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Personality Disorder: Bradley and Beyond Nick Benefield & Nick Joseph

Personality Disorder: Bradley and Beyond Nick Benefield & Nick Joseph. PD: 2003-2009. Recognition Differentiation Risking a complex partnership Given Hope Here to stay!. Bradley . 1960s - DTCs. 1999 - DSPD. 2009 - review. 2007 - stocktake. Consistency in recommendations and issues.

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Personality Disorder: Bradley and Beyond Nick Benefield & Nick Joseph

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  1. Personality Disorder: Bradley and BeyondNick Benefield & Nick Joseph

  2. PD: 2003-2009 • Recognition • Differentiation • Risking a complex partnership • Given Hope • Here to stay!

  3. Bradley 1960s - DTCs 1999 - DSPD 2009 - review 2007 - stocktake Consistency in recommendations and issues PD workplan Strategy & investment plan (2010)

  4. Very high risk of harm to others and SPD (3,000) Increase in risk & complexity of need Increase in required knowledge and skills PD services in secure MH (1,000) Children & young people with conduct disorder Current allocation of resources

  5. A PLAN FOR THE DELIVERABLES : A Cross Departmental Strategy A Service Framework A Practitioner Guide Prison DTC Review Psychologically Informed Planned Environments Training and Education Strategy (KUF) Investment Plan

  6. Testing the Principles: audience consultation

  7. Offender PD population is accepted as a shared responsibility of the Criminal Justice System (Prison and Probation) and the NHS • These offenders populations should be managed through managed through joint operations;

  8. Services are primarily based in the Criminal Justice Systembut requiring collaborative delivery between the CJS and NHS;

  9. Planning and development is on a whole systems pathway basis; • Planning and development is on a whole systems pathway basis;

  10. Staff receive appropriate support and training building on the Knowledge and Understanding Framework;

  11. Research focused on reducing risk, psychological health improvement and economic benefits

  12. For those of high risk of harm to others: audience consultation

  13. Those with the most complex psychological needs who require specialist interventions are identified early and appropriate options included in sentence plans

  14. Public protection is enhanced by addressing the relationship between risk and psychological needs

  15. Psychologically informed lifelong management is essential where this risk is associated with a personality disorder.

  16. Further Principles... • No role for traditional psychiatry • The best evidence is for the intervention programmes run the CJS; these will be improved if more attention is paid to the traits that underpin ASPD. • Some offenders will require a highly specialised service where their PD is directly linked to their risk to others. • A minority of indeterminate offenders will require lifelong detention and should be told so. • Offenders with PD should be sentenced at a criminal court and primarily treated in the Criminal Justice system • Treatment and recovery requires an focus on the social and relational context.

  17. And Beyond... • PD within mainstream NHS and Criminal Justice • From participation to involvement • Community to community pathways • PD KUF in core training of all key workforces • Development of a new breed of professionals • Personality in public mental health policy • Making more sense of offending - being more effective? • Winning hearts and minds

  18. Nick Joseph: nick.joseph@noms.gsi.gov.uk Nick Benefield:nick.benefield@dh.gsi.gov.uk

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