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Systems Training for Emotional Predictability and Problem Solving (STEPPS) Group Treatment for Offenders With Borderline Personality Disorder

Black, Donald W. MD*†; Blum, Nancee MSW*†; McCormick, Brett MS*; Allen, Jeff PhD*

Journal of Nervous & Mental Disease: February 2013 - Volume 201 - Issue 2 - p 124–129
doi: 10.1097/NMD.0b013e31827f6435
Original Articles

Abstract: Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a manual-based group treatment of persons with borderline personality disorder (BPD). We report results from a study of offenders supervised by the Iowa Department of Corrections. Seventy-seven offenders participated in STEPPS groups. The offenders experienced clinically significant improvement in BPD-related symptoms (d = 1.30), mood, and negative affectivity. Suicidal behaviors and disciplinary infractions were reduced. Baseline severity was inversely associated with improvement. The offenders indicated satisfaction with STEPPS. We conclude that STEPPS can be successfully integrated into the care of offenders with BPD in prison and community corrections settings.

*Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City; and †Iowa Department of Corrections, Des Moines.

Send reprint requests to Donald W. Black, MD, Psychiatry Research/2-126b MEB, University of Iowa Carver College of Medicine, Iowa City, IA 52242. E-mail: donald-black@uiowa.edu.

© 2013 Lippincott Williams & Wilkins, Inc.