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      Developing offender manager competencies in completing case formulation : An evaluation of a training and supervision model

      1 , 1 , 1
      Probation Journal
      SAGE Publications

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          Abstract

          The Offender Personality Disorder (OPD) pathway is a national initiative which co-commissions health and probation to work in partnership to enhance the criminal justice management of high risk offenders with personality disorder. Psychologically informed support is expected to augment the current provision for this client group alongside workforce training. The impact of training offender managers (OM) is uncertain and previous research has indicated training may be limited in its effectiveness. This paper examines the impact of a training and supervision model on the quality of formulations produced by offender managers and suggests that a model which teaches formulation through repeated consultation or the live supervision of practice leads to enhanced competencies in completing case formulations. The paper evaluates the quality of formulations produced by offender managers who have had their practice developed through repeated consultation with the OPD pathway (OPDOMs) in comparison with a generic group of offender managers. OPDOMs who have had the longest period of supervision with the project produced the highest quality formulations. The paper acknowledges a number of limitations but suggests that the model under scrutiny may usefully inform service delivery within the Offender Personality Disorder pathway.

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          Clients' experience of case formulation in cognitive behaviour therapy for psychosis.

          Case formulation (CF) is considered essential to the practice of cognitive behaviour therapy, and crucial when working with more complex problems such as psychosis. Several claims are made for the beneficial impact of CF on clients, although little empirical research has been conducted. The study used content analysis methodology to assess clients' experience of the CF process in cognitive behaviour therapy for psychosis. In addition, therapists ranked seven documented benefits for them of CF. Thirteen clients and their respective therapists were interviewed 2-3 weeks after shared written formulation. Overall, clients' reactions to CF were cognitively, behaviourally, and emotionally complex, and subject to change over time. Therapists reported that they found the CF to be most useful in increasing their understanding of their clients. Formulation is a complex process for clients, and future research into CF faces methodological challenges.
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            Impact of case formulation in cognitive behaviour therapy for psychosis.

            Case formulation (CF) is the 'first principle' in cognitive behavior therapy (CBT), and the cornerstone of CT for psychosis. Experiment 1 (E1) assesses impact of CF in CBT for psychosis on perception of therapeutic relationship. Experiment 2 assesses the impact of CF on strength of delusional and self-evaluative beliefs (E2). Both E1 and E2 assess impact of CF on symptoms of anxiety and depression. CF had little or no impact on these variables. Descriptive data suggested there were other benefits for certain participants. Therapists' perception of the therapeutic relationship did improve following CF. Six clients found CF, at least in part, a negative experience.
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              Forensic Case Formulation

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                Author and article information

                Journal
                Probation Journal
                Probation Journal
                SAGE Publications
                0264-5505
                1741-3079
                March 2018
                November 27 2017
                March 2018
                : 65
                : 1
                : 27-38
                Affiliations
                [1 ]Leeds and York Partnership NHS Foundation Trust, Leeds, UK
                Article
                10.1177/0264550517744272
                c5fd0c49-bcaa-4732-91b1-003dbe17871f
                © 2018

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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