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

Zoë Fortune, Diana Rose, Mike Crawford, Mike Slade, Ruth Spence, David Mudd, Barbara Barrett, Jeremy W. Coid, Peter Tyrer and Paul Moran
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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

International Journal of Social Psychiatry, 2010, vol. 56, issue 2, 186-195

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.

Keywords: offenders; personality disorder; qualitative; service user; staff; treatment (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:56:y:2010:i:2:p:186-195

DOI: 10.1177/0020764009105281

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