Cognitive behaviour therapy for adolescent offenders with mental health problems in custody

J Adolesc. 2011 Jun;34(3):433-43. doi: 10.1016/j.adolescence.2010.06.009. Epub 2010 Jul 31.


Many studies have identified high levels of mental health problems among adolescents in custody and there is increasing evidence that mental health problems in this population are associated with further offending and mental health problems into adulthood. Despite recent improvements in mental health provision within custodial settings there is little evidence of structured interventions being offered or of their effectiveness being evaluated. A cognitively based intervention was developed and offered to adolescents with a variety of mental health problems in different secure settings, and the outcomes compared with a control group. Although this small-scale study did not identify significant differences in outcomes for the two groups, both recruitment and retention in therapy were good, and potential candidates were not excluded on the basis of learning difficulties or co-morbidity. The study demonstrated the viability of a delivering cognitively based intervention for common mental health problems within secure settings.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Analysis of Variance
  • Cognitive Behavioral Therapy*
  • Counseling
  • Humans
  • Juvenile Delinquency / psychology
  • Juvenile Delinquency / rehabilitation*
  • Male
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation*
  • Personality Tests
  • Prisoners / psychology*
  • Prisons
  • Treatment Outcome
  • United Kingdom