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    Rights statement: This is the peer reviewed version of the following article: Browne, C, Brown, G, Smith, IC. Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of “what works”. J Appl Res Intellect Disabil. 2019; 00: 1– 14. https://doi.org/10.1111/jar.12569 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/jar.12569 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

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    Embargo ends: 27/01/21

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of "what works"

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Adapting dialectical behaviour therapy in forensic learning disability services : A grounded theory informed study of "what works". / Browne, Claire; Brown, Gillian Mary; Smith, Ian Craig.

In: Journal of Applied Research in Intellectual Disabilities, Vol. 32, No. 4, 01.07.2019, p. 792-805.

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Browne, Claire ; Brown, Gillian Mary ; Smith, Ian Craig. / Adapting dialectical behaviour therapy in forensic learning disability services : A grounded theory informed study of "what works". In: Journal of Applied Research in Intellectual Disabilities. 2019 ; Vol. 32, No. 4. pp. 792-805.

Bibtex

@article{cecfc1d747d940b4b0d59d24e5df2f8a,
title = "Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of {"}what works{"}",
abstract = "Background: Emerging evidence indicates effectiveness of dialectical behaviour therapy (DBT) for people with intellectual disabilities (PWID) in forensic settings; however, little is known about “what works” facilitating engagement and change. Methods: Eleven interviews were conducted with nine service users across two secure inpatient services. Grounded theory was used to develop a model of perceived engagement and change. Results: The model provides insights into how change occurs during DBT delivered in forensic settings. DBT constitutes a challenging journey, yet provides the motivation and means to address individual's intra-/interpersonal aggression and progress towards release. Participants experienced engaging with DBT as difficult and coercive, moving from compliance and avoidance to acceptance and change. Key factors included participants’ motivation, beliefs about safety and ability to change, and interactions with staff. Conclusion: Recommendations are made for increasing intrinsic motivation, reducing perceived coercion and distress, and for future research to address potential aversive elements and enhance effectiveness.",
keywords = "Intellectual disabilities, Forensic, Emotion regulation, Dialectical behaviour therapy, Process of change, Qualitative methods",
author = "Claire Browne and Brown, {Gillian Mary} and Smith, {Ian Craig}",
note = "This is the peer reviewed version of the following article: Browne, C, Brown, G, Smith, IC. Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of “what works”. J Appl Res Intellect Disabil. 2019; 00: 1– 14. https://doi.org/10.1111/jar.12569 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/jar.12569 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.",
year = "2019",
month = "7",
day = "1",
doi = "10.1111/jar.12569",
language = "English",
volume = "32",
pages = "792--805",
journal = "Journal of Applied Research in Intellectual Disabilities",
issn = "1360-2322",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "4",

}

RIS

TY - JOUR

T1 - Adapting dialectical behaviour therapy in forensic learning disability services

T2 - A grounded theory informed study of "what works"

AU - Browne, Claire

AU - Brown, Gillian Mary

AU - Smith, Ian Craig

N1 - This is the peer reviewed version of the following article: Browne, C, Brown, G, Smith, IC. Adapting dialectical behaviour therapy in forensic learning disability services: A grounded theory informed study of “what works”. J Appl Res Intellect Disabil. 2019; 00: 1– 14. https://doi.org/10.1111/jar.12569 which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/jar.12569 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background: Emerging evidence indicates effectiveness of dialectical behaviour therapy (DBT) for people with intellectual disabilities (PWID) in forensic settings; however, little is known about “what works” facilitating engagement and change. Methods: Eleven interviews were conducted with nine service users across two secure inpatient services. Grounded theory was used to develop a model of perceived engagement and change. Results: The model provides insights into how change occurs during DBT delivered in forensic settings. DBT constitutes a challenging journey, yet provides the motivation and means to address individual's intra-/interpersonal aggression and progress towards release. Participants experienced engaging with DBT as difficult and coercive, moving from compliance and avoidance to acceptance and change. Key factors included participants’ motivation, beliefs about safety and ability to change, and interactions with staff. Conclusion: Recommendations are made for increasing intrinsic motivation, reducing perceived coercion and distress, and for future research to address potential aversive elements and enhance effectiveness.

AB - Background: Emerging evidence indicates effectiveness of dialectical behaviour therapy (DBT) for people with intellectual disabilities (PWID) in forensic settings; however, little is known about “what works” facilitating engagement and change. Methods: Eleven interviews were conducted with nine service users across two secure inpatient services. Grounded theory was used to develop a model of perceived engagement and change. Results: The model provides insights into how change occurs during DBT delivered in forensic settings. DBT constitutes a challenging journey, yet provides the motivation and means to address individual's intra-/interpersonal aggression and progress towards release. Participants experienced engaging with DBT as difficult and coercive, moving from compliance and avoidance to acceptance and change. Key factors included participants’ motivation, beliefs about safety and ability to change, and interactions with staff. Conclusion: Recommendations are made for increasing intrinsic motivation, reducing perceived coercion and distress, and for future research to address potential aversive elements and enhance effectiveness.

KW - Intellectual disabilities

KW - Forensic

KW - Emotion regulation

KW - Dialectical behaviour therapy

KW - Process of change

KW - Qualitative methods

U2 - 10.1111/jar.12569

DO - 10.1111/jar.12569

M3 - Journal article

VL - 32

SP - 792

EP - 805

JO - Journal of Applied Research in Intellectual Disabilities

JF - Journal of Applied Research in Intellectual Disabilities

SN - 1360-2322

IS - 4

ER -