Back to Basics: The Application of Cognitive and Behavior Theory to Forensic Treatment

Abstract

Since 1976, when the landmark case Estelle v. Gamble first recognized the right of prisoners to medical care, subsequent legislation has expanded this right to include mental health treatment for serious disorders. National standards for the treatment of prisoners and other forensic populations have been developed, and continue to be debated. Research studies on effective interventions with forensic populations, as well as the large body of literature pertaining to empirically supported psychotherapies in general clinical samples, offer insights for the effective treatment of offenders. However, many gaps in knowledge remain. In particular, questions exist about whether transmission of empirically supported treatments (ESTs) from the lab into forensic contexts is possible. Moreover, there is little guidance available regarding how to adapt treatments for appropriate use in forensic settings, while maintaining fidelity to essential treatment principles. This article provides a framework for synthesizing literature related to this endeavor, and serves as an introduction to the special theme: applications of cognitive and behavioral therapy to forensic treatment.