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Group treatment for interpersonal effectiveness: a study of women in a medium secure psychiatric hospital

Published online by Cambridge University Press:  01 August 2012

Clive G. Long ,
Barbara Fulton  and
Olga Dolley
Clive G. Long*
Affiliation:
St Andrew's Academic Centre, Kings College London Institute of Psychiatry, Northampton, UK
Barbara Fulton
Affiliation:
St Andrew's Healthcare, Northampton, UK
Olga Dolley
Affiliation:
St Andrew's Healthcare, Northampton, UK
*
Correspondence to: Dr Clive G. Long, St Andrew's Healthcare, Billing Road, Northampton, NN1 5DG. E-mail: clong@standrew.co.uk
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Abstract

Background

Interpersonal effectiveness and social competence are central issues in treatment engagement and recovery for women with a diagnosis of personality disorder or schizophrenia in secure psychiatric settings.

Aims

To assess the effectiveness of a manualized group cognitive behavioural treatment for women admitted to a secure inpatient unit.

Method

Thirty four patients were divided into treatment completers and non completers on the basis of rates of attendance. Pre-post measures covered interpersonal problems, self efficacy, company, relationships and risk behaviours.

Results

Completers show significant pre-post changes on all measures, in contrast to non completers. Completers were younger and more likely to have experienced psychotherapy in the past.

Conclusions

Results provide confirmatory evidence for the value of training in interpersonal and communication skills training for women in secure care. The failure of one third of patients to complete treatment raises issues about the timing and applicability of treatment for some patients.

Keywords

Interpersonal effectivenesswomensecure care
Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 9 , Issue 1 , April 2013 , pp. 27 - 32
Copyright
Copyright © NAPICU 2012

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