title: A multi-site controlled trial of the R&R2MHP cognitive skills program for mentally disordered female offenders.
abstract: This study aimed to evaluate the acceptability and efficacy of delivering the Reasoning and Rehabilitation Mental Health Program (R&R2MHP) to female mentally disordered offenders detained in medium and low secure hospital settings. Group treatment participants (N = 18) and control participants receiving treatment as usual (N = 20) completed self-report measures pre- and post-group. An informant measure of ward behavior was also completed by staff. Violent attitudes and locus of control were assessed at 3-month follow-up. Program completion was excellent (89%). A conservative intention-to-treat analysis found significant treatment effects post-group for positive problem-solving orientation, rational problem-solving style, and locus of control (medium-large effect), but no treatment effect for violent attitudes, anger, and ward behavior. At follow-up, a large treatment effect was found for locus of control. Ad hoc per protocol analyses found a large treatment effect for ward behavior. The findings provide preliminary support for the feasibility and utility of delivering R&R2MHP to females in secure psychiatric settings.
authors.affiliation: King's College London Institute of Psychiatry, UK.
authors.forename: Amit
authors.initials: A
authors.lastname: Jotangia
authors.affiliation: King's College London Institute of Psychiatry, UK.
authors.forename: Angharad
authors.initials: A
authors.lastname: Rees-Jones
authors.affiliation: King's College London Institute of Psychiatry, UK.
authors.forename: Gisli H
authors.initials: GH
authors.lastname: Gudjonsson
authors.affiliation: King's College London Institute of Psychiatry, UK Imperial College London, Centre for Mental Health, UK susan.young1@imperial.ac.uk.
authors.forename: Susan
authors.initials: S
authors.lastname: Young
mesh_terms: D000328:Adult; D003071:Cognition; D003134:Commitment of Persons with Psychiatric Disorders; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D011340:Problem Solving; D006113:United Kingdom; D055815:Young Adult
keywords: Reasoning and Rehabilitation; female offenders; treatment