TITLE

Evaluation of the UK dangerous and severe personality disorder (DSPD) program

AUTHOR(S)
Burns, Tom; Sinclair, Julia; Yiend, Jenny
PUB. DATE
January 2007
SOURCE
BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background The UK government has established four new specialist secure units to pilot a dedicated service aimed to reduce the risk to the public of those deemed to have DSPD. This study aims to describe the characteristics of the patients/prisoners admitted to these pilot sites, their pathway through the treatment program and to evaluate the treatment received. Methods A Delphi process has been used to agree descriptions of key aspects of the treatment program, and data collected on patient characteristics. The primary outcome is to measure change in patients/prisoners' risk, clinical, behavioral and social profiles, and test these for their association with treatment experiences and baseline predictors. In addition, specific measures of outcome -- the Violence Risk Scale (VRS); measures of cognitive and emotional functioning; perceived coercion and measures of satisfaction will be used to evaluate the effectiveness of the programs. In depth interviews are also being developed to gain insights into the expectation and experience of those detained within these units. Results The Delphi process identified ten categories of treatments (as distinct form care) which were seen as being central to the aims of one or more sites. These will be presented together with a description of the pilot sites and the development of the evaluation, together with the strengths and weaknesses of the methods used. Conclusion Dangerous and severe personality disorder is a controversial working definition for a small group of people posing a significant risk of very serious harm to others. Treatment programs are at an early stage of development and robust evaluation of the structures and processes involved as well as the outcome needs to be a fundamental part of this process.
ACCESSION #
35704326

 

Related Articles

  • Probe into care of multiple murderer.  // Community Care;3/23/2006, Issue 1615, p10 

    The article reports on the plan of a British strategic health authority to review the mental health care of Daniel Gonzales who was convicted of murder. The family of the convict claims that the mental health services failed him. The Surrey and Borders Partnership Mental Health Trust in England...

  • Capitol shooting blamed on Reagan. Elvin, John // Insight on the News;08/31/98, Vol. 14 Issue 32, p33 

    Focuses on the treatment of the mentally ill in the United States, with reference to the July 1998 shooting which took place in Capitol Hill, Washington. Indication that half of the homeless population in the United States are untreated for mental illness; Suggestion that the former Ronald...

  • Chapter 12: Mental Health Disorders. Hargrove-Huttel, Ray Ann; Colgrove, Kathryn // Pharmacology Success: A Course Review Applying Critical Thinking;2008, p295 

    A quiz regarding medications prescribed to treat mental health disorders, such as depression, schizophrenia and sleep disorder, is presented.

  • Characteristics of Users of Consumer-Run Drop-In Centers Versus Clubhouses. Mowbray, Carol T.; Woodward, Amanda Toler; Holter, Mark C.; MacFarlane, Peter; Bybee, Deborah // Journal of Behavioral Health Services & Research;Jul2009, Vol. 36 Issue 3, p361 

    Clubhouses and consumer-run drop-in centers (CRDIs) are two of the most widely implemented models of consumer-centered services for persons with serious mental illness. Differences in structure and goals suggest that they may be useful to different types of consumers. Information on what types...

  • Readers panel. Care has become clouded. Drake, Linda; MacLean, Shona; Flatt, Steve; Clarke, Julie // Nursing Standard;9/5/2012, Vol. 27 Issue 1, p26 

    Is the NHS failing people who have mental health problems?

  • Réflexion sur les services aux familles dont la mère souffre d'un trouble de santé mentale (TSM). Carrière, Monique; Clément, Michèle; Tétreault, Sylvie; Pépin, Geneviève; Fortier, Mireille; Paquet, Steve // Sante Mentale au Quebec;automne2010, Vol. 35 Issue 2, p185 

    This article presents results of a research conducted in Québec City between 2004 and 2006. The objective of this study was to examine services to families in which the mother suffers from a mental disorder. The authors examine the experiences and perspectives of parents with a mental...

  • Prevalence of mental disorders based on general population surveys. Baumeister, Harald; Härter, Martin; Härter, Martin // Social Psychiatry & Psychiatric Epidemiology;Jul2007, Vol. 42 Issue 7, p537 

    Objective: In the last two decades, a multitude of investigations into the frequency of mental disorders in the population have emerged, making it difficult to keep track of recent findings and tasks. Building on a historical review, the present study provides a comprehensive...

  • Estudio de Validación de la Escala de Salud Personal en Argentina y Venezuela. Jatuff, D.; Montenegro, R.; E. Mezzich, J.; González-Mora, J.; I. Zapata-Vega, M. // Actas Espanolas de Psiquiatria;jul2010, Vol. 38 Issue 4, p189 

    Introduction. International reports have shown that the majority of patients with a psychiatric disorder are most often seen in non-psychiatric services and are not effectively diagnosed. The objectives of this study, conducted in Argentina and Venezuela, was to validate the Personal Health...

  • The association between armed conflict, violence and mental health: a cross sectional study comparing two populations in Cundinamarca department, Colombia. Londoño, Alicia; Romero, Perla; Casas, Germán // Conflict & Health;Jan2012, Vol. 6 Issue 1, p12 

    Background: Exposure to violence in general and to armed conflict in particular has been consistently associated with an increased prevalence of mental illness. Colombia has sustained an internal armed conflict for decades and is considered one of the most violent countries in the world....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics