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Individual cognitive-behavioural anger treatment for people with mild-borderline intellectual disabilities and histories of aggression: a controlled trial
- Authors:
- TAYLOR John L., et al
- Journal article citation:
- British Journal of Clinical Psychology, 44(3), September 2005, pp.367-382.
- Publisher:
- Wiley
Approximately forty detained patients with mild-borderline intellectual disabilities and histories of serious aggression were allocated to specially modified cognitive-behavioural anger treatment (AT group) or to routine care waiting-list control (RC group) conditions. AT group participants received 18 sessions of individual treatment. The AT and RC groups were assessed simultaneously at 4 time points: screen, pre- and post-treatment, and at 4-month follow-up using a range of self- and staff-rated anger measures. The effectiveness of the treatment was evaluated using ANCOVA linear trend analyses of group differences on the main outcome measures. The AT group's self-reported anger scores on a number of measures were significantly lower following treatment, compared with the RC wait-list condition, and these improvements were maintained at follow-up. Limited evidence for the effectiveness of treatment was provided by staffs' ratings of patient behaviour post-treatment. The results suggest that detained men with mild-moderate intellectual disabilities and histories of severe aggression can successfully engage in, and benefit from, an intensive individual cognitive-behavioural anger treatment that also appears to have beneficial systemic effects.
Effectiveness of group cognitive-behavioural treatment for men with intellectual disabilities at risk of sexual offending
- Authors:
- MURPHY Glynis H., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(6), November 2010, pp.537-551.
- Publisher:
- Wiley
This paper presents results from a study providing treatment for men with intellectual disabilities who had shown signs of sexually abusive behaviours. It also evaluated the effects of such treatment in terms of the men’s knowledge, attitudes, beliefs and re-offending rates. Forty-six men participated. Results showed that 83% had engaged in more than one incident of sexually abusive behaviour but only 57% of the men who came for treatment were required by law to attend. Ninety two percent of the men who began treatment completed treatment 1 year later, indicating considerable motivation amongst the men to get treatment for their difficulties. The men showed statistically significant increases in sexual knowledge and victim empathy, as well as reductions in cognitive distortions. Few men showed further sexually abusive behaviour during the 1-year period when they were attending treatment or during the 6-month follow-up period. Only the presence of autistic spectrum disorders seemed related to re-offending. This trial provided some evidence of the effectiveness of such treatment for men with intellectual disabilities. However, there remains a need for a randomised controlled trial.
“We can feel good”: evaluation of an adapted DBT informed skills programme in medium security
- Authors:
- ASHWORTH Sarah, BROTHERTON Natalie
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.184-194.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a routine evaluation of clinical effectiveness of an adapted DBT (Dialectical Behaviour Therapy) informed skills programme (“I Can Feel Good”; Ingamells and Morrissey, 2014), run on both male and female intellectual disability wards of a medium security psychiatric hospital. Design/methodology/approach: A pre–post evaluation study of routine clinical practice was undertaken utilising staff report scales collected as the primary source of evaluation. FindingsL Findings show a positive shift regarding each module for both gender groups. Due to observed baseline differences between gender groups, data were separated and analysed separately. Non-parametric statistical analysis demonstrates statistically significant improvement across three modules for the male sample (managing feelings, coping in crisis and people skills) and two modules for the female sample (managing feelings and people skills). Originality/value: There appears to be subtle outcome differences regarding this programme for both gender groups across modules. Potential reasons for this are discussed, along with clinical reflections regarding gender differences and adaptations. Reflections upon future revisions including the integration of the new DBT skills (Linehan, 2014) are made in light of these findings. (Edited publisher abstract)
Comparing offenders against women and offenders against children on treatment outcome in offenders with intellectual disability
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(4), July 2011, pp.361-369.
- Publisher:
- Wiley
The most significant developments in the field of sex offender treatment have been based on problem solving and Cognitive Behaviour Therapy techniques. Several studies have shown the positive effects of sex offender treatment for men with intellectual disabilities who have perpetrated sex offences. The aim of this study was to provide a comparison of the process of treatment change amongst men with intellectual disabilities who have offended either against adult women or against children. The participants comprised of 15 men who had offended against adult women and 15 who offended against children. All were treated for 36 months and had at least 2 years follow-up after the treatment to determine the rate of reoffending. Groups were compared with repeated measures using the Questionnaire on Attitudes Consistent with Sexual Offending. The findings showed that at baseline the offenders against women had higher scores than the offenders against children on the rape scale. Both groups showed significant improvement with scores reducing to levels consistent with non-offenders by 36 months. Significant improvements were recorded from 18 to 36 months of treatment. Re-offending across both groups was 23%. The article concludes that sex offender treatment can produce significant reductions in cognitive distortions in sex offenders with intellectual disabilities. The findings also demonstrate the importance of continuing treatment for longer than 12 months.
A problem-solving intervention for sex offenders with an intellectual disability
- Author:
- O'CONNOR Wendy
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 21(3), September 1996, pp.219-235.
- Publisher:
- Taylor and Francis
Reports on the use of a problem-solving approach to intervention with adult male sex offenders with an intellectual disability. The approach facilitates interventions which target the participant's internal control over offending behaviour as well as addressing the social and environmental context of behaviour. Most participants were able to respond to strategies developed for the non-disabled offender. As a result of individual assessment and intervention most participants achieved more community access. Characteristics of the participants are described, issues related to intervention are discussed and suggestions for future research are given.