title: Cognitive behaviour therapy for adolescent offenders with mental health problems in custody.
abstract: Many studies have identified high levels of mental health problems among adolescents in custody and there is increasing evidence that mental health problems in this population are associated with further offending and mental health problems into adulthood. Despite recent improvements in mental health provision within custodial settings there is little evidence of structured interventions being offered or of their effectiveness being evaluated. A cognitively based intervention was developed and offered to adolescents with a variety of mental health problems in different secure settings, and the outcomes compared with a control group. Although this small-scale study did not identify significant differences in outcomes for the two groups, both recruitment and retention in therapy were good, and potential candidates were not excluded on the basis of learning difficulties or co-morbidity. The study demonstrated the viability of a delivering cognitively based intervention for common mental health problems within secure settings.
authors.affiliation: Greater Manchester West Mental Health NHS Foundation Trust, Research Office, Gardener Unit, Bury New Road, Prestwich, Manchester, M25 3BL, United Kingdom. paul.mitchell@gmw.nhs.uk
authors.forename: Paul
authors.initials: P
authors.lastname: Mitchell
authors.forename: Kirsty
authors.initials: K
authors.lastname: Smedley
authors.forename: Cassandra
authors.initials: C
authors.lastname: Kenning
authors.forename: Amy
authors.initials: A
authors.lastname: McKee
authors.forename: Debbie
authors.initials: D
authors.lastname: Woods
authors.forename: Charlotte E
authors.initials: CE
authors.lastname: Rennie
authors.forename: Rachel V
authors.initials: RV
authors.lastname: Bell
authors.forename: Mitra
authors.initials: M
authors.lastname: Aryamanesh
authors.forename: Mairead
authors.initials: M
authors.lastname: Dolan
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000704:Analysis of Variance; D015928:Cognitive Behavioral Therapy; D003376:Counseling; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D010556:Personality Tests; D011329:Prisoners / Q000523:psychology*; D011330:Prisons; D016896:Treatment Outcome; D006113:United Kingdom