Lord, Priest, McGowan accepted version.docx
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Therapeutic Engagement in Medium-Secure Care: An Interpretative Phenomenological Analysis of Service Users’ Experiences
Abstract
Service users (SUs) detained in forensic hospitals are usually required to engage in psychological therapies aimed at reducing mental distress and/or for preventing further offending. Poor therapeutic engagement (TE) can lead to adverse clinical outcomes and reoffending, at a cost to the individual, staff, the service provider, and the public. To understand what factors influence TE from a SUs’ perspective, the experiences of 10 male residents of a medium-secure hospital were explored. Using a service-user informed design, interpretative phenomenological analysis of interview data was completed. Four superordinate themes emerged: different worlds; what the individual brings; what the therapy entails; and control. Consideration of how these factors may be of use to professionals working in secure care settings is discussed in relation to existing theory and research.
Acceptance Date | Aug 28, 2015 |
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Publication Date | Sep 28, 2015 |
Journal | The Journal of Forensic Psychiatry & Psychology |
Print ISSN | 1478-9949 |
Publisher | Taylor and Francis Group |
Pages | 55-76 |
DOI | https://doi.org/10.1080/14789949.2015.1090622 |
Keywords | therapeutic engagement, interpretative phenomenological analysis, service-user design, forensic mental health, treatment engagement, offence recidivism |
Publisher URL | https://doi.org/10.1080/14789949.2015.1090622 |
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