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Original Research

Open Access Special Issue

Engagement with engager: what factors are associated with attendance in a complex intervention for men with common mental health problems, near to and after release from prison

  • Charlotte Lennox1,*,
  • Stuart G. Spicer2
  • Sarah Leonard1
  • Richard Byng2

1Division of Psychology and Mental Health, The University of Manchester, M13 9PL Manchester, UK

2Community and Primary Care Research Group, University of Plymouth, PL6 8BX Plymouth, UK

DOI: 10.22514/jomh.2023.102 Vol.19,Issue 10,October 2023 pp.88-95

Submitted: 31 May 2023 Accepted: 22 August 2023

Published: 30 October 2023

*Corresponding Author(s): Charlotte Lennox E-mail: charlotte.lennox@manchester.ac.uk

Abstract

Engager is a complex, collaborative, but flexible intervention providing psychological and practical support to male prison leavers with sentences of two years or less. Engager was not shown to be effective from an evaluation of standard outcome measures, although full delivery of the intervention was also not achieved. The success of interventions relies partly on how able individuals are to attend, so we used an exploratory analysis of the Engager evaluation data to investigate what factors impacted on the extent to which participants attended Engager sessions. The results showed that problems with alcohol at baseline have a positive relationship with subsequent attendance (i.e., predict greater engagement). This finding was somewhat unexpected. Several other factors were found not to be predictive of either increased or decreased attendance, including depression, anxiety and psychological distress. This is a potentially positive finding, in that Engager appears to overcome some barriers to engagement in those with more severe common mental health issues, rather than them engaging less. This is despite previous evidence of these factors reducing attendance for mental health and psychological support. Potential reasons for these findings and implications for future research are discussed.


Keywords

Common mental health problems; Prison; Short-term prisoner; Alcohol; Prison release; Psychological therapy; Attendance; Engagement


Cite and Share

Charlotte Lennox,Stuart G. Spicer,Sarah Leonard,Richard Byng. Engagement with engager: what factors are associated with attendance in a complex intervention for men with common mental health problems, near to and after release from prison. Journal of Men's Health. 2023. 19(10);88-95.

References

[1] United Nations Office on Drugs and Crime. Data matters. 2021. Available at: https://www.unodc.org/documents/data-and-analysis/statistics/DataMatters1_prison.pdf (Accessed: 26 July 2023).

[2] Ministry of Justice. Prison population figures 2023. 2023. Available at: https://www.gov.uk/government/publications/prison-population-figures-2023 (Accessed: 26 July 2023).

[3] Ministry of Justice. Criminal justice statistics quarterly, England and Wales, year ending September 2022 (quarterly). 2023. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1136825/criminal-justice-statistics-september-2022.pdf (Accessed: 26 July 2023).

[4] Ministry of Justice. The impact of short custodial sentences, community orders and suspended sentence orders on reoffending. 2019. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/814177/impact-short-custodial-sentences.pdf (Accessed: 26 July 2023).

[5] Fazel S, Hayes AJ, Bartellas K, Clerici M, Trestman R. Mental health of prisoners: prevalence, adverse outcomes, and interventions. The Lancet Psychiatry. 2016; 3: 871–881.

[6] Meyer CL, Tangney JP, Stuewig J, Moore KE. Why do some jail inmates not engage in treatment and services? International Journal of Offender Therapy and Comparative Criminology. 2014; 58: 914–930.

[7] Byng R, Kirkpatrick T, Lennox C, Warren FC, Anderson R, Brand SL, et al. Evaluation of a complex intervention for prisoners with common mental health problems, near to and after release: the engager randomised controlled trial. The British Journal of Psychiatry. 2023; 222: 18–26.

[8] Byng R. Lennox C, Kirkpatrick T, Quinn C, Anderson R, Brand SL, et al. Development and evaluation of a collaborative care intervention for male prison leavers with mental health problems: the Engager research programme. 10.8 edn. Programme Grants for Applied, National Institute for Health and Care Research: Southampton. 2022.

[9] Lennox C, Stevenson R, Owens C, Byng R, Brand SL, Maguire M, et al. Using multiple case studies of health and justice services to inform the development of a new complex intervention for prison-leavers with common mental health problems (Engager). Journal of Health and Justice. 2021; 9: 6.

[10] Weston L, Rybczynska-Bunt S, Quinn C, Lennox C, Maguire M, Pearson M, et al. Interrogating intervention delivery and participants’ emotional states to improve engagement and implementation: a realist informed multiple case study evaluation of Engager. PLOS ONE. 2022; 17: e0270691.

[11] Evans C, Mellor-Clark J, Margison F, Barkham M, Audin K, Connell J, et al. CORE: clinical outcomes in routine evaluation. Journal of Mental Health. 2000; 9: 247–255.

[12] Kotterbova E, Lad S. Predictors of engagement in female offenders accessing mental health treatment requirements. The Journal of Forensic Psychiatry & Psychology. 2022; 33: 53–67.

[13] Macinnes M, Macpherson G, Austin J, Schwannauer M. Examining the effect of childhood trauma on psychological distress, risk of violence and engagement, in forensic mental health. Psychiatry Research. 2016; 246: 314–320.

[14] Di Bona L, Saxon D, Barkham M, Dent-Brown K, Parry G. Predictors of patient non-attendance at improving access to psychological therapy services demonstration sites. Journal of Affective Disorders. 2014; 169: 157–164.

[15] Sweetman J, Knapp P, McMillan D, Fairhurst C, Delgadillo J, Hewitt C. Risk factors for initial appointment non-attendance at improving access to psychological therapy (IAPT) services: a retrospective analysis. Psychotherapy Research. 2023; 33: 535–550.

[16] Binnie J, Boden Z. Non-attendance at psychological therapy appointments. Mental Health Review Journal. 2016; 21: 231–248.

[17] Dixon LB, Holoshitz Y, Nossel I. Treatment engagement of individuals experiencing mental illness: review and update. World Psychiatry. 2016; 15: 13–20.

[18] Munasinghe S, Page A, Mannan H, Ferdousi S, Peek B. Determinants of treatment non-attendance among those referred to primary mental health care services in Western Sydney, Australia: a retrospective cohort study. BMJ Open. 2020; 10: e039858.

[19] Hunt VJ, Delgadillo J. Is alcohol use associated with psychological treatment attendance and clinical outcomes? British Journal of Clinical Psychology. 2022; 61: 527–540.

[20] Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. Journal of General Internal Medicine. 2001; 16: 606–613.

[21] Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 2006; 166: 1092–1097.

[22] Prins A, Ouimette P, Kimerling R, Camerond RP, Hugelshofer DS, Shaw-Hegwer J, et al. The primary care PTSD screen (PC–PTSD): development and operating characteristics. Primary Care Psychiatry. 2004; 9: 9–14.

[23] Moran P, Leese M, Lee T, Walters P, Thornicroft G, Mann A. Standardised Assessment of Personality-Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder. British Journal of Psychiatry. 2003; 183: 228–232.

[24] Raistrick D, Bradshaw J, Tober G, Weiner J, Allison J, Healey C. Development of the Leeds Dependence Questionnaire (LDQ): a questionnaire to measure alcohol and opiate dependence in the context of a treatment evaluation package. Addiction. 1994; 89: 563–572.

[25] Carlson EB, Smith SR, Palmieri PA, Dalenberg C, Ruzek JI, Kimerling R, et al. Development and validation of a brief self-report measure of trauma exposure: the trauma history screen. Psychological Assessment. 2011; 23: 463–477.

[26] R Core Team. R: A language and environment for statistical computing. 2023. Available at: https://www.r-project.org/ (Accessed: 20 May 2023)

[27] Jeffreys H. The Theory of Probability. 3rd edn. Oxford University Press Oxford: Oxford. 1998.

[28] Tomitaka S, Kawasaki Y, Ide K, Akutagawa M, Ono Y, Furukawa TA. Stability of the distribution of patient health questionnaire-9 scores against age in the general population: data from the national health and nutrition Examination Survey. Frontiers in Psychiatry. 2018; 9: 390.

[29] Byrd-Bredbenner C, Eck K, Quick V. Psychometric properties of the generalized anxiety disorder-7 and generalized anxiety disorder-mini in United States university students. Frontiers in Psychology. 2020; 11: 550533.

[30] Barkham M, Mullin T, Leach C, Stiles WB, Lucock M. Stability of the CORE-OM and the BDI-I prior to therapy: evidence from routine practice. Psychology and Psychotherapy: Theory, Research and Practice. 2007; 80: 269–278.

[31] Stubbe DE. The therapeutic alliance: the fundamental element of psychotherapy. Focus. 2018; 16: 402–403.


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