Secure care hospital evaluation of manualised interpersonal art-psychotherapy (SCHEMA): A randomised controlled trial protocol.

NIHR open research Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI:10.3310/nihropenres.13801.1
Simon S Hackett, Paula Foscarini-Craggs, Katie Aafjes-van Doorn, Matthew Franklin, Muhammad Riaz, Ania Zubala, Jennifer Condie, Iain McKinnon, Arman Iranpour, Toni Leigh Harrison, Sophie Rose, Elizabeth Randell, Rachel McNamara
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Abstract

Background: Within the criminal Justice System in the UK one-third of prisoners self-identified as having a learning difficulty and/or disability. This is broadly consistent with formal assessment of the needs of offenders, with 29% of the offender population having a learning disability. In the UK, NHS and private/independent sector secure care (Forensic) provides assessment and treatment for men and women who have come into contact within the Criminal Justice System and have mental health needs, a personality disorder, and/a learning disability. Patients in these services are often detained under the Mental Health Act (1983) and/or have licence conditions that have been set by the Ministry of Justice.Interpersonal art psychotherapy was developed within secure care as an accessible psychological intervention for adults with mild intellectual disabilities or borderline intellectual functioning. A feasibility randomised controlled trial of interpersonal art psychotherapy showed that assessment of key feasibility objectives were met and the trial procedures were acceptable, indicating progression to a definitive trial.

Methods: This is a two-arm single blind randomised controlled trial of effectiveness comparing manualised interpersonal art psychotherapy and Usual Care (UC) to UC. The Randomised Controlled Trial (RCT) will be conducted in a minimum of 10 secure care hospitals (NHS & Independent) with secure care (Forensic) facilities and will recruit 150 participants. The trial design includes an integrated assessment of cost-effectiveness.

Results: Individuals with intellectual disabilities and borderline intellectual functioning were involved in the design and set up of the trial. The trial is currently open to recruitment for participants from eight NHS and private/independent secure care sites in the UK.

Conclusions: A full report of study results will be published on completion of the trial.

The trial has been registered: ISRCTN57406593 ( ISRCTN registry, 2024). This published protocol corresponds with version 6, dated 12.08.2024.

安全护理医院评估手动人际艺术心理治疗(图式):一项随机对照试验方案。
背景:在英国刑事司法系统中,三分之一的囚犯自我认定有学习困难和/或残疾。这与对罪犯需求的正式评估大体一致,29%的罪犯有学习障碍。在英国,NHS和私营/独立部门安全护理(法医)为在刑事司法系统内接触并有精神健康需求、人格障碍和/或学习障碍的男性和女性提供评估和治疗。这些服务机构的病人往往是根据《精神卫生法》(1983年)拘留的,和/或有司法部规定的执照条件。人际艺术心理治疗是在安全护理中发展起来的,是对轻度智力残疾或边缘性智力功能的成年人的一种可访问的心理干预。一项人际艺术心理治疗的可行性随机对照试验表明,关键可行性目标的评估得到满足,试验程序是可接受的,这表明了最终试验的进展。方法:这是一项双臂单盲随机对照试验,比较人工人际艺术心理治疗和常规护理(UC)的有效性。随机对照试验(RCT)将在至少10家拥有安全护理(法医)设施的安全护理医院(NHS和独立医院)进行,并将招募150名参与者。试验设计包括对成本效益的综合评估。结果:有智力残疾和边缘性智力功能的个体参与了试验的设计和设置。该试验目前正在招募来自英国8个NHS和私人/独立安全护理站点的参与者。结论:一份完整的研究结果报告将在试验完成后发表。该试验已注册:ISRCTN57406593 (ISRCTN注册,2024)。此发布的协议对应于版本6,日期为12.08.2024。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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