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A preliminary evaluation of reasoning and rehabilitation 2 in mentally disordered offenders (R&R2M) across two secure forensic settings in the United Kingdom
- Authors:
- YOUNG Susan, CHICK Kay, GUDJONSSON Gisli
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 21(3), June 2010, pp.336-349.
- Publisher:
- Taylor and Francis
Reasoning and Rehabilitation (R&R) is a cognitive-behavioural programme widely run in prisons intended to reduce the rates of re-offending. This article examines a revision of the R&R programme, Reasoning and Rehabilitation for Mentally Disordered Offenders (R&R2M), tailored to the needs of mentally disordered offenders. The study aimed to determine whether R&R2M is feasible to run and effective in treating patients in high and medium secure settings. The sample consisted of 70 male inpatients, of whom 58 were allocated to the commencement of R&R2M and 12 were waiting-list controls. When invited to attend the group, 11 refused at the outset. Thirteen did not commence the programme (nine for reasons outside of their personal control) giving a non-start rate of 22.4%. Thirty-four patients started the programme and 22 completed it giving a completion rate of 64.7%. A total of 5 groups were run, 2 in high security and 3 in medium security. The completers demonstrated significantly greater post-group improvements in self-rated attitudes towards violence. Primary nurses rated a significant decrease in disruptive behaviour. The findings suggest that R&R2M is both feasible and useful to run in forensic mental health settings.
The role and scope of forensic clinical psychology in secure unit provisions: a proposed service model for psychological therapies
- Authors:
- GUDJONSSON Gisli H., YOUNG Susan
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 18(4), December 2007, pp.534-556.
- Publisher:
- Taylor and Francis
The purpose of this paper is to review the role and scope of forensic clinical psychology in forensic services and to develop a service model for psychological treatments in secure unit settings. The paper presents the findings of a one-year audit of the Southwark Forensic Psychology Service between April 2004 and March 2005, completed in order to determine the clinical activities provided by the service. It was found that 67% of working time was spent engaged in patient-related work (i.e., in direct or indirect patient contact), and an additional 11% in supervision of this work. The remainder of the time was spent in consultations and meetings, and in activities relating to recruitment, continuous professional development, research, teaching, and training. Only 19% of the patient-related work involved direct patient contact. Most of the indirect patient contact time related to attendance at management/ward rounds and care planning arrangement meetings, reading medical files, report writing, and conducting risk assessments. The audit findings have been used to produce a strength-based service model, which is based on current philosophy regarding the most effective way to integrate psychology into a multi-disciplinary team.