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Working with people with personality disorder: utilising service users’ views
- Authors:
- BARLOW Kimberley, MILLER Stephen, NORTON Kingsley
- Journal article citation:
- Psychiatric Bulletin, 31(3), March 2007, pp.85-88.
- Publisher:
- Royal College of Psychiatrists
The aim was to ascertain the views of people with personality disorder on their clinical interactions with professionals, to identify potential solutions to problematic interactions and to compile guidelines on how professionals could improve their interactions with these service users. Qualitative methodology was employed, comprising a modified nominal group technique with two iterative groups and ranking by importance the issues and themes raised. There were 13 service users from three separate personality disorder services who actively participated in a group discussion and iterative process. Collectively they indicated considerable areas of deficiency in the quality of their interaction and communication with professionals. These deficits were defined clearly enough to allow the construction of guidelines aimed at preventing or remedying such deficiencies. The contribution of those people with personality disorder who took part in this study was sufficiently thoughtful to allow the development of guidelines that might help staff improve their interactions with such service users. From these guidelines, further training tools are being developed, which will be evaluated in the future. However, because not all those approached chose to participate, the views expressed might not be representative of this group as a whole.
Specialist personality disorder services in England: a case for managed clinical networks?
- Authors:
- NORTON Kingsley, LOUSANA Julian, HEALY Kevin
- Journal article citation:
- Psychiatric Bulletin, 29(10), October 2005, pp.365-368.
- Publisher:
- Royal College of Psychiatrists
Managed clinical networks are rare among mental health services, although there have been strong advocates of their use, including in relation to personality disorder. Of themselves, these networks would not be a panacea for personality disorder; however, they could have a role (particularly in complex cases) where treatment involves primary, secondary and tertiary services or where multiprofessional or multi-agency services are involved, as, for example, with much antisocial personality disorder. Managed clinical networks ‘provide the opportunity for professional collaboration across existing boundaries, real or imagined.
Henderson hospital: greater than the sum of its sub-groups
- Author:
- NORTON Kingsley
- Journal article citation:
- Groupwork, 13(2), 2003, pp.65-100.
- Publisher:
- Whiting and Birch
The democratic therapeutic community is an attempt to structure a setting that recognises the totality of the institution, without losing sight of the individual, and to establish processes to confront un-integrated constituent elements. The therapeutic community relies on the contribution of its service users and requires staff to delegate to them much of the power and authority traditionally invested in their roles. This article describes the workings of Henderson Hospital's democratic therapeutic community, outlining its structure and its ideological culture in which the work is undertaken. Describes the treatment programme in relation to the diverse needs of the service users.