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Treatments for Dangerous and Severe Personality Disorder (DSPD)in UK units

Treatments for Dangerous and Severe Personality Disorder (DSPD)in UK units
Treatments for Dangerous and Severe Personality Disorder (DSPD)in UK units
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.
personality disorder, DSPD, risk assessment, treatments
Burns, Tom
e9e49214-6bbb-43ce-b39f-0d814abbc83e
Yiend, Jenny
50ff91dd-aab4-4f6d-aead-be11f10f63a7
Fahy, Tom
0acb610e-ed84-493b-9a2a-7ae2dc42be2c
Fitzpatrick, Ray
e8a93c39-1f5e-4a7d-bfc2-77cf6dd7435f
Rogers, Robert
6db4f3b3-40c5-4c5b-89fa-36073fbd3c07
Sinclair, Julia M.A.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Burns, Tom
e9e49214-6bbb-43ce-b39f-0d814abbc83e
Yiend, Jenny
50ff91dd-aab4-4f6d-aead-be11f10f63a7
Fahy, Tom
0acb610e-ed84-493b-9a2a-7ae2dc42be2c
Fitzpatrick, Ray
e8a93c39-1f5e-4a7d-bfc2-77cf6dd7435f
Rogers, Robert
6db4f3b3-40c5-4c5b-89fa-36073fbd3c07
Sinclair, Julia M.A.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c

Burns, Tom, Yiend, Jenny, Fahy, Tom, Fitzpatrick, Ray, Rogers, Robert and Sinclair, Julia M.A. (2011) Treatments for Dangerous and Severe Personality Disorder (DSPD)in UK units. Journal of Forensic Psychiatry & Psychology. (doi:10.1080/14789949.2011.577439).

Record type: Article

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.

Full text not available from this repository.

More information

Published date: 2011
Keywords: personality disorder, DSPD, risk assessment, treatments

Identifiers

Local EPrints ID: 193717
URI: https://eprints.soton.ac.uk/id/eprint/193717
PURE UUID: 75c99c63-8a8b-45ff-a4bc-97934e9ebb62
ORCID for Julia M.A. Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

Catalogue record

Date deposited: 19 Jul 2011 10:54
Last modified: 06 Oct 2018 00:38

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