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Preparing Challenging Clients for Treatment Mary McMurran Institute of Mental Health  Nottingham, UK A partnership of and
Plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systematic Review –  Offenders ,[object Object]
Research Question ,[object Object],[object Object],[object Object],[object Object]
Systematic Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sample ,[object Object],[object Object],[object Object],[object Object],[object Object]
Non-Completion Rates ,[object Object],[object Object],[object Object],[object Object],[object Object]
Non-Completion Rates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-Completion Rates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-Completion Rates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systematic Review –  Personality Disorder ,[object Object]
Research Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PD Treatment Non-Completion  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Studies Identified
Rates of Non-Completion ,[object Object],[object Object],[object Object]
Correlates of Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Correlates of Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Client Attributes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Client Needs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Correlates of Non-Completion ,[object Object],[object Object]
Outcomes of Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions to Reduce Non-Completion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions so far… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-Treatment Preparation ,[object Object],[object Object]
Motivational Interviewing with Offenders
Systematic review –  MI with Offenders ,[object Object]
Research Question ,[object Object],[object Object],[object Object],[object Object],[object Object]
MI with Offenders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MI with Offenders ,[object Object],[object Object],[object Object],[object Object],[object Object]
MI with Offenders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Retention in Treatment ,[object Object],[object Object],[object Object],[object Object]
Engagement in Treatment ,[object Object],[object Object],[object Object]
Motivation for Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behaviour Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behaviour Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behaviour Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],*Bourgon, G., & Armstrong, B. (2005). Transferring the principles of  effective treatment into a “real world” prison setting.  Criminal Justice  and Behavior, 32, 3–25.
Future Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Currently, safe to say …… ,[object Object],[object Object],[object Object]
A Goal-Based Motivational Preparation
Goal-Based Motivational Preparation  ,[object Object],[object Object],[object Object],[object Object]
What’s your concern?
Steve Rollnick: What shall we talk about? Diet Exercise Stress Drinking Drug use Smoking ?
Goals as a motivational construct ,[object Object],[object Object],[object Object]
Goals are Important ,[object Object],[object Object],Emmons, R.A. (2005). Striving for the sacred: Personal goals,  life meaning, and religion.  Journal of Social Issues, 61,  731-745.
Good Lives Model  of Offender Rehabilitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Theory of Current Concerns ,[object Object],[object Object],[object Object]
Life Areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment as a means of  attaining valued goals ,[object Object]
Treatment as a means of  attaining valued goals ,[object Object]
Treatment as a means of  attaining valued goals ,[object Object]
Treatment as a means of  attaining valued goals ,[object Object],[object Object],[object Object],[object Object]
Personal Concerns Inventory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Motivational ‘hook’ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Does the PCI help prisoners engage? ,[object Object],[object Object],Sellen, J. et al. (2009). Validity of the offender version of the Personal  Concerns Inventory with adult male prisoners.  Psychology, Crime & Law 15 , 451-468.
Does the PCI help prisoners engage? ,[object Object],Theodosi, E., & McMurran, M. (2006). Motivating convicted sex offenders  Into treatment: A pilot study.  British Journal of Forensic Practice, 8,  28-35.
Does the PCI help prisoners engage? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell, J. (2010). Measuring and enhancing offender motivation  to engage in treatment and change.   Unpublished PhD thesis,  UWIC, Cardiff:
More research is needed …. ,[object Object],[object Object],[object Object]
Why might the PCI work? ,[object Object],[object Object],[object Object],[object Object],McMurran, M., & Ward, T. (2004). Motivating offenders  to engage in therapy: An organizing framework.  Legal &  Criminological Psychology, 9,  295-311.
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