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A preliminary evaluation of reasoning and rehabilitation 2 in mentally disordered offenders (R&R2M) across two secure forensic settings in the United Kingdom

2010; Taylor & Francis; Volume: 21; Issue: 3 Linguagem: Inglês

10.1080/14789940903513203

1478-9957

Susan Young, Kay A. Chick, Gisli H. Gudjónsson,

Psychiatric care and mental health services

Reasoning and Rehabilitation for Mentally Disordered Offenders (R&R2M) is a revision of the R&R cognitive skills training programme, tailored to the needs of mentally disordered offenders. The study aimed to determine whether R&R2M is feasible to run and effective in treating patients in high and medium secure settings. Seventy patients were referred, of whom 58 were allocated to the commencement of R&R2M and 12 were waiting-list controls. When invited to attend the group, 11 refused at the outset. Thirteen did not commence the programme (nine for reasons outside of their personal control) giving a non-start rate of 22.4%. Thirty-four patients started the programme and 22 completed it giving a completion rate of 64.7%. Completers demonstrated significantly greater post-group improvements in self-rated attitudes towards violence. Primary nurses rated a significant decrease in disruptive behaviour. The findings suggest that R&R2M is both feasible and useful to run in forensic mental health settings.