Engagement in psychosocial treatment: Its relationship to outcome and care pathway progress for women in medium-secure settings

摘要: Background Engaging patients in treatment secure settings is a major challenge. Engagement associated with shorter length of stay, whereas non-completion an increased risk recidivism. Aims The aims this study were to assess differences between high and low attendees women's medium unit compare progress over the course their stay. Methods Sixty consecutive admissions classified into attendee groups. The two groups compared terms behaviours psychometric measures symptomatology, impulsivity personality. Results High had shortened showed less disturbed behaviour made more reduction symptoms overall traumatic stress specifically. Low likely have diagnosis schizophrenia/schizotypal illness than personality disorder, be impulsive scores indicative severe disorder on subscales Millon Clinical Multiaxial Inventory—III. Conclusion Attendance at security clear advantages for potential cost savings services community, but we found subgroup women who it difficult attend. Given small sample size, advocate replication, our findings suggest following: Implications practice development motivational interventions help make therapeutic alliance more accurate assessment readiness, avoid mistimed that are counterproductive more effective deployment milieu approaches stabilise early stage hospitalisation abandonment ‘one size fits all’ approach mixed patient populations. More ‘customised’ would allow appropriate ‘pacing’ adaptations according need during course. Copyright © 2012 John Wiley & Sons, Ltd.