programmementioning

confidence: 99%

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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: Understanding and Overcoming Substance Use Treatment Programmementioning

confidence: 99%

“…The group programme is delivered by a British Association of Behavioural and Cognitive Psychotherapies (BABCP) accredited cognitive behavioural psychotherapists and trained co-facilitators over a 16-week period. The training programme for co-facilitators is described in Long et al (2008).…”

Section: Understanding and Overcoming Substance Use Treatment Programmementioning

confidence: 99%

Group substance abuse treatment for women in secure services

Long

Fulton

Fitzgerald

et al. 2010

Mental Health and Substance Use

Self Cite

View full text Add to dashboard Cite

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“…Bartlett, Jhanjib, Whitec, & Harty, 2014;Blanchette & Brown, 2006;Covington & Bloom, 2006;Heilbrun et al, 2008;Long, Fulton, & Hollin, 2008). In general, these treatment models stress the importance of using gender-sensitive risk assessment and addressing issues such as trauma, (sexual) abuse, and the role of social relations and disruptions in these relations Downloaded by [Orta Dogu Teknik Universitesi] at 09:54 30 December 2015 during treatment.…”

Section: Introductionmentioning

confidence: 97%

Violent women: a multicentre study into gender differences in forensic psychiatric patients

Vogel

Stam²,

Bouman³

et al. 2015

The Journal of Forensic Psychiatry & Psychology

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“…Women offenders have complex and serious mental health and social care needs (Abram, Teplin, & McClelland, 2003;Coid, Kahtan, Gault, & Jarman, 2000;Long, Fulton, & Hollin, 2008;O'Brien, Mortimer, Singleton, & Meltzer, 2003). This population is characterised by high levels of childhood trauma and associated distress in adulthood, as well as substance misuse, self-harm, personality disorder and mental illness (McCellan, Farabee, & Crouch, 1997;MoJ, 2012a;Peugh & Belenko, 1999).…”

Section: Introductionmentioning

confidence: 98%

Interventions with women offenders: a systematic review and meta-analysis of mental health gain

Bartlett¹,

Jhanji

White³

et al. 2014

The Journal of Forensic Psychiatry & Psychology

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Currently, a conjunction of policy, legislative change in health and social care and the criminal justice system, combined with funding for innovative services make it opportune to assess the evidence base for interventions with women offenders. Women offenders have a distinctive criminological, health and social profile and a gender specific approach to their difficulties is advocated. This systematic review and meta-analysis focus on mental health gain in adult women offenders in forensic health settings, criminal justice institutions and in the community, following therapeutic interventions. Interventions were assessed in terms of specific outcome measures of depression, trauma symptomatology and global mental health status. Comprehensive search strategies yielded 3018 articles, from which we obtained 199 full text articles. Seventeen articles were included in the final review, of which six were excluded from the meta-analysis as there was no comparator group. There is a modest, but increasing, body of evidence for the utility of some interventions, notably those addressing the consequences of earlier trauma, including interventions which also address comorbid substance misuse. This does not amount, to date, to a robust evidence base. Limitations of these studies are discussed and include small sample sizes, their restriction mainly to prison populations and that they were substantially undertaken in the US. Variations in outcome measures follow-up and the difficulties inherent in measuring change in this complex population are also detailed. However, the review delineates definite avenues for further work. To achieve this, those responsible for policy, practice and purchase of services should both be mindful of existing evidence and promote additional, high quality research into interventions which are designed around a coherent, theoretical approach.

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The development of a ‘best practice’ service for women in a medium‐secure psychiatric setting: treatment components and evaluation

Cited by 57 publications

References 98 publications

Group substance abuse treatment for women in secure services

Group substance abuse treatment for women in secure services

Violent women: a multicentre study into gender differences in forensic psychiatric patients

Interventions with women offenders: a systematic review and meta-analysis of mental health gain

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