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An Evaluation of New Services for Personality-Disordered Offenders: Staff and Service User Perspectives

Author

Listed:
  • Zoë Fortune

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, zoe.fortune@iop.kcl.ac.uk)

  • Diana Rose

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK)

  • Mike Crawford

    (Division of Neuroscience and Mental Health, Claybrook Centre, Imperial College London, UK)

  • Mike Slade

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK)

  • Ruth Spence

    (Ealing Primary Care Trust, Southall, Middlesex, UK)

  • David Mudd

    (School of Health and Social Care, University of Teesside, Middlesbrough, UK)

  • Barbara Barrett

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK)

  • Jeremy W. Coid

    (Department of Forensic Psychiatry, Bart's and the London, Queen Mary's School of Medicine and Dentistry, St Bartholomew's Hospital, London, UK)

  • Peter Tyrer

    (Imperial College London, UK)

  • Paul Moran

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK)

Abstract

Background: Little is known about effective treatment for personality-disordered (PD) offenders. We aimed to obtain the perspective of service users and staff on: (a) the experience of receiving treatment; and (b) the experience of delivering treatment, within new forensic services for PD offenders. Material: Thematic analysis was applied to qualitative interviews with 30 service users and 22 staff. Discussion: Service users perceived that they were making positive changes in the areas of anger management, communication, self-harm, self-esteem and insight into their difficulties. Undertaking the clinical work was extremely stressful for staff. Conclusions: Forensic PD services may be having an important impact on the quality of service users’ lives. Whether treatment is successful in reducing long-term risk to others remains to be seen, and the cost-effectiveness of these services needs to be examined.

Suggested Citation

  • Zoë Fortune & Diana Rose & Mike Crawford & Mike Slade & Ruth Spence & David Mudd & Barbara Barrett & Jeremy W. Coid & Peter Tyrer & Paul Moran, 2010. "An Evaluation of New Services for Personality-Disordered Offenders: Staff and Service User Perspectives," International Journal of Social Psychiatry, , vol. 56(2), pages 186-195, March.
    • Handle: RePEc:sae:socpsy:v:56:y:2010:i:2:p:186-195
    DOI: 10.1177/0020764009105281
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