Anger management: A group treatment program for people with mental retardation
This paper describes the development of anger management groups for people with moderate to severe mental retardation. The
group was based on work developed by Novaco (1976) and extended to people with mild mental retardation. Modifications to group
techniques, such as participants being accompanied by a support worker in the group and more effort to help participants label
emotions, were required for this more disabled group. An evaluation of the group is described and it was found that a reduction
in aggressive behavior occurred after group treatment. Suggestions are made for future efforts in this area.
Available from: Raymond W. Novaco
- "Rose, Dodd, & Rose, 2008). Outside of studies with control treatment conditions, there have been several case series utilizing cognitive behavioral, mindfulness and behavioral skills training approaches reporting clinically significant reductions in aggressive behavior (Allen, Lindsay, MacCleod, & Smith, 2001; Lindsay, Allan, MacLeod, Smart, & Smith, 2003; Rose, 1996; Singh et al., 2008; Travis & Sturmey, 2013). "
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ABSTRACT: Anger is related to violence prior to hospitalization, during hospitalization, and after discharge. Meta-analyses have established treatment efficacy in reducing anger, but few studies have addressed whether reduced anger leads to lowered aggressive behavior. This study concerns individually-delivered anger treatment, specialized for offenders with intellectual disabilities, delivered twice weekly for 18 sessions to 50 forensic hospital patients. Assessments involved patient self-report of anger, staff ratings of anger and aggression, and case records of assaultive incidents. Physical assault data were obtained from records 12 months pre-treatment and 12 months post-treatment. Significant reductions in assaults following treatment were found by GEE analyses, controlling for age, gender, length of stay, IQ, and pre-hospital violence. Following treatment, physical attacks reduced by more than half, dropping from approximately 3.5 attacks per patient 6 months prior to treatment, versus approximately 1 attack per patient in the 6-12 month interval post-treatment. In hierarchical regressions, controlling for IQ, reduction in physical assaults was associated with pre-to post-treatment change in anger level. These findings buttress the efficacy of anger treatment for patients having histories of violence and have significance for patient mental health, hospital staff well-being, therapeutic milieu, hospital management, and service delivery costs.
Available from: Jessica Jones
- "Early studies highlighted the success of drawing upon mainstream cognitive behavioural approaches used with other clinical populations and applying them to individuals with developmental disabilities (Benson, 1994; Black & Novaco, 1993). Modified treatment interventions based on the theoretical underpinnings of Novaco's model of anger (Novaco, 1976) were found beneficial in numerous case studies and clinical groups (Benson, Johnson- Rice, & Miranti, 1986; Murphy & Clare, 1991; Rose, 1996). Treatment efficacy, however, was equivocal due to lack of treatment follow-up or comparison groups. "
Available from: bjdd.net
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