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Secure Care Hospital Evaluation of Manualised interpersonal Art-psychotherapy (SCHEMA): A Randomised Controlled Trial Protocol

Lookup NU author(s): Dr Simon Hackett, Dr Iain McKinnonORCiD, Arman Iranpour, Toni Harrison

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Background Within the criminal Justice System in the UK, it is estimated that 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 and/or have conditions 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 (IAP) and Usual Care (UC) to UC. The 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 The trial is currently open to recruitment for participants from eight NHS and private/independent Secure Sites in the UK. Individuals with intellectual disabilities and borderline intellectual functioning were involved in the design and set up of the trial. Conclusions A full report of study results will be published on completion of the trial.


Publication metadata

Author(s): Hackett SS, Foscarini-Craggs P, Aafjes-vanDoorn K, Franklin M, Riaz M, Zubala A, Condie J, McKinnon I, Iranpour A, Harrison TL, Rose S, Randell E, McNamara R

Publication type: Article

Publication status: Published

Journal: NIHR Open Research

Year: 2025

Volume: 5

Online publication date: 07/03/2025

Acceptance date: 07/03/2025

Date deposited: 24/04/2025

ISSN (electronic): 2633-4402

Publisher: F1000 Research Limited

URL: https://doi.org/10.3310/nihropenres.13801.1

DOI: 10.3310/nihropenres.13801.1

Data Access Statement: [Please see the article for the full Data Availability Statement.]


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