1st Edition
Treating High-Risk Offenders with Personality Disorder What Can Work When Prison Doesn’t
Individuals who have personality disorder and commit serious, violent offences present a particular challenge in terms of rehabilitation and risk management. Drawing from the experiences of those working within the Millfields Unit specialist service for high-risk male offenders with personality disorder, this book provides readers working in forensic personality disorder services, whether in hospital or in prison, with a primer on the theory underpinning a successful treatment model and demonstrates how to put it into practice.
Written by staff in dialogue with their patients, the innovative approach explored within this book brings together psychodynamic thinking and offending behaviour theory to create a more holistic way of addressing the suffering caused, both to themselves and others, by these complex individuals. Chapters explore:
- the rationale and theoretical underpinnings of the psychodynamically informed therapeutic community approach
- the process of selecting, assessing and admitting a patient
- how to form a therapeutic alliance in the face of challenging presentations
- the potentially volatile process of change
- the importance of transitions and aftercare
- staff selection and training at beginner and higher levels
- working as part of a multidisciplinary team.
An essential read for forensic mental health clinicians and allied health professionals, this book will be instrumental for those already dedicated to working with this target population. It will challenge certain stigmas by demonstrating that an informed treatment approach carries with it a good chance of successful rehabilitation and can also be highly rewarding.
01. The origin and nature of the patient's difficulties
Jack Blake and Celia Taylor
02. Personality disorder and serious offending
Celia Taylor
3. Rationale and theoretical underpinnings of the adapted Therapeutic Community approach
Brittni Jones
4. Community meetings
Jack Blake
5. Small Groups
Brittni Jones
6. How do you spell forgiveness? Finding a shared language of expression through art psychotherapy
Jessica Collier
7. Offence focussed work
Brittni Jones
8. Substance misuse
Brittni Jones
9. Individual work and how it is managed within a Therapeutic Community
Brittni Jones
10. Pavilion, unstructured spaces, and the role of nurses and Social Therapists
Miguel Acha, Jack Blake, Dean Bristow and Will Irvine
11. Occupational Therapy, Education, Work and Community Leave
Helen Scott
12. Assessment and selection for treatment
Jack Blake and Celia Taylor
13. Assessing personality and risk
Phil Minoudis
14.Formulation
Brittni Jones
15. How to form a therapeutic alliance
Jack Blake, Dean Bristow, Miguel Acha Giminez, Will Irvine and Alex Maguire
16. The process of change
Will Irvine, Alex Maguire and Celia Taylor
17. The importance of transitions and aftercare
Celia Taylor
18. Staff selection, supervision, training and reflective practice
Jinnie Jefferies and Brittni Jones
19. The impact of the work on individuals, teams and organisations
Celia Taylor
20. Common but complex pitfalls
Celia Taylor
Biography
Celia Taylor is Consultant Forensic Psychiatrist with West London NHS Mental Health Trust and a Fellow of the Royal College of Psychiatrists. She previously was Lead Clinician at Millfields Unit, a national medium secure service for high-risk male offenders with severe personality disorder.
Brittni Jones is Director of BE Psychology Ltd; Chartered Clinical Psychologist and Psychodynamic Psychotherapist. She is currently also Therapeutic Community Specialist, supporting the review of the accreditation of Therapeutic Communities. She was previously Lead Psychologist at Millfields Unit.
