Systems Training for Emotional Predictability and Problem Solving (STEPPS) group treatment for offenders with borderline personality disorder.
Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a manual-based group treatment of persons with borderline personality disorder (BPD). We report results from a study of offenders supervised by the Iowa Department of Corrections. Seventy-seven offenders participated in STEPPS groups. The offenders experienced clinically significant improvement in BPD-related symptoms (d = 1.30), mood, and negative affectivity. Suicidal behaviors and disciplinary infractions were reduced. Baseline severity was inversely associated with improvement. The offenders indicated satisfaction with STEPPS. We conclude that STEPPS can be successfully integrated into the care of offenders with BPD in prison and community corrections settings.
Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA. donald-black@uiowa.edu
Donald W
DW
Black
Nancee
N
Blum
Brett
B
McCormick
Jeff
J
Allen
D000328:Adult; D000339:Affect; D001883:Borderline Personality Disorder / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D057237:Criminals / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D007484:Iowa; D008297:Male; D011330:Prisons; D011340:Problem Solving; D015397:Program Evaluation; D011615:Psychotherapy, Group / Q000379:methods*; D012107:Research Design; D016728:Self-Injurious Behavior / Q000517:prevention & control*; D012720:Severity of Illness Index; D012919:Social Behavior; D016896:Treatment Outcome; D000092864:Suicide Prevention