Dominic Pearson, Maria Merrick, Amie Dent and Shane Blampied
Fire-related offences are costly in human and financial terms. Fire education is widely used with juveniles and with adults in forensic psychiatric settings; however, with…
Abstract
Purpose
Fire-related offences are costly in human and financial terms. Fire education is widely used with juveniles and with adults in forensic psychiatric settings; however, with prison/probation clients there has been a lack of focus on its potential. This study asked participants of a structured fire education programme for adults how they experienced it and its impact on their feelings about firesetting.
Design/methodology/approach
Participants were 15 programme completers, including ten males and five females. All were adults that had attended the programme during their sentence, either in the community or whilst in custody.
Findings
Using an inductive thematic analysis this study interpreted the following themes: a supportive and responsive approach, impactful learning materials and methods, a new way of thinking, and picking up the pieces. This study proposes that the intervention may activate change through its powerful methods including fact-based arguments and support from legitimate experts.
Practical implications
Firesetters’ Integrated Responsive Educational Programme (FIRE-P) is a novel example of a specialist structured fire education programme for adult firesetters. This is the first paper to outline its structure and content. Understanding how change occurs in FIRE-P has implications for intervention design and delivery with this client group.
Originality/value
To the best of the authors’ knowledge, this is the first qualitative study of a structured fire education programme for adults and provides researchers and practitioners with insight into the ingredients of a successful fire education programme.
Details
Keywords
Amie Robinson, Danielle De Boos and Nima Moghaddam
This study aims to improve the efficiency of the assessment process within a Step4 Psychological Therapies Service by identifying factors related to assessment non-attendance and…
Abstract
Purpose
This study aims to improve the efficiency of the assessment process within a Step4 Psychological Therapies Service by identifying factors related to assessment non-attendance and service suitability for referred clients.
Design/methodology/approach
Referral and assessment information was accessed between October 2019 and March 2020 from Step4 routine service data, electronic client records where necessary and Step4 staff self-report questionnaires.
Findings
All clients offered an assessment during this time attended. Findings indicated several factors could influence service suitability in meeting client need. These included individual differences such as readiness to change, which was not necessarily identified at referral or prior to assessment, and potential systemic factors, such as the opt-in procedure, which possibly impeded access. Though the necessity for assessment in clarifying client needs and treatment was indicated, an assessment (from referral to assessment appointment) that led to discharge could take an excess of one working day of service time, associated with considerable opportunity cost to other clients awaiting assessment. Recommendations are made for improving assessment efficiency.
Originality/value
With a high prevalence of poor mental health in the UK, efforts must be made to identify and reduce additional demand upon service time and resources within mental health services to effectively meet people’s needs. Recommendations to improve assessment process efficiency include the use of a standardised referral form, offer of follow-up support procedures, increased client involvement, a streamlined opt-in battery and ongoing monitoring to ensure shared practice between clinicians. These are transferable to other mental health services, with implications for subsequent quality and timeliness of care.