There is an increasing focus on trauma within forensic services. This study aimed to investigate ... more There is an increasing focus on trauma within forensic services. This study aimed to investigate exposure to trauma among a high secure male forensic population. Based on the Childhood Trauma Questionnaire (CTQ) and the Trauma History Questionnaire (THQ) data capture sheets were developed. Patients' own offending behaviour was included as a source of potential trauma. Records for all patients placed within the hospital (n = 194) were reviewed. All patients had been exposed to a traumatic event over the lifespan, with 75% having been exposed to trauma during childhood. Sixty-five percent of patients had experienced more than one type of trauma during childhood; the mean number of trauma types experienced during this period being 2.31. In adulthood 63% had been exposed to one trauma type while 29% had been exposed to two or more trauma types. No significant difference was found between those with and those without childhood trauma histories on hospital variables including admission length, seclusion and incidents. The implications of these results in the context of adopting a trauma informed care approach to treatment in forensic settings are discussed, and recommendations for future clinical and research directions are made.
There is an increasing focus on trauma within forensic services. This study aimed to investigate ... more There is an increasing focus on trauma within forensic services. This study aimed to investigate exposure to trauma among a high secure male forensic population. Based on the Childhood Trauma Questionnaire (CTQ) and the Trauma History Questionnaire (THQ) data capture sheets were developed. Patients' own offending behaviour was included as a source of potential trauma. Records for all patients placed within the hospital (n = 194) were reviewed. All patients had been exposed to a traumatic event over the lifespan, with 75% having been exposed to trauma during childhood. Sixty-five percent of patients had experienced more than one type of trauma during childhood; the mean number of trauma types experienced during this period being 2.31. In adulthood 63% had been exposed to one trauma type while 29% had been exposed to two or more trauma types. No significant difference was found between those with and those without childhood trauma histories on hospital variables including admission length, seclusion and incidents. The implications of these results in the context of adopting a trauma informed care approach to treatment in forensic settings are discussed, and recommendations for future clinical and research directions are made.
Journal of Applied Research in Intellectual Disabilities, 2019
Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theor... more Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of "what works".
Difficulties with emotion regulation are reported as commonly experienced by people with intellec... more Difficulties with emotion regulation are reported as commonly experienced by people with intellectual disabilities (PWID). These difficulties can lead to the involvement of PWID with forensic services, and the requirement for them to undertake psychological therapies aimed at improving their regulation of emotion. This thesis firstly provides a critical review of the quantitative evidence for the effectiveness of interventions addressing the most prevalent form of emotion dysregulation for PWID in community-based and inpatient forensic services: anger and outwardly-directed aggression. Sixteen studies met the inclusion criteria and offered promising evidence for the effectiveness of a range of psychological approaches in improving anger and reducing aggression. However, firm conclusions and generalisability of findings were precluded due to the pervasive methodological shortcomings across studies, and accordingly, recommendations for future research and service providers were made. ...
Highlights • Sixteen controlled trials and case series studies of adapted psychological intervent... more Highlights • Sixteen controlled trials and case series studies of adapted psychological interventions were reviewed. • Short-term improvements in problem anger were noted for CBT interventions. • Reductions in aggressive behaviour were observed following a range of psychological therapies. • Firm conclusions and generalisation were precluded by pervasive methodological shortcomings. • More robust research designs are required to strengthen the evidence base for treatment of this population.
There is an increasing focus on trauma within forensic services. This study aimed to investigate ... more There is an increasing focus on trauma within forensic services. This study aimed to investigate exposure to trauma among a high secure male forensic population. Based on the Childhood Trauma Questionnaire (CTQ) and the Trauma History Questionnaire (THQ) data capture sheets were developed. Patients' own offending behaviour was included as a source of potential trauma. Records for all patients placed within the hospital (n = 194) were reviewed. All patients had been exposed to a traumatic event over the lifespan, with 75% having been exposed to trauma during childhood. Sixty-five percent of patients had experienced more than one type of trauma during childhood; the mean number of trauma types experienced during this period being 2.31. In adulthood 63% had been exposed to one trauma type while 29% had been exposed to two or more trauma types. No significant difference was found between those with and those without childhood trauma histories on hospital variables including admission length, seclusion and incidents. The implications of these results in the context of adopting a trauma informed care approach to treatment in forensic settings are discussed, and recommendations for future clinical and research directions are made.
There is an increasing focus on trauma within forensic services. This study aimed to investigate ... more There is an increasing focus on trauma within forensic services. This study aimed to investigate exposure to trauma among a high secure male forensic population. Based on the Childhood Trauma Questionnaire (CTQ) and the Trauma History Questionnaire (THQ) data capture sheets were developed. Patients' own offending behaviour was included as a source of potential trauma. Records for all patients placed within the hospital (n = 194) were reviewed. All patients had been exposed to a traumatic event over the lifespan, with 75% having been exposed to trauma during childhood. Sixty-five percent of patients had experienced more than one type of trauma during childhood; the mean number of trauma types experienced during this period being 2.31. In adulthood 63% had been exposed to one trauma type while 29% had been exposed to two or more trauma types. No significant difference was found between those with and those without childhood trauma histories on hospital variables including admission length, seclusion and incidents. The implications of these results in the context of adopting a trauma informed care approach to treatment in forensic settings are discussed, and recommendations for future clinical and research directions are made.
Journal of Applied Research in Intellectual Disabilities, 2019
Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theor... more Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of "what works".
Difficulties with emotion regulation are reported as commonly experienced by people with intellec... more Difficulties with emotion regulation are reported as commonly experienced by people with intellectual disabilities (PWID). These difficulties can lead to the involvement of PWID with forensic services, and the requirement for them to undertake psychological therapies aimed at improving their regulation of emotion. This thesis firstly provides a critical review of the quantitative evidence for the effectiveness of interventions addressing the most prevalent form of emotion dysregulation for PWID in community-based and inpatient forensic services: anger and outwardly-directed aggression. Sixteen studies met the inclusion criteria and offered promising evidence for the effectiveness of a range of psychological approaches in improving anger and reducing aggression. However, firm conclusions and generalisability of findings were precluded due to the pervasive methodological shortcomings across studies, and accordingly, recommendations for future research and service providers were made. ...
Highlights • Sixteen controlled trials and case series studies of adapted psychological intervent... more Highlights • Sixteen controlled trials and case series studies of adapted psychological interventions were reviewed. • Short-term improvements in problem anger were noted for CBT interventions. • Reductions in aggressive behaviour were observed following a range of psychological therapies. • Firm conclusions and generalisation were precluded by pervasive methodological shortcomings. • More robust research designs are required to strengthen the evidence base for treatment of this population.
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Papers by Claire Browne