Reducing recidivism of individual offenders usually is a multifaceted task. Behavioural interventions, based on the ‘what works principles’ go along with interventions in the domains of education, work, housing and social networks. An integrative approach seems to improve the effectiveness of rehabilitation. In most accreditation panels for offender interventions, continuity in the planning and realization of the various services is one of the criteria. In the Dutch panel a distinction is made between synchronous continuity, that is integration of services at a given point in time, and diachronic, that is integration of the sequence of interventions in the course of the probation process. This contribution focuses on synchronous continuity.
Therapy alliance has been studied largely in voluntary psychotherapy but less is known about its predictive factors for positive alliance and treatment outcome in forensic populations. The aim of this study was to examine the relationship between offenders’ emotional states and therapy alliance. Moreover, we were interested in the predictive impact of emotional states early in treatment on alliance at 18 months into treatment. Self-ratings of emotional states and alliance by 103 male offenders, and therapist-ratings for therapy alliance were examined using hierarchical multiple regression analyses. Participants were primarily convicted for violent of sexual offenses, and were diagnosed with antisocial, borderline or narcissistic personality disorders. Healthy emotional states were predictive of mid-treatment agreement on therapy goals and therapist ratings on tasks within the therapy. Unhealthy emotional states were predictive of patient-rated agreement on tasks. Emotional states were not predictive for the reported therapist/patient bond or global alliance ratings. This study emphasizes the importance of healthy emotional states in treatment of offenders with personality disorders.
This article reports on the application of a visual method in a small-scale comparative study. Practitioners in five European countries participated and took photographs of the places and spaces where offender supervision occurs. Source: Queen's University Belfast Research Portal.
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