Helping Aged Victims of Crime (the HAVoC Study): Common Crime, Older People and Mental Illness.

Abstract:

BACKGOUND:Limited data suggest that crime may have a devastating impact on older people. Although identification and treatment may be beneficial, no well-designed studies have investigated the prevalence of mental disorder and the potential benefits of individual manualized CBT in older victims of crime. AIMS:To identify mental health problems in older victims of common crime, provide preliminary data on its prevalence, and conduct a feasibility randomized controlled trial (RCT) using mixed methods. METHOD:Older victims, identified through police teams, were screened for symptoms of anxiety, depression or post-traumatic stress disorder (PTSD) one (n = 581) and 3 months (n = 486) after experiencing a crime. Screen positive participants were offered diagnostic interviews. Of these, 26 participants with DSM-IV diagnoses agreed to be randomized to Treatment As Usual (TAU) or TAU plus our manualized CBT informed Victim Improvement Package (VIP). The latter provided feedback on the VIP. RESULTS:Recruitment, assessment and intervention are feasible and acceptable. At 3 months 120/486 screened as cases, 33 had DSM-IV criteria for a psychiatric disorder; 26 agreed to be randomized to a pilot trial. There were trends in favour of the VIP in all measures except PTSD at 6 months post crime. CONCLUSIONS:This feasibility RCT is the first step towards improving the lives of older victims of common crime. Without intervention, distress at 3 and 6 months after a crime remains high. However, the well-received VIP appeared promising for depressive and anxiety symptoms, but possibly not posttraumatic stress disorder.

journal_name

Behav Cogn Psychother

authors

Serfaty M,Ridgewell A,Drennan V,Kessel A,Brewin CR,Leavey G,Wright A,Laycock G,Blanchard M

doi

10.1017/S1352465814000514

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

140-55

issue

2

eissn

1352-4658

issn

1469-1833

pii

S1352465814000514

journal_volume

44

pub_type

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