Search results for ‘Subject term:"personality disorders"’ Sort:
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Grendon's contribution to therapeutic communities and personality disorder
- Author:
- HAIGH Rex
- Journal article citation:
- Howard Journal of Criminal Justice, 49(5), December 2010, pp.503-512.
- Publisher:
- Wiley
The author describes and reflects on some of his own professional experiences in visiting therapeutic communities (TCs). The account tells the story of three particular encounters that had a significant effect on his understanding of professional relationships. He describes the unique nature of therapy in a prison TC (Grendon), and the qualities of the therapeutic milieu in a now closed residential TC for personality disorder in the National Health Service. The final part of these reflections urges a more expansive and outward-looking perspective, and draws together contemporary themes about new developments in the wider field of therapeutic environments. It concludes with a view of the future; one where the principles and values behind this work are more widely understood and adopted.
Under the radar: women with borderline personality disorder in prison
- Authors:
- FOSSEY Matt, BLACK Georgia
- Publisher:
- Centre for Mental Health
- Publication year:
- 2010
- Pagination:
- 12p., bibliog.
- Place of publication:
- London
It is estimated that around a fifth of women in custody fulfil criteria for borderline personality disorder (BPD). In addition to health care deficits, the prison environment can be traumatic for women with BPD due to the hostile, punitive environment. This paper gathers evidence from health, prison and psychiatric research about women with BPD in prisons. It discusses the impact of prison on women with BPD, including family issues; the impact on children; strategies for intervention and finally makes recommendations for the treatment of women with BPD in prison. Recommendations include: alternatives to custody where possible; staff training to help staff recognise the symptoms of BPD; access to evidence-based interventions; improved discharge; more research on the impact of family separation on women with BPD.
A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the offender personality disorder (OPD) pathway
- Authors:
- TREBILCOCK Julie, et al
- Journal article citation:
- Mental Health Review Journal, 24(4), 2019, pp.306-316.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the views of NHS England (NHSE) and Her Majesty’s Prison and Probation Service (HMPPS) commissioners about the Offender Personality Disorder (OPD) pathway. Design/methodology/approach: A thematic analysis of four semi-structured interviews with NHSE and HMPPS commissioners is conducted. Findings: Commissioners offered a cautious but confident assessment of the potential effectiveness of the OPD pathway, drawing particular attention to its potential to enhance the confidence and competency of staff, offer better value for money and provide enhanced progression routes for offenders with personality disorders. Additionally, commissioners identified a number of potential risks for the pathway including wider system flux, funding availability, multi-agency working, offender engagement and the need to evidence effectiveness. Research limitations/implications: The analysis is based on a small number of interviews. However, there are only a limited number of commissioners involved with the OPD pathway. Practical implications: While the stronger focus on progression in the OPD pathway is a welcome departure from a narrow focus on high security Dangerous and Severe Personality Disorder (DSPD) services, the foundations of the OPD pathway ultimately lie with the DSPD programme and similar challenges are likely to follow. The system within which the pathway operates is subject to a great deal of flux and this inevitably poses significant challenges for pathway services, staff and offenders, as well as for those of us charged with its evaluation. Originality/value: There has been limited empirical work with commissioners in the mental health field. The paper offers a unique insight into the perspectives of those responsible for commissioning the OPD pathway. (Publisher abstract)
Patients' experience of dangerous and severe personality disorder services: qualitative interview study
- Authors:
- SINCLAIR Julia, et al
- Journal article citation:
- British Journal of Psychiatry, 200(3), March 2012, pp.252-253.
- Publisher:
- Cambridge University Press
The Dangerous and Severe Personality Disorder (DSPD) is an administrative category, not a diagnosis, and how such individuals should be managed in secure hospitals or prisons has been the subject of debate. A pilot study across four sites in the UK, the DSPD Programme, is now complete. The programme is being scaled down but the authors suggest that there is a need to learn lessons about the treatment of this difficult group. The aim of this short report is to describe the treatment pathway and environment of the DSPD units. A total of 60 participants purposely sampled across the four pilot DSPD units took part in in-depth interviews. This report is limited to the finding with potential `conceptual generalisability': namely the unanticipated finding of negative and hostile attitudes of participants being managed in hospital units compared with the prison system. The authors believe that the recent UK government policy decision to concentrate this programme in prisons may, in part, reflect the significance of these findings.
Women with borderline personality disorder in prison
- Authors:
- BLACK Georgia, FOSSEY Matt
- Journal article citation:
- Mental Health Today, December 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Many women in prison have a mental health problem, and one of the most common of those is borderline personality disorder. The authors discuss current mental health care in prison, the impact on prisoners' children and put forward recommendations for improved mental health care in prisons.
Mental disordered offenders and prison health care in remand settings
- Authors:
- WILLIAMS Morgyn, LLOYD Karen, HAYRE Carol
- Journal article citation:
- Prison Service Journal, 162, November 2005, pp.24-28.
- Publisher:
- Her Majesty's Prison Service of England and Wales
The confinement of mentally disordered people has been practiced for almost 600 years in England. This article looks at the prevalence of people with mental health problems in remand, their needs, and the health care available to them.
The management and treatment of psychopathically disordered offenders
- Author:
- TENNANT Edward
- Journal article citation:
- Justice of the Peace, 29.6.02, 2002, pp.500-503.
- Publisher:
- Butterworth
Looks at recent proposals from a government working party examining the management of people with dangerous severe personality disorders, and their recommendations for changes in the law.
“Give it a Try”: experiences of black, Asian and minority ethnic young men in a prison-based offender personality disorder service
- Authors:
- HUNTER Stephanie, CRAIG Eleanor, SHAW Jake
- Journal article citation:
- Journal of Forensic Practice, 21(1), 2019, pp.14-26.
- Publisher:
- Emerald
Purpose: Within the current offender personality disorder (OPD) pathway in the UK, black, Asian and minority ethnic (BAME) populations are underrepresented. Fewer BAME offenders are engaging with services despite being proportionately identified for inclusion and referred on to the pathway. The paper aims to discuss this issue. Design/methodology/approach: This qualitative study explored the experiences of 11 BAME men engaged in a prison-based OPD service for young offenders to identify the highlights and challenges of engagement within the service and to what extent they experienced a sense of inclusion/belonging. Findings: Thematic analysis was used to identify three overarching themes and sub-themes. Why am I going to be an Outcast? describes the barriers to engagement encountered by the participants; and Give it a Try and Nothing but Respect describe the process of overcoming these barriers. Barriers revolved around the experiences of judgement, alienation and hopelessness. These were overcome through peer encouragement, developing relationships with staff and freedom to regulate levels of engagement. Practical implications: Practice and policy implications are considered to support similar services in addressing the barriers to engagement faced by BAME individuals. Areas for future research are also recommended. Originality/value: Currently, no research has directly explored the under-representation of young BAME offenders with emerging personality disorder in the OPD pathway. The findings provided an insight into some of the difficulties these young BAME offenders faced when accessing this service, alongside aspects which maintained their engagement. (Edited publisher abstract)
Treating personality disorder: creating robust services for people with complex mental health needs
- Editors:
- MURPHY Naomi, MCVEY Des, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2010
- Pagination:
- 308p.
- Place of publication:
- London
The editors bring together a collection of writings that look at personality disorders and how they are treated within the institutional context of prisons and hospitals. The book also offers practical guidance on assessment, formulation and integrated treatment planning. Contributions are provided by professionals in psychiatry, nursing and psychology as well as prison officers and service managers. Among the chapters are: the difficulties that staff experience in treating individuals with personality disorder; assessing personality disorder within a formulation framework; delivering integrated treatment to people with personality disorder; fundamental treatment strategies for optimising interventions with people with personality disorder; organisational challenges to providing services for personality disordered people; effective transdisciplinary teamworking; the role of the nurse in treating people with personality disorder; the role of the occupational therapist; the role of the prison officer (dangerous and severe personality disorder in the prison system); the role of the psychiatrist, beyond therapy – the wider role of the psychologist in treating personality disorder and issues and challenges for the clinical professional.
Report on the first cohort of prisoners that completed treatment in the Fens Unit, Dangerous and Severe Personality Disorder Unit at HMP Whitemoor
- Authors:
- SARADJIAN Jacqui, MURPHY Naomi, CASEY Helen
- Journal article citation:
- Prison Service Journal, 192, November 2010, pp.45-54.
- Publisher:
- Her Majesty's Prison Service of England and Wales
This paper describes the Fens Dangerous and Severe Personality Disorder Unit at HMP Whitemoor, England and the outcomes of the first cohort of 18 men who completed the treatment programme. The treatment programme offers individual therapy, Therapeutic Milieu treatment, a Personality Disorder Awareness Group, and various therapy groups. Outcome data observed thus far include the increased attendance and engagement with therapy of this difficult prisoner group, improvements to interpersonal behaviours, a reduction in risk progression through the (de)categorisation system from 'Cat A' to 'Cat B' status. The financial savings associated with this form of intervention for this prisoner type are discussed.