A joint offender personality disorder pathway strategy: An outline summary

Joseph, Nick; Benefield, Nick

doi:10.1002/cbm.1835

Cited by 104 publications

(87 citation statements)

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“…• In developing services, account is taken of the experiences and perceptions of offenders and staff at the different stages of the pathway (Joseph 2012) …”

Section: Box 5 Principles Of the Personality Disordermentioning

confidence: 99%

Antisocial personality disorder: new directions

Yakeley¹,

Williams²

2014

Adv. psychiatr. treat

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SummaryAntisocial personality disorder is a complex condition carrying high rates of comorbidity and mortality for individuals as well as harmful consequences for their families and society. Despite the publication of National Institute for Health and Care Excellence (NICE) guidelines for the disorder, the evidence base and provision of effective treatments remain inadequate, and the belief that the condition is untreatable remains widespread among psychiatrists and other professionals. This article highlights current diagnostic controversies and summarises the evidence for conceptualising antisocial personality disorder as a disorder of attachment. Informed by this developmental perspective, we provide a framework for the management and treatment of adults with antisocial personality disorder, highlighting the importance of creating a safe setting and recommending adaptations of therapeutic technique to facilitate the engagement of this ‘treatment-rejecting’ patient population. We conclude with an outline of the current government policy on the treatment of high-risk offenders with personality disorder.LEARNING OBJECTIVESKnow the current diagnostic criteria and epidemiology of antisocial personality disorder.Evaluate the evidence that antisocial personality disorder can be conceptualised as a disorder of attachment, and use a developmental framework to inform treatment interventions.Gain an understanding of psychological approaches to antisocial personality disorder.

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“…• In developing services, account is taken of the experiences and perceptions of offenders and staff at the different stages of the pathway (Joseph 2012) …”

Section: Box 5 Principles Of the Personality Disordermentioning

confidence: 99%

Antisocial personality disorder: new directions

Yakeley¹,

Williams²

2014

Adv. psychiatr. treat

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“…Onward progression pathways for patients and prisoners from personality disorder treatment units will be clarified and transfer from treatment units into other parts of the prison and secure hospital estate will be via psychologically‐informed planned environments, or PIPES (Department of Health and NOMS Offender Personality Disorder Team 2011b). PIPES are intended to support offenders in the progression from treatment and custody into the community (Joseph and Benefield ) and ‘allow for the testing and development of relationships and behavioural management strategies in the prison environment through enhanced key worker relationships’ (Taylor , pp.126–7). However, as Taylor () points out, these new innovative approaches are costly, and it is, therefore, questionable whether the government will be in a position to invest in further therapeutic experimentation with the DSPD group, given the current strain on public finances.…”

Section: Proposals For Reform: the Offender Personality Disorder Pathmentioning

confidence: 99%

The Offender Personality Disorder Pathway: Expansion in the Face of Failure?

O’Loughlin

2013

Howard J Crim Justice

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In 2011, the current government announced plans to overhaul the Dangerous and Severe Personality Disorder (DSPD) programme, renaming it the Offender Personality Disorder Pathway (OPDP). This article questions the government's dedication to continuing, and potentially expanding, a costly and controversial initiative in the face of its apparent failure to treat the offenders in its care effectively and facilitate their progress through the prison system. It suggests that these unfulfilled promises are ancillary to another aim: preventively detaining troublesome prisoners. The plans are of particular concern for prisoners on indeterminate sentences for public protection (IPP), whose release may be further impeded.

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“…At the time of writing the government in England and Wales proposes to develop the capacity of criminal justice settings to manage more high risk offenders with personality disorder under a new Offender Personality Disorder Pathway (OPDP) (Department of Health and Ministry of Justice 2011; see also Joseph and Benefield 2012). Duggan (2011) reminds us that it is essential that the performance of the DSPD programme is reviewed and lessons learnt as its successor takes shape.…”

Section: Introductionmentioning

confidence: 99%

‘Everybody Knows that the Prisoner is Going Nowhere’: Parole Board Members’ Views about Dangerous and Severe Personality Disorder in England and Wales

Trebilcock¹,

Weaver²

2012

Int. J. Criminol. Sociol.

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Abstract:The Dangerous Severe Personality Disorder (DSPD) Programme has been a controversial initiative in England and Wales. First introduced in 1999, DSPD became a highly contested operational as opposed to diagnostic term, used to define a population convicted of violent offences who were admitted for treatment within one of four high security units established for men. The aim of this paper is to explore the outcomes of Parole Board (PB) reviews with DSPD prisoners and investigate PB members' views about DSPD. Nearly all PB members observed that the high security location of the DSPD units was more influential to their decision-making than the label of DSPD. PB members highlighted their expectation that DSPD prisoners make a journey through different levels of security before release is an appropriate consideration. A key finding was that admission to DSPD services could be seen to have disrupted a prisoner's progression and challenged PB members' conceptions of the appropriate (and likely) future progression pathways available to prisoners. These findings have implications not only for the development of the new offender personality disorder pathway in England and Wales but also for other jurisdictions seeking to respond to the longstanding question of how to respond to high risk offenders with personality disorder.

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A joint offender personality disorder pathway strategy: An outline summary

Abstract: This strategy offers a co-ordinated joint approach by both the National Health Service and the NOMS to the co-commissioning and development of pathway services.

Cited by 104 publications

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Antisocial personality disorder: new directions

Antisocial personality disorder: new directions

The Offender Personality Disorder Pathway: Expansion in the Face of Failure?

‘Everybody Knows that the Prisoner is Going Nowhere’: Parole Board Members’ Views about Dangerous and Severe Personality Disorder in England and Wales

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