Developing an Intervention to Improve Occupational Participation for Justice-Involved People with a Personality Disorder: Defining and Describing Intervention Components

DOI10.1177/0306624X211013520
AuthorSwaran P. Singh,Catriona Connell,Vivek Furtado,Elizabeth A. McKay
Published date01 May 2022
Date01 May 2022
Subject MatterArticles
https://doi.org/10.1177/0306624X211013520
International Journal of
Offender Therapy and
Comparative Criminology
2022, Vol. 66(6-7) 774 –788
© The Author(s) 2021
Article reuse guidelines:
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DOI: 10.1177/0306624X211013520
journals.sagepub.com/home/ijo
Article
Developing an Intervention
to Improve Occupational
Participation for
Justice-Involved People with
a Personality Disorder:
Defining and Describing
Intervention Components
Catriona Connell1,2,3 , Vivek Furtado1,2,
Elizabeth A. McKay3, and Swaran P. Singh1,4
Abstract
Occupational participation is undertaking personally meaningful and socially valued
activities and roles. It is an important outcome for health and justice interventions,
as it is integral to health and desistance. We report the third of a four-stage research
project to develop an intervention to improve occupational participation for justice-
involved people with a personality disorder in the community. We completed a
Delphi survey to produce expert consensus on intervention components and their
content, ascertain participant ratings of 28 factors for their level of influence on
occupational participation, and the modifiability of the factors with this population.
Thirty multi-disciplinary participants completed three survey rounds. Most factors
were rated very influential, but few were considered easily modifiable. Participants
agreed 121 statements describing intervention components and content. Twenty-
seven statements did not reach consensus. In targeting specific factors in intervention,
practitioners must balance their degree of influence with potential modifiability. The
results will inform intervention manualization and modeling.
1University of Warwick, Coventry, UK
2Birmingham and Solihull Mental Health NHS Foundation Trust, UK
3Edinburgh Napier University, UK
4Coventry and Warwickshire Partnership NHS Trust, UK
Corresponding Author:
Catriona Connell, School of Health and Social Care, Edinburgh Napier University, 9 Sighthill Court,
Edinburgh EH11 4BN, UK.
Email: c.connell@napier.ac.uk
1013520IJOXXX10.1177/0306624X211013520International Journal of Offender Therapy and Comparative CriminologyConnell et al.
research-article2021

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