The psychological and psychosocial interventions offered to forensic mental health in-patients: a systematic review
Journal article
MacInnes, D. 2019. The psychological and psychosocial interventions offered to forensic mental health in-patients: a systematic review. BMJ Open. 9 (3). https://doi.org/10.1136/bmjopen-2018-024351
Authors | MacInnes, D. |
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Abstract | Objective: To examine the evidence for the use of psychological and psychosocial interventions offered to forensic mental health in-patients. Design: CINAHL, MedLine, PsycINFO, ScienceDirect, and Web of Science databases were searched for research published in English between 1 January 1990 and 31 May 2018. Outcome measures: Disturbance, mental well-being, quality of life, recovery, violence/risk, satisfaction, seclusion, symptoms, therapeutic relationship and ward environment. There were no limits on the length of follow up. Eligibility criteria: We included randomised controlled trial (RCT) studies of any psychological or psychosocial intervention in an in-patient forensic setting. Pilot or feasibility studies were included if a RCT design was used. Results: 17,232 citations were identified with 195 full manuscripts examined in detail. Nine papers were included in the review. The heterogeneity of the identified studies meant that meta-analysis was inappropriate. The results were presented in table form together with a narrative synthesis. Only 7 out of 91 comparisons revealed statistically significant results with no consistent significant findings. The most frequently reported outcomes were violence/risk and symptoms. 61% of the violence/risk comparisons and 79% of the symptom comparisons reported improvements in the intervention groups compared to the control groups. Conclusions: Current practice is based on limited evidence with no consistent significant findings. This review suggests psychoeducational and psychosocial interventions did not reduce violence/risk but there is tentative support they may improve symptoms. More RCTs are required with: larger sample sizes, representative populations, standardised outcomes and control group interventions similar in treatment intensity to the intervention. |
Keywords | Forensic; mental health; psychological; psychosocial; systematic Review |
Year | 2019 |
Journal | BMJ Open |
Journal citation | 9 (3) |
Publisher | BMJ Publishing Group |
ISSN | 2044-6055 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/bmjopen-2018-024351 |
Publication dates | |
20 Mar 2019 | |
Publication process dates | |
Deposited | 21 Dec 2018 |
Accepted | 29 Oct 2018 |
Accepted author manuscript | |
Output status | Published |
Additional information | Open access Journal. Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license. |
Contributors | MacInnes, D. and Masino, S. |
https://repository.canterbury.ac.uk/item/88y27/the-psychological-and-psychosocial-interventions-offered-to-forensic-mental-health-in-patients-a-systematic-review
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