Cognitive Remediation Training to Improve Executive Functions and Behavior in Forensic Mental Health Inpatients Aged 18 to 55

What this Trial Is About

Forensic patients often face challenges with executive functions such as planning, problem-solving, and controlling behavior, which can hinder their rehabilitation and reintegration. This trial evaluates whether cognitive remediation, a method involving cognitive exercises combined with coaching, can improve cognitive, functional, and clinical outcomes in forensic inpatients. The study focuses on a group of 30 forensic patients aged 18 to 55 and aims to explore improvements that may reduce hospitalization length and recidivism. Participants are randomly assigned to one of two groups one receiving computerised cognitive remediation exercises with tele-health coaching, and the other receiving an active control intervention with similar exercises and discussions also delivered via tele-health. The treatment lasts for 12 hours over 6 weeks. Details of the control condition are withheld to maintain participant blinding. The study also includes a follow-up period to assess lasting effects. During the study, participants will be assessed on executive function before and after training, as well as at a 12-week follow-up. Researchers will also measure oppositional behavior, functional capacity, and mental health symptoms before and after the intervention and at follow-up. The study uses computerized tasks, tele-health sessions, and various clinical assessments to monitor progress. Participation spans from initial screening through a 12-week post-treatment observation period.

Cognitive Remediation in Forensic Mental Health Care