Building a therapeutic relationship between probation officers and probationers with serious mental illnesses

• Published in: CNS spectrums 2020-10, Vol.25 (5), p.723-733
• Main Authors: Epperson, Matthew W., Sawh, Leon, Sarantakos, Sophia P.
• Format: Article
• Language: English
• Subjects: Case management; Clinical decision making; Collaboration; Drug use; Imprisonment; Intervention; Law enforcement; Mental disorders; Mental health care; Original Research; Parole & probation; Probation officers; Public safety; Recidivism; Roles; Substance abuse treatment; Supervision
• ISSN: 1092-8529; 2165-6509
• DOI: 10.1017/S1092852919001871

The purpose of this study was to engage in a collaborative process with a variety of stakeholders to develop the Brief Intervention to Promote Service Engagement (BIPSE), which aims to enhance the therapeutic relationship between probation officers and probationers with serious mental illnesses (SMI). The BIPSE intervention was developed through a multistage "design for implementation" process, including a series of stakeholder meetings, observations of probation supervision sessions, incorporating existing intervention approaches, and workshopping initial BIPSE components with three randomly selected officers from a specialized mental health probation unit. Acceptability and feasibility of BIPSE components were assessed through focus groups with probation officers, additional observations of probation sessions, and qualitative interviews with probationers with SMI. Two foundational components of the BIPSE intervention were identified during the stakeholder meetings and observations: (1) engagement and (2) shared decision-making. These two components inform and undergird the intervention's third component, strategic case management. During focus groups, probation officers expressed interest in using the modified tools they were given and also saw the benefit of structuring their sessions. Probationers expressed their appreciation for the caring and collaborative nature with which their probation officers approached their sessions. Building a therapeutic relationship between probation officers and probationers with SMI is an essential task toward improving mental health and criminal justice outcomes. The BIPSE development and refinement process demonstrates that interventions targeting the therapeutic relationship are acceptable to officers and clients, and can be tailored and feasibly structured into standard probation practices.