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How effective are interventions to improve social outcomes among offenders with personality disorder : a systematic review
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Connell, Catriona, Furtado, Vivek, McKay, Elizabeth A. and Singh, Swaran P. (2017) How effective are interventions to improve social outcomes among offenders with personality disorder : a systematic review. BMC Psychiatry, 17 . 368. doi:10.1186/s12888-017-1536-3 ISSN 1471-244X.
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Official URL: https://doi.org/10.1186/s12888-017-1536-3
Abstract
Background:
Offenders with personality disorder are supported by health, criminal justice, social care and third sector services. These services are tasked with reducing risk, improving health and improving social outcomes. Research has been conducted into interventions that reduce risk or improve health. However, interventions to improve social outcomes are less clearly defined.
Methods:
To review the effectiveness of interventions to improve social outcomes we conducted a systematic review using Cochrane methodology, expanded to include non-randomised trials. Anticipated high heterogeneity of the studies informed narrative synthesis.
Results:
Eleven studies met inclusion criteria. Five contained extractable data. No high-quality studies were identified. Outcomes measured clustered around employment and social functioning. Interventions vary and their mechanisms for influencing social outcomes are poorly operationalised. Although change was observed in employment rates, there was no evidence for the effectiveness of these interventions.
Conclusions:
There is a lack of evidence for effective interventions that improve social outcomes. Further research is recommended to reach consensus on the outcomes of importance, identify the factors that influence these and design theoretically-informed and evidence-based interventions.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Personality disorders, Mentally ill offenders -- Mental health services, Mentally ill offenders -- Rehabilitation, Mentally ill offenders -- Employment, Participation | ||||||
| Journal or Publication Title: | BMC Psychiatry | ||||||
| Publisher: | BioMed Central Ltd. | ||||||
| ISSN: | 1471-244X | ||||||
| Official Date: | 17 December 2017 | ||||||
| Dates: |
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| Volume: | 17 | ||||||
| Article Number: | 368 | ||||||
| DOI: | 10.1186/s12888-017-1536-3 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 17 September 2018 | ||||||
| Date of first compliant Open Access: | 17 September 2018 | ||||||
| RIOXX Funder/Project Grant: |
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