ABSTRACT

With substantial mental health needs, United Nations guidelines recommend prisoners should have access to healthcare of the same standard as non-prisoners. CBT-based self-help is recommended for anxiety and depression; one approach is Living Life To The Full (LLTTF^TM). This study evaluated the feasibility of Prison Officers providing guided self-help support to adult male offenders experiencing distress in a Scottish prison. Prison Officers attended training in delivering LLTTF books and worksheets. Seven prisoners completed four one-to-one sessions of LLTTF. A large effect size was associated with improving depression self-ratings pre- to post-treatment. Pre-treatment anxiety and social function were associated with non-significant change. Feedback from Prison Officers and prisoners indicated LLTTF materials would benefit from adaptation for prison, which could be revised with Prison Officers and prisoners. Results suggest further research on guided self-help in prison is worth pursuing. Designated guided self-help workers may be better placed to deliver LLTTF in this or an educational setting.

摘要

由于存在大量心理健康需求，联合国指南建议囚犯应获得与非囚犯相同标准的医疗保健。对于焦虑和抑郁，推荐基于 CBT 的自助；一种方法是充分享受生活（LLTTF ^TM）。本研究评估了监狱官员向在苏格兰监狱中遭受痛苦的成年男性罪犯提供指导性自助支持的可行性。监狱官员参加了提供 LLTTF 书籍和工作表的培训。七名囚犯完成了四次一对一的 LLTTF。较大的效应量与治疗前后抑郁自我评价的改善有关。治疗前焦虑和社会功能与非显着变化相关。监狱官员和囚犯的反馈表明 LLTTF 材料将受益于监狱改编，可以与监狱官员和囚犯一起修改。结果表明，值得进一步研究监狱中的引导式自助。指定的有指导的自助工作者可能更适合在此或教育环境中提供 LLTTF。