Treatments for Dangerous and Severe Personality Disorder (DSPD)in UK units
Burns, Tom, Yiend, Jenny, Fahy, Tom, Fitzpatrick, Ray, Rogers, Robert, Yiend, Jenny and Sinclair, Julia M.A. (2011) Treatments for Dangerous and Severe Personality Disorder (DSPD)in UK units. Journal of Forensic Psychiatry and Psychology(doi:10.1080/14789949.2011.577439)
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Description/Abstract
Four units established in England for individuals with dangerous severe
personality disorder differ significantly in their treatment regimes. Their
distribution and relationship to risk are unknown. In this study, a
modified Delphi process identified the treatments and allocated them to
11 mutually exclusive categories. Attendance at treatments was obtained
from records, and these were compared to annual assessments of risk. Of
150 proposed treatments, 50 were allocated to the 11 categories. Only
two treatment categories were provided in all units. Specified
psychological treatment programmes occupied an average of less than
2 h a week, and 10% of patients had no treatment in each year.
Reduction in risk was significantly associated with total hours of
treatment received. A rigorous rationalisation of the treatments is
needed to permit a robust evaluation of their effectiveness. Further
research is needed to determine whether reductions in risk reflect
reoffending rates.
| Item Type: | Article |
|---|---|
| ISSN: | 1478-9949 (print) 1478-9957 (electronic) |
| Uncontrolled Keywords: | personality disorder, DSPD, risk assessment, treatments |
| Related URLs: | http://www.tandfonline.com/doi...011.577439 |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | University Structure - Pre August 2011 > School of Medicine |
| ePrint ID: | 193717 |
| URI: | http://eprints.soton.ac.uk/id/eprint/193717 |
| Deposited On: | 19 Jul 2011 11:54 |
| Last Modified: | 02 Mar 2012 12:56 |
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