Topic: Mental Health
Conditions
Interventions
EQUIP Treatment Group: EQUIP is a manualised treatment programme comprising a total of 40 sessions comprising:
1. Mutual Help Meetings
2. Equipment Meetings
Study Entry : Single Randomisation only
Sponsors
University of Kent
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Target Population: Sixty adults aged 18 or older who have a confirmed diagnosis of an intellectual or other developmental disability (e.g. autistic spectrum conditions) detained within hospital using the Mental Health Act (2007) who have a history of criminal offending behaviours split equally between the two arms. Inclusion Criteria: 1. Diagnosis of intellectual or other developmental disability made by a Clinical Psychologist, Psychiatrist or other appropriately qualified professional 2. Detained within hospital using the Mental Health Act (2007) 3. A history of criminal offending behaviours, defined as clear evidence of a conviction for an indictable offence, or evidence to suggest that an individual has committed and indictable offence, but without an associated conviction. It is important to consider that for some people with IDDs who are detained in hospital there may be sufficient evidence to indicate that they have committed an indictable offence, but for various reasons they were not convicted (e.g. Crown Prosecution Service may have decided not to proceed) Target Gender: Male & Female; Lower Age Limit 18 years
Exclusion criteria
Exclusion criteria: Inability to give or withhold consent to take part as defined within the Mental Capacity Act, 2007
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure will be a proxy measure of behavioural problems called the Emotion Problems Scale -Behaviour Rating Scales [EPS-BRS; 23]. The EPS-BPS is a 135-item questionnaire which asks respondents questions about the behaviour of the participant over the last month. The person completing the EPS-BPS must know the participant well, and for this trial, this will be a member of the nursing team. They will be asked to rate how frequently the participants engages in various behaviours. The EPS-BRS is comprised of 12 subscales: 1. Thought/behaviour disorder 2. Verbal aggression 3. Sexual maladjustment 4. Non-compliance 5. Hyperactivity 6. Distractibility 7. Anxiety 8. Somatic concerns 9. Withdrawal 10. Depression 11. Low self-esteem Four subscales are summed to form the Externalising Behaviour Problems Scale, while three subscales are summed to form the Internalising Behaviour Problems Scale. Participants who provide consent will be asked to complete assessment measures within a four week period following randomisation, and then again at 16 weeks after randomisation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: 1. Moral development: the Sociomoral Reflection Measure (SRM-SF) is a production measure of moral reasoning and has been shown to possess high levels of test-retest reliability, and excellent internal consistency. The measure comprises eleven questions, and generally takes about twenty minutes to present. The questions relate to the following seven constructs: 1.1.Contract (questions one to three) 1.2. Truth (question four) 1.3. Affiliation (questions five and six) 1.4. Life (questions seven and eight) 1.5. Property (question nine) 1.6. Law (question ten) 1.7. Legal Justice (question eleven) Verbatim answers to the questions are scored according to a set of rules and heuristics, and the development of proficient and reliable scoring occurs through the use of practice scoring material. Responses to each question are assigned a developmental rating which corresponds to a moral stage associated with Gibb’s Socio-Moral Reasoning Theory, 2. Emotional Problems: the Emotion Problems Scale – Self Report Inventory (EPS-SRI) is a 147-item self-report questionnaire designed for use with people with IDDs. The questionnaire has six subscales: 2.1. Positive impression 2.2. Thought/behaviour disorder 2.3. Impulse control 2.4. Anxiety 2.5. Low self-esteem 2.6. Depression 3. Distorted Cognitions: The How I Think (HIT) Questionnaire is a measure of cognitive distortions based upon the four-categories. These are: 3.1. Self-Centred 3.2. Blaming Others 3.3. Minimizing/Mislabelling 3.4. Assuming the Worst Total and mean scores are derived for the four-categories of distorted thinking as well as four behavi | — |
Countries
United Kingdom
Outcome results
None listed