4.1 Article

Experience of a cognitive behavioural therapy and mindfulness intervention for men with a history of traumatic brain injury in prison: a thematic analysis

Journal

JOURNAL OF FORENSIC PSYCHIATRY & PSYCHOLOGY
Volume 34, Issue 2, Pages 179-192

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/14789949.2023.2190536

Keywords

Brain injury; prison; TBI; cognitive behavioural therapy; mindfulness; qualitative research

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Interventions involving cognitive behavioral therapy and mindfulness were conducted in prison to help adult men with a history of brain injury. Participants reported improved self-understanding and acceptance of their difficulties, as well as learning new ways of responding to life situations. Suggestions for improvement included increased breaks, a focus on wider implications of brain injury, and a follow-up session.
Interventions to improve awareness of brain injury and support the development of coping strategies may help reduce potential longer-term impacts. A 10 session, group-based, cognitive behavioural therapy (CBT) and mindfulness intervention was conducted in prison, with adult men reporting a history of brain injury. Following completion of the intervention, 17/36 (47.2%) participants were interviewed about their experiences of TBI and the intervention. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Four themes were identified: the journey into jail, learning from others, new understandings and developing new ways of coping. The results revealed that the intervention improved self-understanding, enabling them to be more accepting of their difficulties and experiencing hope through learning new ways of responding to life situations. Increased breaks, a focus on wider TBI implications and a follow-up session were suggested improvements.

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