A comparison of treatment completers and non-completers of an in-patient treatment programme for male personality-disordered offenders

Psychol Psychother. 2008 Jun;81(Pt 2):193-8. doi: 10.1348/147608308X288762. Epub 2008 Feb 19.

Abstract

Background: In the treatment of offenders with personality disorders, one matter that requires attention is the rate of treatment non-completion. This is important as it has cost-efficiency and negative outcome implications.

Method: We compared the characteristics of those who participated in a personality disorder treatment programme divided into three groups: Group 1, treatment completers (N = 21); Group 2, those expelled for rule breaking (N = 16); and Group 3, those removed because they were not engaging in treatment (N = 19). We hypothesized that, compared with the other two groups, Group 2 would score higher on the impulsive/careless style scale, and that those in Group 3 would score higher on the avoidant style scale of the social problem-solving inventory-revised (SPSI-R). Further, we hypothesized that high anxiety would be associated with treatment non-completion in both the groups.

Results: These differences were not found. However, in combining both groups of non-completers for comparison, completers were shown to score significantly higher on SPSI-R rational problem solving and significantly lower on SPSI-R impulsive/careless style.

Conclusion: Findings suggest that teaching impulsive people a rational approach to social problem solving may reduce their level of non-completion.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Antisocial Personality Disorder / diagnosis
  • Antisocial Personality Disorder / psychology
  • Antisocial Personality Disorder / therapy
  • Borderline Personality Disorder / diagnosis
  • Borderline Personality Disorder / psychology
  • Borderline Personality Disorder / therapy
  • Cognitive Behavioral Therapy / methods
  • Hospitalization*
  • Humans
  • Male
  • Patient Compliance / psychology
  • Patient Compliance / statistics & numerical data
  • Patient Dropouts / psychology*
  • Patient Dropouts / statistics & numerical data
  • Personality Disorders / diagnosis
  • Personality Disorders / psychology
  • Personality Disorders / therapy*
  • Personality Inventory / statistics & numerical data
  • Prisoners / psychology*
  • Problem Solving
  • Social Behavior
  • Surveys and Questionnaires
  • United Kingdom
  • Wechsler Scales / statistics & numerical data