Abstract

ABSTRACT This was a mixed methods cross-sectional study evaluating OPD EERSS services in London. This included whether engagement with EERSS improved service participants’ well-being and relationships with others, and reduced risk. Participants completed self-reported measures on working alliance, psychological distress, and well-being; and at different time points of service participation, were compared on outcomes including risk and attendance at statutory appointments. EERSS were compared to two control groups; the Intensive Intervention Risk Management Service (IIRMS) group, and a ‘no-intervention’ OPD screened-in group. A subsample of EERSS participants took part in qualitative interviews. Findings highlighted the positive impact of EERSS and IIRMS; in particular, that participants in those services improved their attendance at statutory probation appointments, compared to controls. There was a positive indication of improvement in well-being and risk. Qualitative findings identified aspects of the therapeutic alliance which improved well-being and engagement with probation. In conclusion, EERSS added value to the OPD pathway and may be deserving of wider rollout.

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