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J Am Acad Psychiatry Law 33:2:214-222 (2005)
Copyright © 2005 by the American Academy of Psychiatry and the Law.
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REGULAR ARTICLE

A Cognitive, Behaviorally Based Program for Patients With Persistent Mental Illness and a History of Aggression, Crime, or Both: Structure and Correlates of Completers of the Program

Kathy Yates, PhD, Michal Kunz, MD, Pal Czobor, PhD, Steve Rabinowitz, MSW, Jean-Pierre Lindenmayer, MD and Jan Volavka, MD, PhD

Drs. Yates and Czobor are Research Scientists and Dr. Volavka is Director, Clinical Research Division, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY. Dr. Kunz is Acting Chief of Mental Health Service at the Huntington Department of Veteran Affairs Medical Center, Huntington, WV. Mr. Rabinowitz is Deputy Director for Operations and Dr. Lindenmayer is Clinical Director and Director of the Psychopharmacology Research Unit at Manhattan Psychiatric Center, Ward’s Island Complex, NY. At the time the study was conducted, Dr. Kunz was Supervising Psychiatrist at the Manhattan Psychiatric Center. Drs. Yates, Lindenmayer, and Volavka are also affiliated with the New York University School of Medicine. Address correspondence to: Kathy F. Yates, PhD, Manhattan Psychiatric Center, Ward’s Island Complex, NY 10035. E-mail: macskfy{at}omh.state.ny.us

Standard psychiatric treatment programs have limited success in reducing recidivistic violent and criminal behavior in patients with persistent mental illness. A specialized, cognitive behavioral treatment program was developed for such a population. The purpose of this study was to identify factors that contribute to the patients’ completing the program and to improve the selection criteria for program admission, so that those who participate are more likely to complete the program and be discharged. One hundred eighty-one patients with persistent mental illness with histories of aggression, crime, or both participated in a cognitive skills inpatient treatment program adapted for use with psychiatric patients. Ninety patients were able to complete the program and were discharged into the community. In comparison with the 91 who did not complete the program, those who did were less cognitively impaired and less impulsive. We present a new, intensive treatment program and define the predictors of successful completion of the program.







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Copyright © 2005 by the American Academy of Psychiatry and the Law.