Enhancing Pre-Treatment Motivation Improves Forensic Mental Health Outcomes

Despite evidence that psychological treatments benefit from pre-treatment intervention, there remains no published research on the value of including a pre-treatment intervention in forensic mental health settings. The present study aimed to address this gap by examining the effects of adding a brie...

Full description

Saved in:  
Bibliographic Details
Authors: Moulden, Heather M. (Author) ; Matthew, Samuel A. (Author) ; Chaimowitz, Gary (Author)
Format: Electronic Article
Language:English
Published: 2026
In: International journal of offender therapy and comparative criminology
Year: 2026, Volume: 70, Issue: 2/3, Pages: 150-166
Online Access: Volltext (kostenfrei)
Check availability: HBZ Gateway
Keywords:
Description
Summary:Despite evidence that psychological treatments benefit from pre-treatment intervention, there remains no published research on the value of including a pre-treatment intervention in forensic mental health settings. The present study aimed to address this gap by examining the effects of adding a brief motivational preparatory program (MPP) to standard forensic psychiatric care. The MPP was based on hope theory and motivational interviewing within a cognitive-behavioral therapy approach. MPP participants and a waitlist control group completed a battery of self-report measures of hope and motivation to change, which were compared with respect to risk, demographic, offence history, and outcome variables. There was a significant increase in client motivation for change after completing the MPP. Additionally, those who completed the MPP evidenced modest reductions in aggressive behavior, but significantly increased engagement in subsequent forensic treatment and programming.
ISSN:1552-6933
DOI:10.1177/0306624X241228229