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The COVID-19 pandemic has challenged our model of face-to-face psychosocial treatment and rehabilitation format. To adapt to the current situation, as professionals, we have decided to transform the format into a virtual one that will offer the continuity of rehabilitation and therapy. Two clinical psychologists held online sessions and a special chat created in the IM messenger where patients could safely interact with each other.
This pilot study aimed to evaluate the effect of online sessions in a sample of outpatients engaged in rehabilitation programs.
Data from 50 patients (F20-F25, aged from 25 to 45) treated with a new online psychosocial program, including i. psychoeducation, ii. learning skills of the behavior under the circumstances of isolation, iii. training skills of effective communication and emotional regulation, and assessed for depression, anxiety, hopelessness, hostility (BDI, STAI, BHS, BDHI), and self-esteem, were analyzed for this study. Motivational enhancement techniques were also used to engage the patients in this new treatment format.
According to the preliminary data, we point out a statistically meaningful reduction in depression (p=0,003), anxiety (p=0,001), and hostility (р=0,001); self-esteem, evaluated with the Dembo-Rubinstein method, was improved (p=0,002); the T Wilcoxon criterion used for rating the magnitude.
Our results indicate that establishing a new online psychosocial program over the last few months positions us to respond effectively to such a new challenge and suggest that rehabilitative programs targeting patients’ needs may continue in this time of uncertainty.
Chapter 7 presents a description of daily prison life in order to evaluate prison environments and rehabilitation programs. Based on inmates’ self-reports from surveys, we analyze the depth and impact of overcrowding, the supply of basic services (food and health), rehabilitation and training programs (schooling and work inside prisons), health services, social life, and criminal networks. We show that the supply of goods and services in most prisons is deficient and creates profit opportunities for criminal networks; that most rehabilitation programs fail; and that preparations for reentry are very poor, contributing to high rates of recidivism.
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