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Article
Publication date: 18 December 2019

Ella Hancock-Johnson, Charlotte Staniforth, Lucy Pomroy and Kieran Breen

Dialectical behaviour therapy (DBT) aims to reduce emotional dysregulation and engagement in less adaptive behaviours for adults with mixed disorders of conduct and emotions…

Abstract

Purpose

Dialectical behaviour therapy (DBT) aims to reduce emotional dysregulation and engagement in less adaptive behaviours for adults with mixed disorders of conduct and emotions (MDCE). However, there is limited evidence available for the effectiveness of DBT skills training for adolescents with MDCE who are resident within a secure impatient setting. The paper aims to discuss these issues.

Design/methodology/approach

A retrospective study investigated changes in aggressive and self-injurious behaviours in 22 adolescents within a secure inpatient mental health setting with MDCE who had completed one cycle of DBT skills training. Changes in symptomatic problems, behavioural and social impairment were also investigated in 17 of the 22 participants who completed the DBT skills training cycle.

Findings

There were statistically significant decreases in the frequencies of engagement in total aggressive and deliberate self-harm behaviours after the DBT skills training cycle. There was a significant improvement in symptomatic and behavioural impairment, but not in social impairment.

Practical implications

The findings of this study suggest that DBT skills training may be beneficial for behavioural and symptomatic outcomes in adolescent inpatients with MDCE.

Originality/value

This study provides preliminary evidence for the effectiveness of DBT skills training for adolescents with MDCE within a secure inpatient setting. Additional studies are required to investigate the clinical benefits of specific aspects of DBT for individual patients.

Details

Journal of Forensic Practice, vol. 22 no. 1
Type: Research Article
ISSN: 2050-8794

Keywords

Article
Publication date: 11 September 2017

Christopher A. Griffiths and Ella Hancock-Johnson

The purpose of this paper is to report the experience and impact of paid staff who are employed to use their lived experience of mental health issues and service use within a…

Abstract

Purpose

The purpose of this paper is to report the experience and impact of paid staff who are employed to use their lived experience of mental health issues and service use within a secure mental health provider.

Design/methodology/approach

A qualitative approach using semi-structured interviews and thematic analysis was employed.

Findings

Results from this study suggest that employing lived experience workers (LEWs) in secure mental health settings is valuable to clinical staff, service users, the employing organisation and LEWs themselves. Findings emphasised the importance of support for LEWs to enable them to fulfil their role and maintain wellbeing, and the need to consider LEWs career progression within and beyond the role.

Research limitations/implications

This study had a small sample size.

Practical implications

There is evidence to support LEWs in secure mental health settings and requirement for further understanding of their work in this environment. Specific recommendations include the need for training for clinical staff about the role of LEWs, specific LEWs role training, and regular supervision and mental health support for LEWs.

Originality/value

This is the first paper reporting the experience and impact of LEWs in a UK secure mental health service.

Details

The Journal of Mental Health Training, Education and Practice, vol. 12 no. 5
Type: Research Article
ISSN: 1755-6228

Keywords

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