Building a therapeutic relationship between probation officers and probationers with serious mental illnesses
Building a therapeutic relationship between probation officers and probationers with serious mental illnesses
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DOI：
10.1017/s1092852919001871
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发表时间：
2020-10-01
期刊：
影响因子：
3.3
通讯作者：
Sarantakos, Sophia P.
中科院分区：
文献类型：
--
作者：
Epperson, Matthew W.;Sawh, Leon;Sarantakos, Sophia P.
本研究的目的是从事与各种利益相关者的协作过程，以开发简短的干预，以促进服务参与（BIPSE），其目的是加强缓刑官员和缓刑犯之间的治疗关系与严重精神疾病（SMI）。观察缓刑监督会议，将现有的干预方法，和workshopping初步BIPSE组件与三个随机选择的人员从一个专门的精神健康缓刑单位。BIPSE组件的可接受性和可行性进行了评估，通过焦点小组与缓刑官员，额外的观察缓刑会议，并与缓刑犯与SMI.ResultsTwo的定性访谈确定的利益相关者会议和观察期间的BIPSE干预的基本组成部分：（1）参与和（2）共同决策。这两个组成部分为干预措施的第三个组成部分-战略性个案管理-提供信息和支持。在焦点小组会议期间，缓刑监督官表示有兴趣使用他们得到的修改后的工具，并看到了组织会议的好处。缓刑犯表示赞赏的关怀和协作性质，他们的缓刑犯接近他们的sessions.ConclusionBuilding缓刑犯和缓刑犯与SMI之间的治疗关系是一个重要的任务，对改善心理健康和刑事司法成果。BIPSE的发展和完善过程表明，针对治疗关系的干预措施是可以接受的官员和客户，可以定制和可行的结构到标准的缓刑实践。
ObjectiveThe purpose of this study was to engage in a collaborative process with a variety of stakeholders to develop the Brief Intervention to Promote Service Engagement (BIPSE), which aims to enhance the therapeutic relationship between probation officers and probationers with serious mental illnesses (SMI).MethodsThe BIPSE intervention was developed through a multistage "design for implementation" process, including a series of stakeholder meetings, observations of probation supervision sessions, incorporating existing intervention approaches, and workshopping initial BIPSE components with three randomly selected officers from a specialized mental health probation unit. Acceptability and feasibility of BIPSE components were assessed through focus groups with probation officers, additional observations of probation sessions, and qualitative interviews with probationers with SMI.ResultsTwo foundational components of the BIPSE intervention were identified during the stakeholder meetings and observations: (1) engagement and (2) shared decision-making. These two components inform and undergird the intervention's third component, strategic case management. During focus groups, probation officers expressed interest in using the modified tools they were given and also saw the benefit of structuring their sessions. Probationers expressed their appreciation for the caring and collaborative nature with which their probation officers approached their sessions.ConclusionBuilding a therapeutic relationship between probation officers and probationers with SMI is an essential task toward improving mental health and criminal justice outcomes. The BIPSE development and refinement process demonstrates that interventions targeting the therapeutic relationship are acceptable to officers and clients, and can be tailored and feasibly structured into standard probation practices.