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Group treatment for interpersonal effectiveness: a study of women in a medium secure psychiatric hospital

Published online by Cambridge University Press:  01 August 2012

Clive G. Long ,
Barbara Fulton  and
Olga Dolley
Clive G. Long*
Affiliation:
St Andrew's Academic Centre, Kings College London Institute of Psychiatry, Northampton, UK
Barbara Fulton
Affiliation:
St Andrew's Healthcare, Northampton, UK
Olga Dolley
Affiliation:
St Andrew's Healthcare, Northampton, UK
*
Correspondence to: Dr Clive G. Long, St Andrew's Healthcare, Billing Road, Northampton, NN1 5DG. E-mail: [email protected]
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Abstract

Background

Interpersonal effectiveness and social competence are central issues in treatment engagement and recovery for women with a diagnosis of personality disorder or schizophrenia in secure psychiatric settings.

Aims

To assess the effectiveness of a manualized group cognitive behavioural treatment for women admitted to a secure inpatient unit.

Method

Thirty four patients were divided into treatment completers and non completers on the basis of rates of attendance. Pre-post measures covered interpersonal problems, self efficacy, company, relationships and risk behaviours.

Results

Completers show significant pre-post changes on all measures, in contrast to non completers. Completers were younger and more likely to have experienced psychotherapy in the past.

Conclusions

Results provide confirmatory evidence for the value of training in interpersonal and communication skills training for women in secure care. The failure of one third of patients to complete treatment raises issues about the timing and applicability of treatment for some patients.

Keywords

Interpersonal effectivenesswomensecure care
Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 9 , Issue 1 , April 2013 , pp. 27 - 32
Copyright
Copyright © NAPICU 2012

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References

Barkham, M., Hardy, G.E., Startup, M. (1996) The IIP-32: a short version of the Inventory of Interpersonal Problems. British Journal of Clinical Psychology. 35: 21–35.CrossRefGoogle Scholar
Bartlett, A., Hassell, V. (2001) Do women need special services? Advances in Psychiatric Treatment. 7: 302–309.Google Scholar
Bedell, J.R., Lennox, S.S. (1997) Handbook for Communication and Problem Solving Skills Training. A Cognitive-Behavioural Approach. New York: John Wiley & Sons.Google Scholar
Benton, M.K., Schroeder, H.E. (1990) Social skills training with schizophrenics: a meta-analytic evaluation. Journal of Consulting and Clinical Psychology. 55: 741–747.CrossRefGoogle Scholar
Cavell, J.A. (1990) Social adjustment, social performance and social skills: a tri component model of social competence. Journal of Clinical Child Psychology. 19: 111–122.Google Scholar
Clarke, A., Ndegwa, D. (2006) Forensic personality disorder in an MSU: lessons learnt after two years. British Journal of Forensic Practice. 8: 29–33.Google Scholar
Davies, J., Oldfield, K. (2009) Treatment need and provision in medium secure care. British Journal of Forensic Practice. 11: 24–31.Google Scholar
Duggan, C., Huband, N., Smailagic, N., Ferriter, M., Adams, C. (2007) The use of psychological treatments for people with personality disorder: a systematic review of randomised controlled trails. Personality and Mental Health. 1: 95–125.Google Scholar
Freeman, A., Stewart, J.L. (2006) Personality disorders. In: Bieling, P.J., McCabe, R.E., Antony, M.M. (eds). Cognitive-Behavioural Therapy in Groups. New York: Guilford Press, pp. 324–349.Google Scholar
Gilburt, H., Rose, D., Slade, M. (2008) The importance of relationships in mental healthcare: a qualitative study of service users experiences of psychiatric hospital admission in the UK. MBC Health Services Research. 8: 92–102.CrossRefGoogle Scholar
Jerusalem, M., Schwarzer, R. (1992) Self-efficacy as a resource factor in stress appraisal process. In: Schwarzer, R. (ed.). Self-Efficacy: Thought Control of Action. Washington, DC: Hemisphere, pp. 195–216.Google Scholar
Kunnanatt, J.T. (2004) Emotional intelligence: the new science of interpersonal effectiveness. Human Resource Development Quarterly. 15: 489–495.CrossRefGoogle Scholar
Linehan, M. (1993) Cognitive-Behavioural Treatment of Borderline Personality Disorder. New York: Guildford Press.Google Scholar
Long, C.G., Fulton, B., Hollin, C.R. (2008) The Development of a ‘best practice’ service for women in a medium secure psychiatric setting: treatment components and evaluation. Clinical Psychology and Psychotherapy. 15: 304–319.CrossRefGoogle Scholar
Long, C.G., Dickens, G., Sugarman, P., Craig, L., Mochty, U., Hollin, C. (2010a) Tracking risk profiles and outcome in a medium secure service for women: use of the HoNOS-Secure. International Journal of Forensic Mental Health. 9: 215–225.CrossRefGoogle Scholar
Long, C.G., Fitzgerald, K., Fulton, B., Hollin, C.R. (2010b) Group substance abuse treatment for women in secure services. Mental Health and Substance Use: Dual Diagnosis. 3: 227–237.Google Scholar
Long, C.G., Collins, L., Mason, F., Sugarman, P., Hollin, C.R. (2011a) Effective therapeutic practice in a secure women's service: from vision to reality. International Journal of Healthcare Leadership. 17: 79–84.Google Scholar
Long, C.G., Fulton, B., Dolley, O., Hollin, C.R. (2011b) Dealing with feelings: the effectiveness of group cognitive behavioural treatment for women in secure settings. Behavioural and Cognitive Psychotherapy. 39: 243–247.CrossRefGoogle ScholarPubMed
Long, C.G., Fulton, B., Dolley, O., Hollin, C.R. (2011c) Social problem solving interventions in medium secure settings for women. Medicine, Science and the Law. 51: 215–219.Google Scholar
Lowings, G., Allan, S., Reader, H. (2011) Therapists’ experiences of creating and maintaining a therapeutic alliance with difficult to engage clients. Clinical Psychology Forum. 224: 22–27.Google Scholar
Maguire, J. (2006) General offending behaviour programmes: concept, theory and practice. In: Hollin, C.R., Palmer, E.J. (eds). Offending Behaviour Programmes, Development, Application and Controversies. Chichester: John Wiley and Sons, pp. 69–112.CrossRefGoogle Scholar
Murran, J.C., Segal, Z.V., Wallner Samsteig, L., Crawford, C.E. (1994) Patient pre treatment, interpersonal problems and therapeutic alliance in short term cognitive therapy. Journal of Consulting and Clinical Psychology. 62: 185–190.Google Scholar
Robins, C.J., Ivanoff, A.M., Linehan, M.M. (2001) Dialectical behaviour therapy. In: Livesley, W.J. (ed.) Handbook of Personality Disorders: Theory, Research and Practice. New York: Guilford Press., pp. 437–459.Google Scholar
Spence, S.H. (1994) Interpersonal problems: investigation. In: Lindsay, S.J.E, Powell, G.E. (eds). The Handbook of Clinical Adult Psychology. London: Routledge, pp. 229–252.Google Scholar
Sugarman, P., Walker, L. (2007) Health of the Nation Outcome Scales for Users of Secure Services. London: Royal College of Psychiatrists Research Unit.Google Scholar
Thomas, S., Harty, M.A., Parrott, J., McCrane, P., Slade, M., Thorneycroft, G. (2003) CANFOR: Camberwell Assessment of Need Forensic Version. A Needs Assessment for Forensic Mental Health Service Users. London: Gaskell.Google Scholar
Thomas, S.D.M., Dolan, M., Shaw, J., Thomas, S., Thornicroft, G., Leese, M. (2005) Redeveloping secure psychiatric services for women. Medicine, Science and the Law. 45: 331–339.Google Scholar
Yudofsky, S.C., Silver, J.M., Jackson, W., Endicott, J., Williams, D. (1986) The Overt Aggression Scale for the objective rating of verbal and physical aggression. American Journal of Psychiatry. 143: 35–39.Google Scholar