Abstract：
OBJECTIVE: Young offenders experience higher rates of neurodevelopmental and mental health disorders than the general population, and significant access barriers to health treatment. Treatment combining Cognitive Remediation Therapy (CRT) and Social Cognition Remediation Therapy (SCRT) has demonstrated benefits for functional improvements and social development. However, there is limited information regarding group treatment programs in custodial settings for young offenders. This pilot study explores the effectiveness and feasibility of a group treatment program for youth offenders with cognitive deficits and mental health concerns in youth detention.
METHODS: The School-Link Advantage pilot study designed and tested a 10-week group treatment program combining CRT and SCRT for young offenders in custody. The closed groups incorporated interactive activities focussed on emotional recognition and regulation skills, optimizing executive functioning, understanding values, exploring belief systems, improving relationships, and safety planning.
RESULTS: Of the 22 male participants recruited in an Australian Youth Justice Centre, 12 completed all aspects of the treatment program, reflecting a 54.5% completion rate in a typically challenging to engage population cohort. Results demonstrated significant improvements in the ability to store and retrieve information, recognize information, and control emotions. Planning and organizing skills also showed considerable development.
CONCLUSIONS: This pilot study suggests that a combined CRT and SCRT group treatment program has the potential to effectively target cognitive challenges associated with mental health disorders in young offenders in custody. These promising outcomes suggest exploring randomized controlled trials with increased cultural sensitivity for diverse populations.
METHODS: The School-Link Advantage pilot study designed and tested a 10-week group treatment program combining CRT and SCRT for young offenders in custody. The closed groups incorporated interactive activities focussed on emotional recognition and regulation skills, optimizing executive functioning, understanding values, exploring belief systems, improving relationships, and safety planning.
RESULTS: Of the 22 male participants recruited in an Australian Youth Justice Centre, 12 completed all aspects of the treatment program, reflecting a 54.5% completion rate in a typically challenging to engage population cohort. Results demonstrated significant improvements in the ability to store and retrieve information, recognize information, and control emotions. Planning and organizing skills also showed considerable development.
CONCLUSIONS: This pilot study suggests that a combined CRT and SCRT group treatment program has the potential to effectively target cognitive challenges associated with mental health disorders in young offenders in custody. These promising outcomes suggest exploring randomized controlled trials with increased cultural sensitivity for diverse populations.
摘要：
目标：青少年罪犯的神经发育和精神健康障碍发生率高于一般人群，以及健康治疗的重大障碍。结合认知修复疗法（CRT）和社会认知修复疗法（SCRT）的治疗已显示出对功能改善和社会发展的益处。然而,关于青少年罪犯在监禁环境中的团体治疗计划的信息有限。这项试点研究探讨了针对青少年拘留中存在认知缺陷和心理健康问题的青少年罪犯的团体治疗计划的有效性和可行性。
方法：School-LinkAdvantage试点研究为在押的年轻罪犯设计并测试了一项为期10周的联合CRT和SCRT的团体治疗计划。封闭小组结合了互动活动，重点是情感识别和调节技能，优化执行功能，理解价值观，探索信仰系统，改善关系,和安全规划。
结果：在澳大利亚青年司法中心招募的22名男性参与者中，12完成了各方面的治疗方案，反映了在一个典型的具有挑战性的人群队列中54.5%的完成率。结果表明，存储和检索信息的能力显着提高，识别信息，和控制情绪。计划和组织技能也显示出相当大的发展。
结论：这项初步研究表明，联合CRT和SCRT团体治疗方案有可能有效地针对在押的年轻罪犯与心理健康障碍相关的认知挑战。这些有希望的结果表明，探索对不同人群具有更高的文化敏感性的随机对照试验。
方法：School-LinkAdvantage试点研究为在押的年轻罪犯设计并测试了一项为期10周的联合CRT和SCRT的团体治疗计划。封闭小组结合了互动活动，重点是情感识别和调节技能，优化执行功能，理解价值观，探索信仰系统，改善关系,和安全规划。
结果：在澳大利亚青年司法中心招募的22名男性参与者中，12完成了各方面的治疗方案，反映了在一个典型的具有挑战性的人群队列中54.5%的完成率。结果表明，存储和检索信息的能力显着提高，识别信息，和控制情绪。计划和组织技能也显示出相当大的发展。
结论：这项初步研究表明，联合CRT和SCRT团体治疗方案有可能有效地针对在押的年轻罪犯与心理健康障碍相关的认知挑战。这些有希望的结果表明，探索对不同人群具有更高的文化敏感性的随机对照试验。
