offered by: the family centre, edmonton, ab funding: safer ... · pdf filefunding: safer...
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Offered by: The Family Centre, Edmonton, ABFunding: Safer Communities Grant,
Government of Alberta
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Primary investigators:Karen M Nielsen, PhD, RSW (Clinical) Ann Marie Dewhurst, PhD, R. Psych
Sanjiv Sharivstava, PhD
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Current Programs: Criminal justice system focus Focused on avoidance of negative
actions = What not to do. Shame-based Treatment outcomes often vague Drop out rates are high Recidivism rates are high
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◦ Current offender rehabilitation theory◦ Positive in orientation◦ Focused on client-centred change◦ Respectful of clinical process◦ Allowing for ongoing evaluation of
client and program◦ Inclusive of a multicultural perspective.
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The Outcome Rating Scale and Group Session Rating Scale (http://www.scottdmiller.com/).◦ The ORS asks clients about their
progress toward their goals.◦ The GSRS provides information
about the client’s experience of the group session.
Feedback from clients results in shifts in program delivery. ◦ Focus is on client engagement.
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A positive strength based approach
Dynamic risk factors leading to abuse/ offending behavior are distortions in the internal and external conditions required to gain a desired human goods,
This approach identifies the basic skills and capacities necessary to engage in treatment (i.e. treatment readiness)
Addresses the question of clinicians’ attitudes toward client’s and the relationship between these attitudes and factors such as forgiveness, evil, and the therapeutic alliance (Ward & Brown, 2004).
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Good Life Factors:◦ Life, ◦ Knowledge, ◦ Excellence in work/play,◦ Agency, ◦ Inner peace, ◦ Relatedness, ◦ Community,◦ Spirituality, ◦ Creativity, ◦ Happiness
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Abusive behaviour is a result of a poorly defined Good Life Plan.
Ward and Brown (2004) describe four major types of difficulties that support abusive behaviour:◦ Problems with the means used to secure goods◦ A lack of scope within a good lives plan◦ The presence of conflict among goals (goods
sought) or incoherence ◦ A lack of the necessary capacities to form and
adjust a GLM to changing circumstances (e.g. impulsive decision making).
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Orientation group Assessment package Individualized feedback/ risk assessment
/goal setting process Development of GLP Referral to group ◦ Continuous intake
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◦ Hostility - Buss-Perry Hostility Scale◦ Personality – Personality Assessment Inventory◦ Executive Function - BRIEF
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Self-awareness and self-management skills
Effective conflict resolution skills and emotional communication skills
Ethics and moral decision making Consciousness raising regarding power
in relationships
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New members may join group at the start of any module
Modules are four sessions in length / 90 minutes per session
Modules are self-contained and may be taken in any order.
Organic design – 3 sessions of content/processing – 1 session of review and closure for those leaving.
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The session format will follow these steps: Discussion of re-group reflection Discussion of module material Application of new learning Reflection on gains from the session
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Clients are self-referred or family-mandated.
Only 6/86 have a court mandate to participate in a “batterer’s program” or “anger management program”
Most come as a result of a recent event that prompted a family crisis
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64% of the men coming into the program score above T>60 level on the PAI Treatment Rejection scale.
◦ Suggests that they are generally satisfied with themselves and see little need for major changes in their behaviour
◦ People who score high on this scale tend to have little motivation to enter therapy and are at risk for early termination
◦ Finding is in keeping with the literature and validates our inclusion of the ORS/SRS as treatment strategies.
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79% of our clients reported their highest scores (T= 60-69) on the following 5 PAI scales Stress, Aggression, Borderline features, Antisocial and Depression.
Of those 56% scored at T>70 (2 standard deviations above the mean - typically considered a clinically significant score on four of these scales - the Antisocial scale drops off for these higher scoring, more distressed men.
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Experience significant impact from current or recent stressors in areas of family, health, employment, finances and other major life areas;
Have characteristics and attitudes related to anger, hostility and aggression including a history of aggression and attitudes conducive to aggressive behaviour;
Experience unstable and fluctuating interpersonal relations, impulsivity, affective lability and instability and uncontrolled anger;
Have a a history of authority problems, egocentrism, lack of empathy and loyalty, and excitement seeking and
Report feelings of depression.Trauma symptoms is the 6th most prominent scale.
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The BRI = Behavioral Regulation Index◦ Represents individual’s ability to control his/her
behaviour and emotional responses.
T=60-69 T=70+ Total #
Impulse 26 23 49
Shift 29 24 53
Emotional Control
41 28 69
Self-monitoring
35 28 63
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Anger – reduced 1.3 sd Physical Aggression - reduced 1.25 sd Hostility – reduced .9 sd Verbal Aggression -reduced .6sd
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Some themes are emerging◦ Arousal management is helpful and
meaningful◦ People besides their partner noticed and
gave feedback to the men on their behaviour changes◦ Men report more connection to their
children
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