An evaluation of new services for personality-disordered offenders: staff and service user perspectives

Fortune, Zoe, Rose, Diana, Crawford, Mike, Slade, Mike, Spence, Ruth ORCID: https://orcid.org/0000-0002-6197-9975, Mudd, David, Barrett, Barbara, Coid, Jeremy, Tyrer, Peter and Moran, Paul (2010) An evaluation of new services for personality-disordered offenders: staff and service user perspectives. International Journal of Social Psychiatry . [Article]

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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.

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