Leidenfrost Corey M, Schoelerman Ronald M, Maher Michael, Antonius Daniel
University at Buffalo, State University of New York, Buffalo, NY, USA; Erie County Forensic Mental Health Services, Buffalo, NY, USA.
Erie County Forensic Mental Health Services, Buffalo, NY, USA.
Int J Law Psychiatry. 2017 Sep-Oct;54:98-106. doi: 10.1016/j.ijlp.2017.06.004. Epub 2017 Jun 24.
Providing cost-effective means to treat the influx of individuals with serious mental illness entering the correctional system is a major challenge. Failure to provide appropriate mental health treatment may lead to poor outcomes, including recidivism and suicide. Group intervention is an effective and cost efficient way to provide mental health treatment. However, it has been understudied in jail settings. To meet the needs of jail-inmates with serious mental illness, an eight-week group-based module curriculum was developed and studied through analyses of perceived usefulness, retention of key material, and associations with cognitive ability, improvement in psychiatric symptoms, and level of motivation. One week after the completion of a group session, the participants remembered the group topic and at least one key point from the group the majority of the time. Better recall of group material was associated with better overall cognitive ability and motivation at discharge. Participants found the groups to be somewhat to extremely useful 88.4% of the time. Higher levels of usefulness were associated with reduced psychopathology and psychiatric improvement, as well as higher motivation at discharge. The findings provide support for the group intervention and implementation in a jail setting. Further implications are discussed.
为进入惩教系统的严重精神疾病患者提供具有成本效益的治疗方法是一项重大挑战。未能提供适当的心理健康治疗可能会导致不良后果，包括再次犯罪和自杀。团体干预是提供心理健康治疗的一种有效且具有成本效益的方式。然而，在监狱环境中对其研究较少。为满足患有严重精神疾病的监狱囚犯的需求，开发了一个为期八周的基于团体的模块课程，并通过分析感知有用性、关键材料的保留情况以及与认知能力、精神症状改善和动机水平的关联进行了研究。在团体课程结束一周后，参与者大多能记住团体主题和至少一个来自团体的关键点。对团体材料的更好回忆与出院时更好的整体认知能力和动机相关。88.4%的时间里，参与者认为团体干预有些用处或极其有用。更高水平的有用性与精神病理学减少、精神症状改善以及出院时更高的动机相关。这些发现为在监狱环境中进行团体干预和实施提供了支持。还讨论了进一步的影响。
