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Helping Aged Victims of Crime (the HAVoC Study): Common Crime, Older People and Mental Illness

Published online by Cambridge University Press:  20 January 2015

Marc Serfaty ,
Anna Ridgewell ,
Vari Drennan ,
Anthony Kessel ,
Chris R. Brewin ,
Anwen Wright ,
Gloria Laycock  and
Martin Blanchard
Marc Serfaty*
Affiliation:
University College London, and The Priory Hospital North London, UK
Anna Ridgewell
Affiliation:
University College London, and Camden and Islington NHS Foundation Trust, UK
Vari Drennan
Affiliation:
St. George's Hospital, University of London and Kingston University, UK
Anthony Kessel
Affiliation:
London School of Hygiene and Tropical Medicine, and Public Health England, UK
Chris R. Brewin
Affiliation:
University College London, UK
Anwen Wright
Affiliation:
University College London, and Camden and Islington NHS Foundation Trust, UK
Gloria Laycock
Affiliation:
University College London, UK
Martin Blanchard
Affiliation:
University College London, and Camden and Islington NHS Foundation Trust, UK
*
Reprint requests to Marc Serfaty, Reader in Psychiatry, Mental Health Sciences Unit, University College London, Charles Bell House, 67–73 Riding House Street, London W1W 7EJ, UK. E-mail: [email protected]
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Abstract

Backgound: Limited data suggest that crime may have a devastating impact on older people. Although identification and treatment may be beneficial, no well-designed studies have investigated the prevalence of mental disorder and the potential benefits of individual manualized CBT in older victims of crime. Aims: To identify mental health problems in older victims of common crime, provide preliminary data on its prevalence, and conduct a feasibility randomized controlled trial (RCT) using mixed methods. Method: Older victims, identified through police teams, were screened for symptoms of anxiety, depression or post-traumatic stress disorder (PTSD) one (n = 581) and 3 months (n = 486) after experiencing a crime. Screen positive participants were offered diagnostic interviews. Of these, 26 participants with DSM-IV diagnoses agreed to be randomized to Treatment As Usual (TAU) or TAU plus our manualized CBT informed Victim Improvement Package (VIP). The latter provided feedback on the VIP. Results: Recruitment, assessment and intervention are feasible and acceptable. At 3 months 120/486 screened as cases, 33 had DSM-IV criteria for a psychiatric disorder; 26 agreed to be randomized to a pilot trial. There were trends in favour of the VIP in all measures except PTSD at 6 months post crime. Conclusions: This feasibility RCT is the first step towards improving the lives of older victims of common crime. Without intervention, distress at 3 and 6 months after a crime remains high. However, the well-received VIP appeared promising for depressive and anxiety symptoms, but possibly not posttraumatic stress disorder.

Keywords

Crimeolder adultspsychological distresscognitive behavioural therapypilot randomized controlled trial
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 2 , March 2016 , pp. 140 - 155
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Acierno, R., Brady, K., Gray, M., Kilpatrick, D., Resnick, H. and Best, C. (2002). Psychopathology following interpersonal violence: a comparison of risk factors in older and younger adults. Journal of Clinical Geropsychology, 8, 13–23.CrossRefGoogle Scholar
Acierno, R., Rheingold, A., Resnick, H. and Stark-Reimer, W. (2004). Preliminary evaluation of a video-based intervention for older adult victims of violence. Journal of Traumatic Stress, 17, 535–541.CrossRefGoogle ScholarPubMed
Age Concern (2002). Crime: policy position paper. London: Age Concern Policy Unit.Google Scholar
Age Concern (2003). Survey of Fear of Street Crime amongst Older People. London: Age Concern Policy Unit.Google Scholar
Bebbington, P., Marsden, L. and Brewin, C. P. (1997). The need for psychiatric treatment in the general population: the Camberwell Needs for Care Survey. Psychological Medicine, 27, 821–834.CrossRefGoogle ScholarPubMed
Beck, A. T. and Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.Google Scholar
Beck, A. T., Steer, R. A. and Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.Google Scholar
Bifulco, A. and Brown, G. W. (1996). Cognitive coping response to crises and onset of depression. Social Psychiatry and Psychiatric Epidemiology, 31, 163–172.CrossRefGoogle ScholarPubMed
Blackburn, I. M., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., et al. (2001). The Revised Cognitive Therapy Scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431–446.CrossRefGoogle Scholar
Casey, L. (2011). Review into the Needs of Families Bereaved by Homicide. London: Commission for Victims and Witnesses.Google Scholar
Chwastiak, L.A. and Von Korff, M. (2003). Disability in depression and back pain: evaluation of the World Health Organization Disability Assessment Schedule (WHODAS-II) in a primary care setting. Journal of Clinical Epidemiology, 56, 507–514.CrossRefGoogle Scholar
Curran, J., Salovaara-Moring, I., Coen, S. and Iyengar, S. (2010). Crime, foreigners and hard news: a cross-national comparison of reporting and public perception. Journalism, 11, 3–19.CrossRefGoogle Scholar
Donaldson, R. (2003). Experiences of older burglary victims. Home Office Findings, 198, 1–4.Google Scholar
Foa, E. B., Cashman, L., Jaycox, L. and Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale. Psychological Assessment, 9, 445–451.CrossRefGoogle Scholar
Foa, E. B., Keane, T. M., Friedman, M. J. and Cohen, J. A. (2009). Introduction. In Foa, E. B., Keane, T. M., Friedman, M. J. and Cohen, J. A.. (Eds.), Effective Treatments for PTSD: practice guidelines from the International Society for Traumatic Stress Studies (pp. 1–20). New York: The Guilford Press.Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Government of Canada (2011). Seniors as Victims of Crime in Canada Fact Sheet. Ottawa, Canada: Victims of Crime Awareness.Google Scholar
Gray, M. and Acierno, R. (2002). Symptom presentations of older adult crime victims: description of a clinical sample. Anxiety Disorders, 16, 299–309.CrossRefGoogle ScholarPubMed
Jackson, J. (2009). A psychological perspective on vulnerability in the fear of crime. Psychology, Crime & Law, 15, 365–390.CrossRefGoogle Scholar
Kessler, R., Barker, P. R., Colpe, L. I., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189.CrossRefGoogle ScholarPubMed
Kroenke, K., Spitzer, R. L. and Williams, J. B. (2003). The Patient Health Questionnaire-2: validity of a two-item depression screener. Medical Care, 41, 1284–1292.CrossRefGoogle ScholarPubMed
Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O. and Lowe, B. (2007). Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146, 317–25.CrossRefGoogle ScholarPubMed
Lachs, M., Bachman, R., Williams, C., Kossack, A., Bove, C. and O’Leary, J. (2006). Violent crime victimization increases the risk of nursing home placement in older adults. The Gerontologist, 46, 583–589.CrossRefGoogle ScholarPubMed
Macdonald, Z. (2002). Official crime statistics: their use and interpretation. The Economic Journal, 112, F85–F106.CrossRefGoogle Scholar
McCart, M., Smith, D. and Sawyer, G. (2010). Help seeking among victims of crime: a review of the empirical literature. Journal of Traumatic Stress, 23, 198–206.CrossRefGoogle ScholarPubMed
McGraw, C. and Drennan, V. (2006). Assessing the needs of older burglary victims: a link nurse scheme. British Journal of Community Nursing, 11, 414–419.CrossRefGoogle ScholarPubMed
McManus, S., Meltzer, H., Brugha, T., Bebbington, P. and Jenkins, R. (2009). Adult Psychiatric Morbidity in England: results of a household survey. London: The NHS Centre of Health and Social Care.Google Scholar
Means-Christensen, A. J., Sherbourne, C. D., Roy-Byrne, P. P., Craske, M. G. and Stein, M. B. (2006). Using five questions to screen for five common mental disorders in primary care: diagnostic accuracy of the Anxiety and Depression Detector. General Hospital Psychiatry, 28, 108–118.CrossRefGoogle ScholarPubMed
Moore, M. and Trojanowicz, R. (1988). Policing and the fear of crime. Perspectives in Policing, 3, 1–7.Google Scholar
Morrall, P., Marshall, P., Pattison, S. and Macdonald, G. (2010). Crime and health: a preliminary study into the effects of crime on the mental health of UK university students. Journal of Psychiatric and Mental Health Nursing, 17, 821–828.CrossRefGoogle Scholar
National Institute for Health and Clinical Excellence (2005). Post-Traumatic Stress Disorder (PTSD): the management of PTSD in adults and children in primary and secondary care. (Clinical guideline 26). London: NICE.Google Scholar
Office of National Statistics (2001a). Census Data [Data file]. Retrieved from http://www.lho.org.uk/Office for National Statistics 2001.Google Scholar
Office of National Statistics (2001b). Census Data [Data file]. Retrieved from http://www.nomisweb.co.uk/Office for National Statistics.Google Scholar
Office of National Statistics (2009). Ageing Times. London: ONS Mortality and Ageing Unit.Google Scholar
Prins, A., Ouimette, P., Kimerling, R., Camerond, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., et al. (2004). The primary care PTSD screen (PC-PTSD): development and operating characteristics. International Journal of Psychiatry in Clinical Practice, 9, 9–14.Google Scholar
Rose, S., Brewin, C. R., Andrews, B. and Kirk, M. (1999). A randomized controlled trial of individual psychological debriefing for victims of violent crime. Psychological Medicine, 29, 793–799.CrossRefGoogle ScholarPubMed
Serfaty, M., Haworth, D., Blanchard, M., Buszewicz, M., Murad, S. and King, M. (2009). Clinical effectiveness of individual cognitive behavioral therapy for depressed older people in primary care: a randomized controlled trial. Archives of General Psychiatry, 66, 1332–1340.CrossRefGoogle ScholarPubMed
Serfaty, M., Ohlin, S. and Blanchard, M. (2013). Victim Improvement Package (VIP): a manual of cognitive behaviour therapy for Helping Aged Victims of Crime (HAVoC) with anxiety, depression and post-traumatic stress. Copyright Camden and Islington Foundation Trust (CIFT) and University College London.Google Scholar
Thornton, A., Hatton, C., Malone, C., Fryer, T., Walker, D., Cunningham, J., et al. (2003). Distraction Burglary Amongst Older Adults and Ethnic Minority Communities. London: Home Office Research, Development and Statistics Directorate.CrossRefGoogle Scholar
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