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Keep Safe: the development of a manualised group CBT intervention for adolescents with ID who display harmful sexual behaviours
Journal of Intellectual Disabilities and Offending Behaviour Pub Date : 2018-03-12 , DOI: 10.1108/jidob-10-2017-0023
Aida Malovic , Rowena Rossiter , Glynis Murphy

Purpose The purpose of this paper is to focus on the development of Keep Safe, a manualised group intervention for adolescents with intellectual disabilities (ID) who display harmful sexual behaviour (HSB) as the initial phase of a feasibility study. National reports have highlighted the need for the development of specialist programmes, as adolescents with ID make up a significant proportion of young people referred to specialist HSB services and there is a lack of evidence or practice-based interventions for them. Aims included taking account of adolescents’ and families’ needs, motivations and practical commitments, integrating best- practice and being accessible and appropriate across different types of services. Design/methodology/approach Keep Safe development progressed from the practitioner/researcher collaborative young sex offender treatment services collaborative-ID through a project team, Keep Safe development group, comprising a range of practitioners with a variety of clinical expertise across services and an Advisory Group of people with ID. An expert-consensus methodology based on the Delphi method was used. The iterative process for the manual draws on the slim practice-based evidence from UK, New Zealand, North America and Australia. Findings Keep Safe comprises six modules distributed through 36 term-time young people’s sessions, alongside 16 concurrent parental/ carer sessions (some joint). The main focus of Keep Safe is to enhance well-being and reduce harm. Four initial sites volunteered as feasibility leads, and two more were added as recruitment was more difficult than foreseen. Originality/value National reports have highlighted the need for the development of specialist programmes, as adolescents with ID make up a significant proportion of young people referred to specialist HSB services and there is a lack of evidence or practice-based interventions for them. This study is innovative and valuable given the recognition that research and practice is significantly lacking in this area.

中文翻译:

保持安全:针对表现出有害性行为的身患ID的青少年,开发手动CBT团体干预措施

目的本文的目的是专注于开发Keep Safe,这是针对表现出有害性行为(HSB)的智障(ID)青少年的手动小组干预,是可行性研究的初始阶段。国家报告强调了发展专业计划的必要性,因为身患ID的青少年在转介到专业HSB服务的年轻人中占很大比例,并且缺乏针对他们的证据或基于实践的干预措施。目标包括考虑青少年和家庭的需求,动机和实际承诺,整合最佳实践,并在不同类型的服务中获得并适合他们。设计/方法/方法“保持安全”开发是通过项目组,“保持安全”开发小组,由从业者/研究人员协作的年轻性罪犯治疗服务“协作ID”进行的,该团队由在服务中具有各种临床专业知识的一系列从业者和一个咨询小组组成有ID的人。使用了基于Delphi方法的专家共识方法。本手册的迭代过程借鉴了英国,新西兰,北美和澳大利亚的基于实践的苗条证据。Findings Keep Safe包含六个模块,这些模块通过36个学期的年轻人会议以及16个同时进行的父母/看护人会议(某些联合)分发。保持安全的主要重点是增进幸福并减少伤害。自愿将四个初始地点作为可行性线索,由于招募工作比预想的要困难,因此又增加了两个。原创性/价值国家报告强调了制定专业计划的必要性,因为身分识别的青少年在转介到专业HSB服务的年轻人中占很大比例,并且缺乏针对他们的证据或基于实践的干预措施。考虑到这一领域的研究和实践非常缺乏,这项研究具有创新性和价值。
更新日期:2018-03-12
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