Accepted for/Published in: JMIRx Med
Date Submitted: Feb 12, 2021
Date Accepted: Aug 5, 2021
Date Submitted to PubMed: Sep 19, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Offenders with Personality Disorder who Fail to Progress: A Case Control Study using PLS-SEM Path Analysis
ABSTRACT
Background:
Offenders with personality disorder can be challenging to engage and retain in treatment. The UK offender personality disorder (OPD) pathway aims to proactively and responsively identify and engage offenders with personality disorder. However, a sub-population of offenders on the pathway have been found to not be accepted into any OPD service and therefore fail to progress.
Objective:
This study aimed to identify and describe offenders on the OPD pathway who fail to progress as well as understand the causal drivers by which individuals fail to progress in the pathway.
Methods:
A sample of 50 offenders on the OPD pathway who had been refused from at least two OPD services (non-progression group) were compared to 100 offenders accepted into OPD services (control group). Partial least squares structural equation modelling (PLS-SEM) was used to model the causal factors involved in not being accepted into OPD services.
Results:
The path coefficients in the structural model showed that the most influential factor in non-progression was attitude towards treatment (β = 0.41, P <.001, f2 = 0.25) alongside those with psychopathology (β = 0.41, P <.001, f2 = 0.25); specifically, psychopathy, psychosis and co-occurring personality disorder.
Conclusions:
The findings of the study provide a basis of how to work with this population in the future to increase the likelihood of acceptance into OPD services.
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Copyright
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