A joint NHS and NOMS offender personality disorder pathway strategy: A perspective from 5 years of operation

Skett, Sarah; Goode, Ian; Barton, Steve

doi:10.1002/cbm.2026

Cited by 41 publications

(26 citation statements)

References 19 publications

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“…schizoid and avoidant) and up to 50% with adult victims meet criteria for Cluster B disorders (including narcissistic, Craissati, Webb, & Keen, 2008). In England and Wales, the OPD acknowledges these challenges, developing a focus on a psychologically informed approach (Skett, Goode, & Barton, 2017). This pathway includes nonspecialist screening to identify those at high risk of high harm who are most likely to have pervasive psychological difficulties.…”

Section: High Risk Sex Offenders With Pervasive Personality Difficumentioning

confidence: 99%

Learning from research: Adapting interventions for sexual offending to improve outcomes

Völlm

Craissati²,

Грубин

et al. 2019

Criminal Behav Ment Health

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Background: Sexual behaviour towards another person who does not or cannot consent to it causes serious harm to its victims. Understandable tendencies towards isolating or shaming the offenders, however, may actually increase risks of recidivism and further such harms. Aim:The study aims to consider evidence for the effectiveness of interventions for sex offenders, mainly in a U.K.context, across four areas: criminal justice system programmes, medication, interventions for sex offenders with personality disorder and a community-based model for the reintegration-Circles of Support and Accountability, and identify key evidence gaps. Methods:We searched for reviews in the following four strands of work-psychosocial programmes, medication, personality focused therapies, and Circles of Support and Accountability-and identified gaps in knowledge.

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Section: High Risk Sex Offenders With Pervasive Personality Difficumentioning

confidence: 99%

Learning from research: Adapting interventions for sexual offending to improve outcomes

Völlm

Craissati²,

Грубин

et al. 2019

Criminal Behav Ment Health

Self Cite

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“…As the 'architects' responsible for the commissioning and implementation of the OPD pathway -some of whom were also involved with the DSPD Programme -their perspectives are unique and worthy of extended analysis. Our intention was to move beyond the publicly available commentaries (notably: NOMS and NHSE, 2015; Benefield et al, 2015;Skett et al, 2017) Given the very limited number of commissioners involved with this specialist field of forensic mental health the key issue was one of access, and not sampling. Four commissioners were approached, and all agreed to be interviewed.…”

Section: )mentioning

confidence: 99%

“…Responding to criticisms of DSPD assessment procedures, case identification and case formulation represent key elements of the pathway (Joseph and Benefield, 2010). n t a l H e a l t h R e v i e w J o u r n a l Approximately 20,000 offenders were originally estimated to be eligible for the pathway (Benefield et al, 2015) but by June 2016 36,459 (37% of the National Probation Service (NPS) caseload) had been screened into the pathway (Skett, Goode and Barton, 2017). 'Screening in' to the pathway involves an assessment of (i) personality disorder (indicated by an offender having been rated positive for seven or more OASys items indicative of personality disorder) (see Ministry of Justice, 2011:15), and (ii) risk (assessed by sentence and offence type and OASys risk of harm ratings) (Minoudis, Shaw, Bannerman and Craissati, 2012;Jolliffe, Cattell, Raza and Minoudis, 2017).…”

Section: Introductionmentioning

confidence: 99%

A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the Offender Personality Disorder (OPD) pathway

Trebilcock¹,

Jarrett

Weaver³

et al. 2019

MHRJ

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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.

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“…The OPD (and the LPP) are progeny of the late Dangerous and Severe Personality Disorder (DSPD) programme which operated across high security hospitals and prisons in England and Wales from around 2000. A full historical account and an assessment of the benefits and limitations of the DSPD programme are beyond the scope of this paper (see Skett et al, , this issue; Duggan, ). However, one of the key benefits of the DSPD approach was to focus resources on a small group of prolific, complex and challenging offenders who were more likely than similar others to cause significant societal harm.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with progression in the London pathway project

Jolliffe

Cattell

Raza

et al. 2017

Criminal Behav Ment Health

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A joint NHS and NOMS offender personality disorder pathway strategy: A perspective from 5 years of operation

Cited by 41 publications

References 19 publications

Learning from research: Adapting interventions for sexual offending to improve outcomes

Learning from research: Adapting interventions for sexual offending to improve outcomes

A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the Offender Personality Disorder (OPD) pathway

Factors associated with progression in the London pathway project

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