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In this chapter, we first describe the all governing principles of treatment for sexual offenders that maximise effectiveness. These are derived from Andrews and Bonta's (2006) summary of a variety of meta-analyses of outcome studies. From this source and others, we then claim that there are three elements essential to effective treatment: (1) targeting criminogenic features; (2) employing empirically sound procedures to modify these targets; and (3) delivering treatment in an effective psychotherapeutic way. Next we describe our treatment approach that emphasises these crucial elements within a strength-based programme that is motivational and provides Ward's (2002) Good Lives Model as the framework. We then challenge the broadly accepted idea that the Random Controlled Trial (RCT) is the only basis upon which inferences about treatment effectiveness can be derived. We point to methodological, practical and ethical problems associated with implementing an RCT study and offer at least two alternatives: the so-called ‘incidental design’ which compares the outcome of the treated group with a matched (but not randomly assigned) group from the same or similar setting to the treated group; and a strategy where the recidivism rate of treated group is compared with what would be expected on the basis of risk assessments of each of the treated subjects.

This chapter describes Andrews and Bonta's (2006) Principles of Effective Offender Treatment and its relevance for the treatment of sexual offenders. The three principles of this model are Risk, Needs and Responsivity. Each of these is described in some detail with the greatest emphasis being placed on general responsivity which is one of the two parts of the Responsivity Principle. Our interpretation of general responsivity differs from the view of others (e.g. Hanson et al., 2009) who define this aspect of Responsivity in terms of Cognitive Behaviour Therapy (CBT). While Andrews and Bonta indicate that within their meta-analyses, CBT programmes were the ones most likely to succeed; such programmes were not at all effective. It seems to us that a far more important aspect of general responsivity is what Andrews and Bonta describe as the Core Correctional Practices (CCP) which have to do with the way in which treatment is delivered. We review the CCPs in some detail and provide other evidence indicating that the style of treatment delivery is the crucial factor in determining effectiveness.

The purpose of this paper is to examine the degree to which a US prison-based sexual offender treatment program adheres to the best practice responsivity principle and to shed light on why prison-based programs tend to have worse recidivism outcomes than community programs. Results will facilitate program development efforts as they transition from programming developed prior to the risk-needs-responsivity knowledge about what works in treatment.

A mix of qualitative and quantitative methods assessed treatment methods, therapeutic climate, group therapy environment, therapist style, and staff and participants’ perceptions.

Overall, the analyses revealed insufficient adherence to the responsivity principle. The program used methods known to be effective with sexual offenders, but with deficient implementation. In group therapy sessions, therapeutic style deficiencies were demonstrated for stimulating growth, nurturance, and direction and control. Treatment program advancement was associated with group environment declines in cohesion, leader support, expressiveness, independence, and task orientation.

Results suggest that improved treatment response can be achieved by modifying methods and style to foster participant internal control, eliminate unnecessary external control and fear-based compliance, maximize participant autonomy; implement strengths-based approaches and fewer deficit-based interventions; monitor and minimize participant shame, and create a transparent and consistent program milieu, with clear communication, individualization, and adequate resources. Study limitations include a lack of recidivism outcomes; that it is a single prison sample, excludes female and juvenile offenders, and lacks a community-based control group. Nonetheless, despite inherent responsivity vulnerabilities compared to community-based programs, this study indicates several ways that program developers can enhance adherence to the responsivity principle in institutional-based programs.

The purpose of this paper is to outline the development, structure and implementation of the Choices, Actions, Relationships and Emotions (CARE) programme.

This paper will present some of the background to the programme, its aims, structure and delivery methods and the nature of the treatment population to date. It will also reflect on some of the lessons learnt through the development and implementation of the programme and the challenges faced in evaluating its impact. Plans for its future evaluation and development are discussed.

Female offenders represent a distinct group with particular treatment and responsivity needs. These have traditionally been accommodated in programmes developed for male offenders, adapted slightly to meet their needs. CARE represents a distinct approach, designed specifically for the needs of female offenders with a history of violence and complex presentations.

CARE is a relatively new programme and this is the first paper to outline its structure and content.

Offending behaviour interventions that adhere to the now well‐known principles of “What Works” can be effective in reducing recidivism. The field is dominated by a programmed approach, in which facilitators adhere to a manual designed to target specific criminogenic needs and risks in different groups of offenders. This study aims to explore the short‐term impact of the Prisoners Addressing Substance Related Offending (P‐ASRO) programme, a cognitive‐behavioural intervention addressing offending related to substance misuse and targeting those with low‐medium dependency. The aim of this paper is to evaluate the impact of P‐ASRO in key areas targeted by the programme.

A non‐experimental fixed design examined differences between the pre‐ and post‐intervention measures of prisoners (n=81) who had completed the P‐ASRO programme between April 2006 and March 2007.

The majority of offenders in the sample fell into the high‐dependency need group. Nevertheless, there were significant differences between all of the pre‐ and post‐measures, with large effect sizes reported. Prisoners were found to be less impulsive, to have increased their problem‐solving ability, to have developed a greater internal locus of control and were more motivated toward taking action.

Caution needs to be taken in relation to the conclusions that can be drawn due to the nature of the data used (anonymised archival data) which do not allow for the control of certain key variables.

The findings add to the research on prison interventions and lend some support to the suitability of this intervention for offenders with substance use problems, regardless of severity of substance dependency.

Although support exists for the effectiveness of treatment for personality disordered offenders there is limited knowledge about the processes underlying the therapeutic change. The purpose of this paper is to explore the treatment experiences of six male psychopathic offenders who attended a social skills treatment component implemented within a high-secure personality disorder treatment service.

Interview transcripts were analysed by the lead researcher (first author) using interpretative phenomenological analysis (IPA) who compared and contrasted findings to develop superordinate themes across the group. External auditing analysis was conducted by the second author.

Several themes were identified that may indicate the unique ways this client group experienced treatment. These related to the importance of “group cohesion” with treatment progression and shared learning experiences, the significance of “therapeutic alliance” with treatment providers and perceived effectiveness of treatment, and the conflict participants experienced when acquiring and applying skills from their engagement in treatment. Participants identified aspects of the treatment component that facilitated the effectiveness of treatment and were effective in meeting their needs and some that would benefit from improvement.

Positive group dynamics are important. Operational staff inclusion within the facilitation team is beneficial. Attentiveness to participants’ specific responsivity needs is required. Supporting skill application post-treatment is important.

These findings add to the evidence base in relation to factors that support personality disordered offenders’ engagement within treatment. Areas that validate treatment delivery are highlighted, as are suggestions for change to maximise treatment gain for psychopathic and personality disordered offenders.

Represents the first systematic attempt to examine the effects of school‐based interventions on children’s self‐reported PTSD‐related distress and coping ability following a series of volcanic eruptions in a sample of 112 children. Pretreatment assessments carried out after the eruptions revealed that time was more of an ally for PTSD symptoms than for active coping ability. In terms of randomly assigned intervention conditions, both an exposure and a cognitive behavioural intervention were found to lead to significant improvement in both PTSD‐related distress and coping ability. In terms of effect sizes (Cohen’s d), the coping scores changed more following the one‐hour intervention than they had during the entire two‐month pretreatment interval; PTSD‐related scores changed over half as much as during the two‐month pretreatment interval. In addition, at four‐month follow‐up, either children continued to improve (PTSD‐distress scores) or gains were maintained (coping scores). Treated children’s PTSD and coping scores were significantly more adaptive than those of untreated children. Finally, multiple regression analyses did not reveal any significant, prospective predictors of treatment responsivity. Includes consideration of the value of self‐report methodologies at the “early gates” of a multiple gating intervention model and the value of collaborations between scientists in the wake of a disaster.

This paper aims to outline the human capacity for harmfulness and details the role of trauma and adversity in the consolidation of harmful capacities.

The paper is a theoretical overview and offers a rationale for developing more trauma sensitive practices.

The paper proposes compassion focussed therapy (CFT) as an overarching approach to organising interventions.

The paper invites practitioners to develop a holistic approach to forensic interventions incorporating a collaborative formulation and personal objectives for service users.

CFT and trauma informed approaches to working with risk are relatively new in the forensic field. This paper provides a rationale for the further development of such approaches within forensic settings.

This paper is an extension of the previous study published by Chan and Boer (2016). It seeks to explore deeper into the subject matter, to better aid ex-offenders’ reintegration effort back into society. The purpose of this paper is to expand the sample size of participants from 12 to 25, and to further ascertain any emerging factors (also known as predictors) that influence the reintegration process of ex-offenders in the hope of further reducing recidivism rate.

The study adopted a qualitative research framework where attention was devoted to understanding the experiences of 25 formerly incarcerated males − 12 participants were from the initial study, and now extended with another 13 participants to deepen the scope of the study. All participants who took part in the study had been out of prison for at least five years and had been incarcerated in the prison of Singapore more than once but are no longer on parole.

This study indicated three other new factors that emerged with the additional 13 participants, along with those seven different factors from the previous study that influenced the success of reintegration. These Ten Reintegration Assessment Predictors are critical as they further increase the probability of success of ex offender reintegration to society upon release. The combination of these ten predictors reported are essential for the reintegration process, and when put together, they formed the reintegration model.

A limitation to this research was that only two halfway houses took part in the process. Both of which are faith-based halfway houses. The previous study had 12 participants who took part in the research. Despite of attempts to enlarge the number of participants in the study, only an additional 13 new participants volunteered to take part.

From the themes that emerged from the previous study, critical factors for reintegration of offenders were ascertained. With the addition of three factors identified, it would further strengthen the factors needed to increase the success of reintegration of offenders. Resources could be channelled appropriately to strengthen the factors identified that are critical for the work of reintegrating offenders through their transition from incare to aftercare. Eventually, this is done to decrease the rate of recidivism and reoffending.

Decreasing the rate of recidivism and reoffending is always in the interest of every government. However, it is often not an easy task since most incarcerated persons will encounter numerous challenges after their release as they seek to reintegrate into the community. Under tremendous stress and pressure when facing the challenges, the cycle of reoffending perpetuates which eventually affects the rate of recidivism. This would adversely impact both individuals and the community they are in.

In Singapore, various initiatives to introduce new programmes and alternative sentencing options were initiated by the government to lower the rate of recidivism. Following from the previous study of 12 individuals who had successfully reintegrated back into the community, seven factors were identified to influence reintegration. With the addition of 13 participants to the research, three other factors further emerged and the study now concluded with ten factors deemed critical to strengthen the reintegration of offenders. From the study, a reintegration model for offenders was formulated.

The purpose of this paper is to describe a project reporting the evaluation of an adapted form of the thinking skills programme (TSP) with prisoners with intellectual disabilities. In particular, the utility of realistic evaluation is explored as a response to the difficulties in applying research-based interventions in practice and rolling out pilot projects that have been evaluated under specific conditions.

Realistic evaluation involves the identification of context, mechanism and outcome as a structure for programme evaluation and this was applied to the development and implementation of adapted TSP (ATSP) in three English prisons.

Findings are reported in respect of the three aspects of context, mechanism and outcome to demonstrate the utility of realistic evaluation. Contextual findings suggested that ATSP is effective with male prisoners representing a range of intellectual disabilities, who would otherwise be excluded from mainstream programmes. The programme did not establish effectiveness with women or in community settings. The prisons involved were of different levels of security, but all three prisons were actively involved in positive approaches to difference and diversity and support for people with intellectual disabilities. For mechanism it was noted that all involved in the pilot sites were highly motivated to participate in the project and they were also achieving high scores for general quality in programme delivery. The realistic evaluation framework suggests that, where these factors are not present, some caution about possible effectiveness should be exercised. The evaluation approach proved to be helpful in identifying relevant factors to be considered in the wider implementation of ATSP.

This is a novel approach to programme evaluation in psychological therapies that was shown to be of value in identifying conditions under which pilot schemes can be extended to other parts of a service, and research on interventions for offenders with intellectual disabilities applied in practice.