A qualitative study exploring the experiences and perceived impact of a formulation-led approach on the management of offenders with complex and challenging needs

Abstract

The first chapter of this thesis contains a systematic literature review of the application and efficacy of case formulation (CF) in forensic settings when working with individuals with personality disorder (PD). A total of 13 articles met inclusion criteria. The reviewed articles formed part of pilot and preliminary studies exploring the use of a formulation-led consultation model to increase staff’s knowledge, and skills when working with PD offenders. The findings showed promising results on the application and efficacy of CF and were categorised in four main areas: increasing staff knowledge and enhancing attitudes towards offenders with PD; helping to understand complex cases; training probation staff to carry out CF; and providing supervision for staff. Although research in this area is in its infancy, the findings support the implementation of this approach. Implications for future clinical application and research are discussed in light of the review. The second chapter contains a qualitative study exploring the experiences and perceived impact of a formulation-led approach on the management of offenders with PD. Fifteen semi-structured interviews from Offender Managers (OMs) were analysed using thematic analysis (Braun & Clarke, 2006). The findings identified 5 main themes: a Shared Approach; Knowledge and Understanding; Relationships; Reflection; and Frustrations and Barriers. The overall findings are consistent with the systematic literature review suggesting that a formulation-led approach has a beneficial impact on OMs’ practice and management of offenders with PD. Further research is needed to explore whether this way of working is reflected in service-users’ experiences and recidivism rates.

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Identifiers

ORCID for Katherine Bradbury: orcid.org/0000-0001-5513-7571

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