Evaluating the impact of the London Pathway Project

Jolliffe, Darrick; Cattell, Jack; Raza, Annabelle; Minoudis, Philip

doi:10.1002/cbm.2041

Cited by 15 publications

(2 citation statements)

References 19 publications

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“…There is also evidence that the pathway can have a positive impact on later risk of reoffending. In a study of 1,046 male personality disordered offenders who experienced the pathway compared to an equal number who had not, matched on age, a number of risk tools (a static risk assessment tool, a dynamic tool and practitioner's perception of risk), Jolliffe et al (2017b) found that the measured level of risks of those men who had been on the pathway were more likely to have reduced.…”

Section: Intervening With Offenders With Personality Disordersmentioning

confidence: 99%

Mediators of change in psychological interventions for adult offenders with personality disorders: A scoping review of the literature

Short,

Jolliffe,

Carter

et al. 2024

Personality & Mental Health

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Offenders with personality disorder cause disproportionate harm to society and pose significant challenges for those responsible for their care and rehabilitation. Personality disorders are heterogeneous in terms of symptoms, as well as their pathways to offending behaviour. Thus, there is limited evidence regarding effective interventions. One solution might be to focus on how interventions are delivered as well as what is delivered. Within the non‐offender personality disorder literature, the identification of potential mediators of change has enabled interventions to focus on ‘how’ they are delivered (e.g., therapeutic alliance) rather than the intervention itself. We explore the evidence and present a scoping review of the available literature on the mechanisms of change in psychological treatments for offenders with personality disorder. Only one study was found in the scoping review, highlighting a significant gap in the evidence base. We discuss the implications of this finding and potential future directions.

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Section: Intervening With Offenders With Personality Disordersmentioning

confidence: 99%

Mediators of change in psychological interventions for adult offenders with personality disorders: A scoping review of the literature

Short,

Jolliffe,

Carter

et al. 2024

Personality & Mental Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Research has also evaluated services based on the systems training for emotional predictability and problem solving programme within more naturalistic settings, in both generic mental health teams and prisons, and other community forensic pathways have been evaluated …”

Section: Introductionmentioning

confidence: 99%

A preliminary service evaluation of a personality disorder case management service

Graham

Sullivan

Briggs

et al. 2019

Personality & Mental Health

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Aims The aim of this study is to assess the impact of establishing a specialized community personality disorder team on out of area placements, local hospital admissions and out of hours crisis contacts for service users with borderline personality disorder. Method This is a before–after interim evaluation of a new service. We tested, through a paired t‐test, whether the intervention generated statistically significant differences over a range of measures of service usage, including out of area placements, local hospital admissions and out of hours crisis contacts. Data from 12 months after the intervention started were compared with the previous 12 months of routine care, to determine the effect on crisis contacts, days in hospital and those returning from/or sent out of area for care. Finally, we have assessed the likelihood to generate cost savings. Results All service users in out of area placements were repatriated to live in the community locally (100%), and there was a statistically significant decrease in inpatient admissions (80%). This was counterbalanced by a smaller but statistically significant increase in out of hours community crisis contacts (30%), although these reduced over time. Conclusion Reorganizing local care pathways can lead to less out of area placements and less hospital admissions. © 2019 John Wiley & Sons, Ltd.

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Law and Personality Disorder

O'Loughlin

2024

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This book examines how legal and policy actors negotiate the demands of controlling crime and respecting individual rights against a background of uncertain scientific knowledge. Bringing together insights from criminology, psychiatry, psychology, and law, it unpicks competing images of ‘dangerous’ offenders and the dilemmas they present. It does so by tracing the creation of a new group—‘dangerous people with severe personality disorders’—by policymakers in England and Wales in 1999—and by situating contemporary debates about ‘dangerous’ offenders within a historical context. Through a critique of sentencing law, mental health law, and human rights law, this book further examines an alluring narrative: that the state has a duty to protect the public from ‘dangerous’ individuals, but that it can protect the human rights of the ‘dangerous’ by providing them with rehabilitation opportunities. While human rights law is often invoked as a means of curbing the excesses of preventive justice, this book demonstrates that the European Court of Human Rights tends to legitimize coercive measures. Furthermore, the criminal law legitimizes the punishment of offenders with mental disorders by resisting psychiatric evidence that they are not fully responsible for their actions. But the law also has the resources to tackle these seemingly intractable dilemmas, and this book therefore puts forward modest reform proposals.

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Evaluating the impact of the London Pathway Project

Abstract: Background: The London Pathway Project (LPP) is a whole-systems approach to addressing the needs of offenders who have severe personality disorder, with the goal of reducing their risk of harm.

Cited by 15 publications

References 19 publications

Mediators of change in psychological interventions for adult offenders with personality disorders: A scoping review of the literature

Mediators of change in psychological interventions for adult offenders with personality disorders: A scoping review of the literature

A preliminary service evaluation of a personality disorder case management service

Law and Personality Disorder

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