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The SUN Project: open access community-based support groups for people with personality disorders. Description of the service model and theoretical foundations
- Authors:
- MILLER Steve, JONES Barry, WARREN Fiona
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 32(2), Summer 2011, pp.108-124.
- Publisher:
- Emerald
In 2004 the SUN Project (Service User Network) was funded by the Department of Health to pilot a support service for people with personality disorder in South West London. The pilot aimed to improve access to services, increase empowerment, improve coping, and reduce emergency service use. This paper outlines the method of operation and theoretical foundations of the SUN Project. The project comprises open access, open-ended groups for people with personality disorder. Service users have been involved in the design, development and implementation of the service. Coping process theory, therapeutic community principles, and psychoanalytic principles are combined to provide a structured, coherent and replicable model. The SUN model allows services users themselves to decide whether they access the service, when they leave it, and to accommodate those whose problems remain ongoing. The project has been well received by patients, and has been expanded into a second NHS Trust to serve another London borough.
Nurses take the lead in setting up an innovative service for people with personality disorder
- Author:
- EVANS Naomi
- Journal article citation:
- Nursing Times, 19.01.10, 2010, pp.10-11.
- Publisher:
- Nursing Times
The Oxford Complex Needs Service (OCNS), a nurse led service for people with personality disorders, is described. The service is based on four tiers of therapeutic care: engagement and consultation; intensive outpatient therapy; intensive treatment and support after treatment. It caters for people aged 10 and over and is intended for those whom other services find difficult to help and whose problems have been long and intractable. User participation is at the heart of the service.
New kids on the block! The government-funded English personality disorder service
- Author:
- HAIGH Rex
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 28(3), Autumn 2007, pp.300-310.
- Publisher:
- Emerald
In 2004 the Department of Health funded 11 pilot projects to manage people in the community who were diagnosed with personality disorder. Several of the projects chosen were therapeutic communities, were based on therapeutic community principles or were modified forms of therapeutic communities. This paper describes the different projects, and argues that therapeutic communities can have a very important place to play in modern 21st century mental health care, but only if they are prepared to ensure their recognition and survival by adapting to their organisational environment.
Everything is treatable
- Author:
- CASTILLO Heather
- Journal article citation:
- Mental Health Today, September 2005, pp.31-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Haven is pioneering a new, client-led model for treating people with a diagnosis of personality disorder. This article reports on the service.
Approaches to personality disordered offenders: experiential and empirical lessons from the Forensic Personality Disorder Assessment and Liaison Service
- Authors:
- NATHAN Rajan, et al
- Journal article citation:
- British Journal of Forensic Practice, 14(4), 2012, pp.281-291.
- Publisher:
- Emerald
Over the last decade, there has been growing recognition of the need for specialist approaches for personality disordered offenders. However, the authors believe that services remain for the large part piecemeal and disconnected. In this paper they describe the lessons learnt from the development of one specialist service. The policy context in which the service was developed, the challenges of working in this area, and data relating to the clinical and risk profile of referred cases are presented. The idea for the Forensic Personality Disorder Assessment and Liaison Service (FPDALS) grew out of discussion about the need for more specialist input and advice to the criminal justice service in relation to high risk personality disordered offenders. The NHS commissioned a pilot project which was then rolled out the across the North West of England. This paper relates to the experiences of those involved in Merseyside and Cheshire. There was extensive comorbidity and heterogeneity amongst those referred to the service, emphasising the need for services to offer a range of assessment methods and interventions to meet individuals' requirements. Experience gained in the first four years of the service suggests that a systematic and formalised model of “understanding” the psychology of the individual should be the core process of future developments for this group of offenders.
The development and accreditation of a treatment model for prisoners with a learning disability and personality disorder
- Authors:
- TAYLOR Jon, et al
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(1), 2012, pp.44-51.
- Publisher:
- Emerald
With the exception of the adapted sex offender treatment programme in the United Kingdom, there have been few available interventions for offenders with a learning disability in the criminal justice system. This paper provides an overview of both the process of accreditation and the development of the current accredited therapeutic community model for this population. The article describes the development of a therapeutic community for prisoners with a learning disability in Rampton Hospital, Nottinghamshire, and suggested methods for increasing responsivity of the programme for this population. It seeks to highlight how programme responsivity can be enhanced by incorporating flexibility into the design and delivery of programmes.
TC dynamics in its application to severe personality disorder. Understanding the interface between context, process and outcome
- Authors:
- BUTLER Sheila, DAVIES Roger
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 32(3), Autumn 2011, pp.215-234.
- Publisher:
- Emerald
The Kent and Medway NHS and Social Care Partnership Trust (KMPT) Personality Disorder Service (PDS) has at its core the Brenchly Unit, a 3-day-a-week therapeutic community (TC) offering intensive group psychotherapy treatment for people with a diagnosis of severe or borderline personality disorder. For 10 years the PDS has been collecting data about clients in order to better understand the condition and needs of this client group and the impact of the therapeutic intervention. This paper provides an overview of the PDS and a snapshot of their Clinical Outcome Project. The project provides both baseline rating of PD and a sensitive measure of change during treatment. It integrates standardised clinical measures, used at different stages of the clients’ contact with the service, and qualitative outcome analysis. The paper reports on the characteristics of pre-therapy clients and provides a summary of data gathered from clients attending a leavers’ group. Case vignettes are provided which typify the work within the service and the key themes that emerge from the perceptions and experience of clients. The information demonstrates the way this TC model has a significant value in containing, motivating and improving clients’ lives.
The Arts and Social Network - attachment through art
- Author:
- BROOKER Andy
- Journal article citation:
- Mental Health and Social Inclusion, 15(1), February 2011, pp.29-33.
- Publisher:
- Emerald
The Arts and Social Network was developed to provide social opportunities for people who experience social exclusion because of their diagnostic labels of personality disorder. It is open to people who identify with the diagnosis of personality disorder, and supports them to make new connections with others who face similar challenges through monthly arts-based events held in and around central London. This article describes the development of the network and some of its activities, including events at Tate Modern, noting that the artworks and exhibitions are used as a distraction technique for those attending and to provide an experiential focus for conversation.
Improving the management of women with borderline personality disorder
- Authors:
- BHEBHE Siziwe, FULLER Mark
- Journal article citation:
- Nursing Times, 20.1.08, 2008, pp.18-19.
- Publisher:
- Nursing Times
An inpatient service for women with borderline personality disorder adapted a therapeutic approach developed for use with outpatients. Mentalisation-based therapy helps clients to understand the meaning of their own behaviour and that of others, and allows positive risk-taking. It has led to real improvements in clients' progress towards more independent life.
Family Connections: an education and skills training program for family member well being: a leader’s perspective
- Author:
- PENNEY Dixianne
- Journal article citation:
- Social Work in Mental Health, 6(1/2), 2008, pp.229-241.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Family Connections programme is a 12-week, two-hour, interactive education/skills training course, based on a manual, for the relatives of people with borderline personality disorder. It is taught by trained family members. The training process is described, together with the curriculum and the registration process for participants. On-going challenges faced by participants after the programme ends are also discussed. Each section includes the extended observations of an experienced trainer. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).