Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T18:31:06.880Z Has data issue: false hasContentIssue false
  • English
  • Français

Using psychoeducation to motivate engagement for women with personality disorder in secure settings

Published online by Cambridge University Press:  03 January 2014

Clive G Long ,
Barbara Fulton  and
Olga Dolley
Clive G Long*
Affiliation:
St Andrew's Academic Centre, Kings College London Institute of Psychiatry, Northampton, UK University of Northampton, UK
Barbara Fulton
Affiliation:
St Andrew's, Northampton, UK
Olga Dolley
Affiliation:
St Andrew's, Northampton, UK
*
Correspondence to: Professor C. G. Long, St Andrew's Healthcare, Cliftonville, Northampton, NN1 5DG. E-mail: [email protected]
Get access

Abstract

A group psychoeducation programme for women in medium security was piloted. The programme aimed to increase participants’ knowledge about emotionally unstable personality disorder, decrease feelings of stigma, increase hope and motivate engagement in treatment. Treatment completers showed significant improvements on selected measures while non-completers did not. The implications of the findings are discussed along with suggestions for further research.

Keywords

Psychoeducationemotionally unstable personality disorderwomensecure services
Type
Original Research Articles
Information
Journal of Psychiatric Intensive Care , Volume 11 , Issue 1 , April 2015 , pp. 18 - 26
Copyright
Copyright © NAPICU 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bellack, A.S., Bennett, M.E., Gearon, J.S. (2007) Behavioural Treatment for Substance Abuse in People with Serious and Persistent Mental Illness. New York: Routledge.Google Scholar
Banerjee, P., Duggan, C., Huband, N., Watson, N. (2006) Brief psychoeducation for people with personality disorder: a pilot study. Psychology and Psychotherapy: Theory, Research & Practice. 79: 385–394.Google Scholar
Desmarais, S.L., Nicholls, T.L., Read, J.D., Brink, J. (2010) Confidence and accuracy in assessments of short-term risks. Journal of Forensic Psychiatry & Psychology. 21: 1–22.CrossRefGoogle Scholar
Dinos, S., Stevens, S., Sertaty, M., Weich, S., King, M. (2004) Stigma: the feeling and experience of forty six people with mental illness. British Journal of Psychiatry. 184: 176–181.Google Scholar
D'Silva, K., Duggan, C. (2002) Service innovations: development of a psycho educational programme for patients with personality disorder. Psychiatric Bulletin. 26: 268–271.Google Scholar
Getachew, H., Dimic, S., Priebe, S. (2009) Is psychoeducation routinely provided in the UK? A survey of community mental health teams. The Psychiatrist. 33: 102–103.Google Scholar
Healy, C. (2008) Understanding Your Borderline Personality Disorder: A workbook. Chichester: John Wiley & Sons Ltd.Google Scholar
Jacoby, A. (1994) Felt versus enacted stigma: a concept revisited. Evidence from a study of people with epilepsy in remission. Social Science & Medicine. 38: 269–274.Google Scholar
Jerusalem, M., Schwarzer, R. (1992) Self-efficacy as a resource factor in stress appraisal process. In: Schwarzer, R. (ed.).Self-efficacy: Thought control of action. Washington, DC: Hemisphere.Google Scholar
King, M., Dinos, S., Shaw, J., Watson, R., Stevens, S., Passetti, F., Weich, S., Sertaty, M. (2007) The stigma scale: development of a standardised measure of the stigma of mental illness. British Journal of Psychiatry. 190: 248–254.Google Scholar
Kylma, J., Juvakka, T., Nikkonen, M., Karhonen, T., Isohanni, M. (2006) Hope and schizophrenia: an integrative review. Journal of Psychiatric and Mental Health Nursing. 13: 651–664.Google Scholar
Linehan, M.M. (1993) The Cognitive Behavioural Treatment of Borderline Personality Disorder. New York: Guildford Press.Google Scholar
Long, C.G., Fulton, B., Hollin, C.R. (2008) The development of a ‘best practice’ service for women in a medium secure psychiatric setting: treatment components and evaluation. Clinical Psychology and Psychotherapy. 15: 304–319.Google Scholar
Long, C.G., Dolley, O., Hollin, C.R. (2011) Women in medium secure care: tracking treatment progress for changes in risk profiles and treatment engagement. Journal of Psychiatric and Mental Health Nursing. 18: 425–431.Google Scholar
Long, C.G., Dolley, O., Hollin, C.R. (2013) Engagement in psychosocial treatment: its relationship to outcome and care pathway progress for women in medium secure settings. Criminal Behavioural Mental Health. 15(1): 56–57.Google Scholar
Lukoff, D., Neuchterlin, K., Wenture, J. (1986) Manual for the Expanded Brief Psychiatric Rating Scale. Schizophrenia Bulletin. 13: 261–276.Google Scholar
Morriss, R.K., Lobban, F., Jones, S., Riste, L., Peters, S., Roberts, C., Davies, L., Mayes, D. (2011) Pragmatic randomised controlled trial of group psychoeducation versus group support in the maintenance of bipolar disorder. BMC Psychiatry. 11: 114. DOI: 10.1186/1471-244X-11-114 Google Scholar
McGrath, B. Dowling, M. (2012) Exploring registered psychiatric nurses’ responses towards service users with a diagnosis of borderline personality disorder. Nursing Research and Practice. Article ID 601918, 10 pp. DOI: 10.1155/2012/601918Google Scholar
McMurran, M. (2012) Readiness to engage in treatments for personality disorder. International Journal of Forensic Mental Health. 11: 289–298.Google Scholar
McMurran, M., Jinks, M. (2012) Making your emotions work for you: a pilot brief intervention for alexithymia with personality-disordered offenders. Personality and Mental Health. 6: 45–49.Google Scholar
McMurran, M., Huband, N., Overton, E. (2010) Non-completion of personality disorder treatments: a systematic review of correlates, consequences and interventions. Clinical Psychology Review. 30: 277–287.Google Scholar
National Institute for Mental Health in England (2003) Personality Disorder: No longer a diagnosis of exclusion. Policy implementation for the development of service for people with personality disorder. NIMHE. http://www.personalitydisorder.org.uk/assets/resources/56.pdf Google Scholar
National Institute for Health and Clinical Excellence (2006) The Management of Bipolar Affective Disorder in Adults, Children and Adolescents, in Primary and Secondary Care. The British Psychological Society & Gaskell, CG38. http://guidance.nice.org.uk/CG38 Google Scholar
National Institute of Health and Care Excellence (2009) Borderline Personality Disorder: Treatment and management. NICE, CG78. http://www.nice.org.uk/cg78 Google Scholar
Nonstad, K., Nesset, M.B., Kroppan, E., Pedersen, T.W., Nottestad, A., Almvik, R., Palmstierna, T. (2010) Predictive validity and other psychometric properties of the Short-Term Assessment of Risk and Treatability (START) in a Norwegian high secure hospital. International Journal of Forensic Mental Health. 9: 294–299.Google Scholar
Ogrodniczuk, J.S., Joyce, A.S., Piper, W.E. (2005) Strategies for reducing patient initiated premature termination of psychotherapy. Harvard Review of Psychiatry. 13: 57–70.Google Scholar
Pekkala, E.T., Merinder, L.B. (2002) Psychoeducation for schizophrenia. Cochrane Database of Systematic Reviews. 2002(2): CD002831. DOI: 10.1002/14651858.CD002831 Google Scholar
Porr, V. (2010) Overcoming Borderline Personality Disorder: A family guide for healing and change. Oxford: Oxford University Press.Google Scholar
Rusch, N., Lieb, K., Bohus, M., Corrigan, P.W. (2006) Self stigma, empowerment, and perceived legitimacy of discrimination among women with mental illness. Psychiatric Services. 57: 399–402.CrossRefGoogle ScholarPubMed
Schwarzer, R. (1993) Measurement of Perceived Self-efficacy: Psychometric scales for cross-cultural research. Berlin: Freie Universität.Google Scholar
Shepherd, G., Boardman, J., Slade, M. (2008) Making Recovery a Reality. London: Sainsbury Centre for Mental Health.Google Scholar
Singh, J.P., Grann, M., Fazel, S. (2011) A comparative study of violence risk assessment tools: a systematic review and meta regression analysis of 68 studies involving 25,980 participants. Clinical Psychology Review. 31: 499–513. DOI: 10.1016/j.cpr.2010.11.009 CrossRefGoogle Scholar
Snyder, C.R., Sympson, S.C., Ybasco, F.C., Borders, T.F., Babyak, M.A., Higgins, R.L. (1996) Development and validation of the State Hope Scale. Journal of Personality Disorder and Social Psychology. 70: 321–335.Google Scholar
SPSS (2009) PASW Statistics for Windows, Version 18.0. Chicago: SPSS Inc.Google Scholar
Stephens, J.P. (2000) (Letter) Is this informed consent? Psychiatric Bulletin. 24: 154.Google Scholar
Tarrier, N. (2006) A cognitive-behavioural case formulation approach to the treatment of schizophrenia. In: Tarrier, N. (ed.). Case Formulation in Cognitive Behaviour Therapy: The treatment of complex and challenging cases. Hove: Routledge, pp. 167–187.CrossRefGoogle Scholar
Webb, D.J., McMurran, M. (2009) A comparison of women who continue and discontinue treatment for personality disorder. Personality and Mental Health. 3: 142–149.CrossRefGoogle Scholar
Webster, C.D., Douglas, K.S., Eaves, D., Hart, S.D. (1997) HCR-20: assessing the risk of violence, Version 2. Vancouver, BC: Mental Health, Law, and Policy Institute, Simon Fraser University.Google Scholar
Webster, C., Martin, M., Brink, J., Nicholls, T., Desmarais, S.L. (2009) Short-Term Assessment of Risk and Treatability (START), Version 1.1. Port Coquitlam, BC: Forensic Psychiatric Services Commission and St Joseph's Healthcare.Google Scholar
Wright, J., Barber, M. (2011) Hope in recovery-focused mental health settings. Clinical Psychology Forum. 220: 16–19.CrossRefGoogle Scholar
Zanarini, M.C., Frankenburg, F.R. (2008) A preliminary, randomized trial of psychoeducation for women with borderline personality disorder. Journal of Personality Disorders. 22(3): 284–290.Google Scholar