Forensic CBT: A Handbook for Clinical Practice

Forensic CBT: A Handbook for Clinical Practice......Page 5
Copyright......Page 6
Contents......Page 9
Contributors......Page 12
About the Editors and Contributors......Page 15
Preface......Page 23
The Complexities of Clinical Work in Forensic Contexts......Page 27
CBT, Criminology, and Offender Thinking Targets......Page 31
References......Page 34
Suggestions for Further Learning......Page 36
Part I Criminal Behavior and Antisocial Patterns: Conceptualizing Treatment from Different CBT Perspectives......Page 37
Section 1 Traditional and Next Generation CBT Models......Page 39
Antisocial Patterns: Changes in Terminology and Diagnosis......Page 41
Setting the Stage for Treatment......Page 45
Applying Traditional CBT Models to Antisocial Patients......Page 48
Summary and Conclusions......Page 59
References......Page 60
Suggestions for Further Learning......Page 62
Appendix 2.A Intermediate Beliefs Worksheet......Page 64
Appendix 2.B Modifying Automatic Thoughts Worksheet......Page 66
Appendix 2.C Completed Modifying Automatic Thoughts Worksheet......Page 67
Appendix 2.D Choice Review Worksheet......Page 68
Overview of the Approach......Page 69
Setting the Agenda: An Encouraging Stance and the Emergence of Choice......Page 71
Psychological Inflexibility: Six Core Processes......Page 72
ACT Therapy Sessions for Prison Inmates......Page 77
Moving from Excitement Seeking to Lasting Values: Vince’s Story......Page 82
References......Page 84
Suggestions for Further Learning......Page 85
Appendix 3.B......Page 87
Appendix 3.C......Page 89
Appendix 3.D......Page 91
4 Schema Therapy for Aggressive Offenders with Personality Disorders......Page 92
Schema Therapy Conceptual Model......Page 93
Clinical Practice......Page 98
Pitfalls and Recommendations......Page 106
References......Page 107
Suggestions for Further Learning......Page 109
Section 2 Criminal Thinking Models......Page 111
Overview......Page 113
Assessment......Page 114
Overview of Intervention Principles......Page 120
Specific Intervention Strategies and Change Techniques......Page 121
Length of Intervention: How Much Treatment Effort is Necessary for Changing Outcomes?......Page 123
Summary......Page 124
References......Page 125
Suggestions for Further Learning......Page 127
Appendix 5.B......Page 128
Appendix 5.C......Page 129
Overview of Criminal Thought Process......Page 130
 Assessment: Step-by-Step Interpretation of the PICTS......Page 132
 Intervention......Page 134
 Individual Versus Group Intervention......Page 141
 Conclusion......Page 142
6 Appendix 6.B 
 Excerpt from the Lifestyle Issues Client Treatment Manual......Page 145
6 Appendix 6.C 
 Single Pill Exercise......Page 147
7 Training Community Corrections Officers in Cognitive-Behavioral Intervention Strategies......Page 148
Background......Page 149
 The Development of the Strategic Training Initiative in Community Supervision......Page 150
 Teaching Cognitive-Behavioral Interventions......Page 151
 The Challenge of Integrating Cognitive-Behavioral Techniques into Offender Supervision......Page 159
 Authors’ Note and Acknowledgements......Page 160
 References......Page 161
7 Appendix 7.A 
 Behavior Sequence Worksheet......Page 162
Part II CBT Interventions for Common Criminal Justice Problem Areas......Page 163
Section 1 Two Perspectives on the Treatment of Anger......Page 165
8 Anger Management for Offenders: A Flexible CBT Approach......Page 167
Characteristics of Anger......Page 168
 Does Anger Management Work?......Page 169
 Some General Remarks......Page 170
 The Anger Episode Model......Page 171
 Using the Model to Guide Interventions......Page 174
Unexplored Interventions......Page 182
Conclusion......Page 183
References......Page 184
Suggestions for Further Learning......Page 186
Theoretical and Empirical Foundations......Page 187
CART for “Anger Management” and Interpersonal Violence......Page 188
CART: Program Goals and Treatment Modules......Page 190
Frequent Questions about Using Acceptance-Based Approaches with Offenders......Page 201
Outcome Research......Page 203
Summary and Concluding Remarks......Page 204
References......Page 205
Suggestions for Further Learning......Page 207
Appendix 9.B Mindfulness of the Breath Exercise......Page 208
Section 2 Two Perspectives on the Treatment of Intimate Partner Violence......Page 211
10 CBT for Perpetrators of Intimate Partner Violence: The “I3” Approach......Page 213
The Instigating-Impelling-(Dis) Inhibiting Model of IPV (I3 Theory)......Page 215
Pre-Treatment Assessment According to I3 Theory......Page 219
I3 Theory-Informed CBT Treatment for IPV Offenders......Page 220
Summary......Page 226
References......Page 227
Suggestions for Further Learning......Page 230
Appendix 10.B Motivating Change......Page 231
Appendix 10.C Understanding Patterns of Conflict......Page 232
Appendix 10.D Understanding Patterns of Conflict......Page 233
Appendix 10.F Relationship Building......Page 234
Appendix 10.H Problem-Solving......Page 235
Appendix 10.I Problem-Solving......Page 236
Brief Review of Traditional Approaches......Page 237
Brief Review of Couples-Based Treatments......Page 238
Rationale for the Violence Reduction Program......Page 239
Components of the Violence Reduction Program......Page 240
References......Page 248
Suggestions for Further Learning......Page 251
Appendix 11.A Values Assessment Exercise......Page 252
Appendix 11.B Couple Arguments Scale......Page 253
Appendix 11.C Marital Problem-Solving Worksheets Guidelines......Page 254
Section 3 Two Perspectives on the Treatment of Addictions......Page 257
12 An Integrated REBT-Based Approach to the Treatment of Addicted Offenders......Page 259
Conceptualizing Motivation for Addicted Offenders......Page 260
An Integrated, Six-Pronged Approach......Page 261
Professional Burnout, the Internist Model, and Zen Caring......Page 273
References......Page 274
Suggestions for Further Learning......Page 275
Appendix 12.A Doing an ABC for an Addictive or Avoidant Behavior......Page 276
13 Social and Community Responsibility Therapy (SCRT): A Cognitive-Behavioral Model for the Treatment of Substance-Abusing Judicial Clients......Page 278
The Cognitive-Behavioral Map......Page 279
Addressing Recidivism and Relapse (R&R) in Correctional Treatment......Page 283
Practitioner Tools for Helping Judicial Clients Change......Page 284
Strategies for Increasing Social and Community Responsibility with  AOD -Involved Judicial Clients......Page 286
Larry’s Story Revisited......Page 297
Concluding Remarks......Page 298
References......Page 299
Suggestions for Further Learning......Page 302
Appendix 13.A Cognitive Assessment Guide......Page 303
Section 4 Two Perspectives on the Treatment of Sexual Aggression......Page 305
Overview of the Rockwood Psychological Services (RPS) Approach......Page 307
Critical Aspects of Treatment Delivery......Page 317
Group Versus Individual Treatment......Page 318
Are Sex Offender Treatment Programs Effective?......Page 321
References......Page 322
Suggestions for Further Learning......Page 327
Introduction......Page 328
Overview of the 3RT Model......Page 333
Pre-Treatment Phase......Page 334
Treatment Phase......Page 337
Post-Treatment Phase......Page 342
Treatment Completion......Page 346
References......Page 347
Suggestions for Further Learning......Page 350
Appendix 15.A Sample Relapse Prevention Outline......Page 351
Part III Tailoring CBT to Special Forensic Populations......Page 353
CBT as an Evidence-Based Practice......Page 355
Using CBT with Justice-Involved Women......Page 356
The Promise of a Gendered Approach to CBT......Page 360
Advancing the Use of CBT with Justice-Involved Women......Page 361
Bridging: Where Context and Content Meet......Page 370
Changing the Culture of Criminal Justice Organizations to be More Responsive to Women......Page 371
References......Page 372
Suggestions for Further Learning......Page 376
Appendix 16.A Reactions by Justice-Involved Women to Frequently Experienced Situations and Circumstances: Treatment Implications and Suggested Interventions......Page 377
Overview: Treatment Versus Punishment......Page 380
Challenges in Implementing Juvenile Forensic Programs......Page 381
Assessing Treatment Needs......Page 383
Overview of Evidence-Based Programs for Juvenile Offenders......Page 386
References......Page 393
Suggestions for Further Learning......Page 395
Appendix 17.A Trauma History Checklist and Interview......Page 396
Appendix 17.B Ten-Week ART Curriculum......Page 398
Appendix 17.C The ART Hassle Log......Page 401
Appendix 17.D TAME (Teen Anger Management) Protocol......Page 402
18 Culturally Responsive CBT in Forensic Settings......Page 403
Indigenous Over-Representation in the Criminal Justice System......Page 404
Cultural Determinants of Offending......Page 405
Key Considerations in Making Forensic CBT More Culturally Responsive......Page 409
Conclusion......Page 412
References......Page 414
Suggestions for Further Learning......Page 416
Part IV Emerging Ideas for Practice......Page 417
19 Session-by-Session Assessment of Client Participation and Progress......Page 419
Measurement of Participation and Progress......Page 420
A Session-by-Session Assessment Approach......Page 421
Case Examples......Page 426
References......Page 428
Suggestions for Further Learning......Page 429
Appendix 19.A A Blank Clinical Session Notes Document......Page 430
Appendix 19.B Clinical Session Notes for William Kidd’s Initial Treatment Session......Page 431
Appendix 19.C Clinical Session Notes for William Kidd’s Subsequent Treatment Session......Page 432
Appendix 19.D Individual Treatment Summary Report for William Kidd......Page 433
 Summary......Page 434
Appendix 19.E Group Treatment Summary Report for William Kidd......Page 435
20 Integrating Motivational Interviewing with Forensic CBT: Promoting Treatment Engagement and Behavior Change with Justice-Involved Clients......Page 437
Countering the “Righting Reflex”......Page 438
The Four Processes of MI......Page 439
MI and Forensic CBT: Sequential and Stylistic Integration......Page 451
References......Page 458
Suggestions for Further Learning......Page 460
Appendix 20.A MI-Related Materials and Resources......Page 461
Introduction......Page 462
The Good Lives Model......Page 464
How Can a Strengths-Based Approach Complement Forensic CBT?......Page 467
Clinical Application: Suggestions for Integrating Strengths-Based Work into Forensic CBT......Page 468
Case Study: Sam the Gang Member......Page 470
References......Page 476
Suggestions for Further Learning......Page 478
Appendix 21.A The GLM Mapping Table......Page 479
Appendix 21.B The GLM Analysis Table......Page 480
The Intrinsic Association Between Depression and PTSD......Page 482
Treating Incarcerated Clients Poses Unique Challenges......Page 483
The Interaction Schemas Approach......Page 484
The Treatment Plan......Page 490
Assessment and Intervention: A Case Vignette......Page 491
Suggested Modified Methods in Group Sessions......Page 494
References......Page 495
Suggestions for Further Learning......Page 496
Part V Conclusions......Page 497
23 Forensic CBT: Five Recommendations for Clinical Practice and Five Topics in Need of More Attention......Page 499
Five Recommendations for Treating Justice-Involved Clients......Page 500
Five Topics in Need of More Attention......Page 506
 Topic 1: Trauma history......Page 507
Concluding Remarks......Page 509
References......Page 510
Index......Page 513