Brown Susan, Beeley Chris, Patel Gita, Völlm Birgit
Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.
Nottinghamshire Healthcare NHS Trust, Nottingham, UK.
Crim Behav Ment Health. 2018 Feb;28(1):50-60. doi: 10.1002/cbm.2006. Epub 2016 Jun 20.
The UK Strategy on Managing High Risk of Serious Harm Offenders with Severe Personality Disorder proposes an important role for offender managers in completing case formulations about such offenders. There is little evidence on whether this can be achieved.
Our primary aims were to devise, implement and evaluate training in case formulation for offender managers. A secondary aim was to assess whether the training led to changes in offender manager attitudes towards working with offenders with personality disorder.
A 5-day training programme was delivered to 20 offender managers, whose ability to carry out case formulation was assessed before and after the training using a 10-point quality checklist. Attitudes towards personality disorder were also assessed before and after. Qualitative feedback on the training was used to provide further insight into the findings.
Offender managers showed a significant improvement in their ability to carry out case formulation following training, with 7 of the 10 quality domains on the quality checklist rated as at least 'satisfactory' post training. Qualitative feedback highlighted reasons for some of the shortfalls in two of the three areas that did not show improvement. Improvements were shown in attitudes towards working with offenders with personality disorder in two of three domains.
Our findings provide further evidence for the effectiveness of training offender managers in case formulation. This is encouraging in terms of extending implementation of the Offender Personality Disorder Pathway, but a full trial is indicated, partly not only because sample sizes have been small so far, but also because the participants have been enthusiastic volunteers rather than randomly selected offender managers, and there are indications from other work that we know too little about optimal extent of training and about whether its effects are sustained. Copyright © 2016 John Wiley & Sons, Ltd.
英国《严重人格障碍高风险严重伤害罪犯管理策略》提出，罪犯管理人员在完成对此类罪犯的病例分析方面可发挥重要作用。但几乎没有证据表明这一目标能否实现。
我们的主要目标是设计、实施并评估针对罪犯管理人员的病例分析培训。次要目标是评估该培训是否会导致罪犯管理人员对与人格障碍罪犯共事的态度发生变化。
为20名罪犯管理人员提供了为期5天的培训课程，在培训前后使用10分质量检查表评估他们进行病例分析的能力。同时也在培训前后评估他们对人格障碍的态度。对培训的定性反馈用于进一步深入了解研究结果。
罪犯管理人员在培训后进行病例分析的能力有显著提高，质量检查表上10个质量领域中有7个在培训后被评为至少“满意”。定性反馈突出了三个未显示出改善的领域中部分不足之处的原因。在与人格障碍罪犯共事的态度方面，三个领域中有两个领域显示出改善。
我们的研究结果为培训罪犯管理人员进行病例分析的有效性提供了进一步证据。就扩展罪犯人格障碍治疗路径的实施而言，这是令人鼓舞的，但仍需进行全面试验，部分原因不仅在于到目前为止样本量较小，还在于参与者是热情的志愿者而非随机挑选的罪犯管理人员，并且其他研究表明，我们对最佳培训程度以及其效果是否能持续了解甚少。版权所有© 2016约翰·威利父子有限公司。
