Personality

Disorder:
Bradley and Beyond
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

PD workplan

Strategy & investment plan (2010)

 Very high risk of harm to
others and SPD (3,000)

PD
services in
secure MH Current allocation
(1,000) of resources

Children & young people with conduct disorder

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
 Testing the
Principles:
audience
consultation
• 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;
• Services are primarily based in the
Criminal Justice System but requiring
collaborative delivery between the
CJS and NHS;
 • Planning and
• Planning and
development is on
development is on a a
whole
whole systems
systems pathway
pathway basis;
basis;
• Staff receive
appropriate
support and
training building
on the
Knowledge and
Understanding
Framework;
• Research focused on
reducing risk,
psychological health
improvement and
economic benefits
For those of high risk of
harm to others:
audience consultation
Those with the most
complex psychological
needs who require specia
interventions are identifie
early and appropriate
options included in
sentence plans
 Public
protection is
enhanced by
addressing the
relationship
between risk and
psychological
• Psychologically
informed
lifelong
management is
essential where
this risk is
associated with
a personality
disorder.
 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
 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
 Nick Joseph:
nick.joseph@noms.gsi.gov.uk

Nick Benefield:
nick.benefield@dh.gsi.gov.uk