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Evaluation of the improving access to psychological therapies for offenders programme at HMP Lincoln: a three year prospective cohort study

机译:林肯警察学院(HMP Lincoln)对改善罪犯心理治疗方案的机会的评估:一项为期三年的前瞻性队列研究

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摘要

The mental health needs of prisoners are significant with a high incidence of common mental health problems including anxiety and depression. Extending national initiatives such as the National Health Service Improving Access of Psychological Therapies programme to people in prison offers a valuable opportunity to address these mental health problems and improve continuity of care from prison to the community. This study adopts an observational, prospective cohort design and evaluates an IAPT for offenders service over the first three years of operation within a male Category B prison holding remand/convicted prisoners. The evaluation found large effect sizes for changes in anxiety and depression with clinical recovery being achieved in 55% of depression and 52% of anxiety cases. On average, prisoners were treated in less than five sessions employing a low-intensity cognitive-behavioural approach. The lack of established formal diagnoses and a control group limits the findings.
机译:囚犯的心理健康需求巨大,常见的心理健康问题(包括焦虑症和抑郁症)的发生率很高。将诸如“美国国家卫生服务局改善心理疗法的访问权”计划等国家计划扩展到监狱中的人,为解决这些精神健康问题并改善从监狱到社区的护理连续性提供了宝贵的机会。这项研究采用了观察性,前瞻性队列设计,并评估了IAPT在头三年运营的男性B级监狱中为还押/定罪囚犯提供的罪犯服务。评估发现,焦虑和抑郁变化的影响较大,在55%的抑郁症和52%的焦虑症患者中可实现临床恢复。平均而言,采用低强度认知行为方法对囚犯进行的治疗少于五次。缺乏确定的正式诊断和对照组限制了研究结果。

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