Lord, K, Priest, HM and McGowan, A (2015) Therapeutic Engagement in Medium-Secure Care: An Interpretative Phenomenological Analysis of Service Users’ Experiences. The Journal of Forensic Psychiatry & Psychology, 27 (1). pp. 55-76. ISSN 1478-9957

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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.

Item Type: Article
Uncontrolled Keywords: therapeutic engagement, interpretative phenomenological analysis, service-user design, forensic mental health, treatment engagement, offence recidivism
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Faculty of Natural Sciences > School of Psychology
Depositing User: Symplectic
Date Deposited: 14 Oct 2015 11:03
Last Modified: 23 Apr 2019 15:48
URI: https://eprints.keele.ac.uk/id/eprint/1025

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