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

Int J Soc Psychiatry. 2010 Mar;56(2):186-95. doi: 10.1177/0020764009105281. Epub 2009 Jul 10.

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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Criminals / psychology*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Mental Health Services / standards*
  • Middle Aged
  • Patient Satisfaction
  • Personality Disorders / therapy*
  • United Kingdom
  • Workforce
  • Young Adult