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Therapy for female personality disorder offenders in custody who pose a risk of serious harm
The 1 st  National  Personality Disorder Congress ,[object Object],[object Object],[object Object],[object Object]
Aims ,[object Object],[object Object],[object Object],[object Object]
Let us reflect for a moment Image from: Google Images  http://trendsupdates.com/understanding-borderline-personality-disorder/
Let us reflect for a moment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Let us reflect for a moment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Image from: Google Images  http://www.ehow.co.uk/how_4424135_ identify-personality-disorders.html?cr=1  Copyright © 1999-2009 eHow, Inc
Self harming in female prisons  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scale of PD in female prisons  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DSPD –  Setting the context Michael Stone Josie Russell Images from Google Images – www.michaelstone.co.uk Megan Russell Dr Lin Russell
Personality disorder: No longer a diagnosis of exclusion Policy implementation guidance for the development of services for people with personality disorder National Institute for Mental Health in England
National Service Framework ,[object Object]
Women at Risk The mental health of women in contact with the judicial system 6 JANUARY 2006 Care Services Improvement Partnership  CSIP Health and Social Care in Criminal Justice
Baroness Corston’s Report – March 2007 A report by Baroness Jean Corston of a review of women with particular vulnerabilities in the criminal justice system
NICE Guideline for ASPD – Jan 2009
NICE Guideline for Borderline PD  January 2009
Lord K Bradley’s Report – April 2009
Some of the interventions in female prisons ,[object Object],[object Object],[object Object],[object Object]
Some of the interventions in female prisons ,[object Object],[object Object],[object Object],[object Object],[object Object]
Context & Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multiple Stakeholders M O J D O H T E W V  NHS  F T HMPS DSPD
Service Model
Image from: The frustrating No-Man’s-Land of Borderline Personality Disorder Harold W Koenigsberg, Larry J Siever  www.dana.org/news/Cerebrum/detail.aspx?id=3372
PRIMROSE TREATMENT MODEL 16 WEEKS ASSESSMENT PHASE  Dialectical Behaviour Therapy TRAUMA THERAPY LIFE MINUS VIOLENCE WELLNESS RECOVERY ACTION PLAN (WRAP) 12 WEEKS TREATMENT NEEDS ANALYSIS (TNA)  GENERIC TREATMENT
Inclusion Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object]
Referral and Assessment Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inappropriate Referrals ,[object Object],[object Object],[object Object],[object Object]
Referral Process Primrose referral form Referral documents Inform prior to transfer Letter / Report to referrer Assessment Written undertaking Admission panel
Referral Documentation ,[object Object],[object Object],[object Object],[object Object]
Primrose pathway Assessment Treatment Needs Analysis Treatment Time frame : Two to three years
WORK FORCE  CLINICAL OPERATIONAL ADMIN 6.7 WTE 6 WTE 2.5 WTE
Competency based roles DBT LMV Trauma Therapy CHROMIS  M & E MTC Role Play WRAP
Core and auxiliary treatments  Dialectical Behaviour Therapy Life Minus Violence Trauma Therapy CHROMIS  Motivation & Engagement Mobile Team Challenge Primrose Role Play Wellness & Recovery  Action Plan
Workforce Development CLINICAL SKILLS TRAINING PLACEMENTS & VISITS  CHARTERSHIP& DIPLOMAS KNOWLEDGE SKILLS FRAMEWORK  CONTINUING PROFESSIONAL DEVELOPMENT SECURITY SKILLS TRAINING
INDEPENDENTCOUNSELLING PSYCHO DYNAMIC SUPERVISION & EDUCATION RECOGNITION & AWARDS  SUPERVISION
Challenges & Learning Points ,[object Object],[object Object],M O J D O H T E W V  NHS  F T HMPS DSPD
Mental Health Act Mental Health Act 2007 CHAPTER 12 Code of Practice Mental Health Act 1983
Challenges & Learning Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Therapy for female personality disorder offenders in custody who pose a risk of serious harm

  • 1. Therapy for female personality disorder offenders in custody who pose a risk of serious harm
  • 2.
  • 3.
  • 4. Let us reflect for a moment Image from: Google Images http://trendsupdates.com/understanding-borderline-personality-disorder/
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. DSPD – Setting the context Michael Stone Josie Russell Images from Google Images – www.michaelstone.co.uk Megan Russell Dr Lin Russell
  • 10. Personality disorder: No longer a diagnosis of exclusion Policy implementation guidance for the development of services for people with personality disorder National Institute for Mental Health in England
  • 11.
  • 12. Women at Risk The mental health of women in contact with the judicial system 6 JANUARY 2006 Care Services Improvement Partnership CSIP Health and Social Care in Criminal Justice
  • 13. Baroness Corston’s Report – March 2007 A report by Baroness Jean Corston of a review of women with particular vulnerabilities in the criminal justice system
  • 14. NICE Guideline for ASPD – Jan 2009
  • 15. NICE Guideline for Borderline PD January 2009
  • 16. Lord K Bradley’s Report – April 2009
  • 17.
  • 18.
  • 19.
  • 20. Multiple Stakeholders M O J D O H T E W V NHS F T HMPS DSPD
  • 22. Image from: The frustrating No-Man’s-Land of Borderline Personality Disorder Harold W Koenigsberg, Larry J Siever www.dana.org/news/Cerebrum/detail.aspx?id=3372
  • 23. PRIMROSE TREATMENT MODEL 16 WEEKS ASSESSMENT PHASE Dialectical Behaviour Therapy TRAUMA THERAPY LIFE MINUS VIOLENCE WELLNESS RECOVERY ACTION PLAN (WRAP) 12 WEEKS TREATMENT NEEDS ANALYSIS (TNA) GENERIC TREATMENT
  • 24.
  • 25.
  • 26.
  • 27. Referral Process Primrose referral form Referral documents Inform prior to transfer Letter / Report to referrer Assessment Written undertaking Admission panel
  • 28.
  • 29. Primrose pathway Assessment Treatment Needs Analysis Treatment Time frame : Two to three years
  • 30. WORK FORCE CLINICAL OPERATIONAL ADMIN 6.7 WTE 6 WTE 2.5 WTE
  • 31. Competency based roles DBT LMV Trauma Therapy CHROMIS M & E MTC Role Play WRAP
  • 32. Core and auxiliary treatments Dialectical Behaviour Therapy Life Minus Violence Trauma Therapy CHROMIS Motivation & Engagement Mobile Team Challenge Primrose Role Play Wellness & Recovery Action Plan
  • 33. Workforce Development CLINICAL SKILLS TRAINING PLACEMENTS & VISITS CHARTERSHIP& DIPLOMAS KNOWLEDGE SKILLS FRAMEWORK CONTINUING PROFESSIONAL DEVELOPMENT SECURITY SKILLS TRAINING
  • 34. INDEPENDENTCOUNSELLING PSYCHO DYNAMIC SUPERVISION & EDUCATION RECOGNITION & AWARDS SUPERVISION
  • 35.
  • 36. Mental Health Act Mental Health Act 2007 CHAPTER 12 Code of Practice Mental Health Act 1983
  • 37.
  • 38.
  • 39.