Effectiveness of integrated group treatment for co-existing substance misuse and serious mental health problems in offenders

[摘要] This thesis explores psychological group treatment provided to people with co-existing substance misuse and serious mental health problems in secure settings. The work presented draws from existing research evidence to design an empirical research study. Chapter one provides an introduction to the research literature relating to co-existing serious mental health problems and substance misuse, theoretical approaches to understanding aetiololgy and the links with offending behaviour. Chapter two presents a systematic literature review examining the effectiveness of substance misuse treatment provided within secure settings. The review aimed to investigate the efficacy of current structured substance misuse intervention treatment in secure settings for offenders with co-existing serious mental health problems. Chapter three provides a critique of the Stage of Change and Treatment Readiness scale, a psychometric tool widely used in the field of substance misuse treatment. The psychometric properties of this measure are critically examined and the scale’s clinical utility considered. Chapter four provides a piece of empirical research exploring the efficacy of a specifically designed substance misuse group intervention developed for those with serious mental health problems within the context of two clinical settings. A mixed methods repeated measures programme evaluation design was used and is reported. Study findings are discussed in relation to methodological limitations, implications for practice and recommendations for future research. In conclusion, Chapter five discusses the full thesis findings in the context of previous literature, exploring the limitations of the current thesis and considering future directions for research and practice.

[发布机构] University:University of Birmingham;Department:School of Psychology

[关键词] B Philosophy. Psychology. Religion;BF Psychology