disordered men in a high secure prison?Abstract Purpose -The purpose of this paper is to describe the pattern of self-harm (SH) and proven prison-rule-breaking (PRB) behaviour in prisoners receiving treatment for personality disorders (PDs) within a high secure prison.Design/methodology/approach -A comparative quantitative case study design supported the understanding of the frequency and pattern of SH and PRB behavior across two stages of a personality disorder (PD) treatment programme for 74 male prisoners. Data obtained from the prison's records was analysed using dependent t tests, chi square test of independence and timefrequency analyses.Findings -Inferential statistics showed that the frequency of SH and PRB behaviour statistically increased across two phases of the PD treatment programme, however the method of SH or type of PRB behaviour engaged in did not change. Mapping the frequencies of incidents using a time-frequency analysis shows the patterns of both behaviours to be erratic, peaking in the latter phase of treatment, yet the frequency of incidents tended to decline over time.Originality/value -This is the first study to explore SH and PRB behaviours in men across two phases of a PD treatment programme. This study highlights the need for continued psychological support alongside the PD treatment programme with a focus on supporting men in treatment to effectively manage their SH and PRB behaviour.
IntroductionThe UK male prison population continues to include an overrepresentation of offenders with a personality disorder (PD) (Coid et al., 2006). In 1998, figures reported 64% of male sentenced prisoners met criteria for at least one PD sub-type (Singleton et al., 1998) and four years later this figure increased to 65% (Fazel and Danesh, 2002). With such a high proportion of offenders meeting criteria for a PD classification, the need for HM prison service to effectively manage and successfully treat offenders with PD is greater than ever. Yet, evidence suggests treating offenders who display both personality difficulties and criminogenic needs is challenging due to low treatment readiness, low responsivity and high treatment dropout rates (Chalker et al., 2015; Howells, Krishnan and Daffern, 2007; Ma et al., 2009;Minoudis, Shaw and Craissati, 2012).Such complexities are exacerbated by offenders with complex personality difficulties who engage in behaviour that may pose serious harm to self (i.e. self-harm and/or suicide) and/or others (Department of Health and National Offender Management Service Personality Disorder Team, 2011; Joseph and Benefield, 2010;Maden, Chamberlain and Gunn, 2000). This creates further challenges for the Criminal Justice Service (CJS) to achieve their fundamental aim of reducing risk to self and/or others (Freestone et al., 2015).In this paper we identify and compare patterns of two behaviours literature shows are the most prevalent in PD offenders, self-harm (SH) (Craissati et al., 2011;MacIntosh, Godbout and Dubash, 2015) and prison rule breaking (PRB) behaviour (e.g. v...