Developing offender manager competencies in completing case formulation

2017 ◽  
Vol 65 (1) ◽  
pp. 27-38 ◽  
Author(s):  
Kay Radcliffe ◽  
Elaine McMullan ◽  
Jo Ramsden
Keyword(s):  
Personality Disorder ◽  
Workforce Training ◽  
Case Formulation ◽  
Client Group ◽  
Training And Supervision ◽  
National Initiative ◽  
Supervision Model ◽  
The Impact ◽  
Current Provision

The Offender Personality Disorder (OPD) pathway is a national initiative which co-commissions health and probation to work in partnership to enhance the criminal justice management of high risk offenders with personality disorder. Psychologically informed support is expected to augment the current provision for this client group alongside workforce training. The impact of training offender managers (OM) is uncertain and previous research has indicated training may be limited in its effectiveness. This paper examines the impact of a training and supervision model on the quality of formulations produced by offender managers and suggests that a model which teaches formulation through repeated consultation or the live supervision of practice leads to enhanced competencies in completing case formulations. The paper evaluates the quality of formulations produced by offender managers who have had their practice developed through repeated consultation with the OPD pathway (OPDOMs) in comparison with a generic group of offender managers. OPDOMs who have had the longest period of supervision with the project produced the highest quality formulations. The paper acknowledges a number of limitations but suggests that the model under scrutiny may usefully inform service delivery within the Offender Personality Disorder pathway.

scholarly journals Working with adults with personality disorder in the community: a multi-agency interview study

2007 ◽  
Vol 31 (4) ◽  
pp. 133-137 ◽  
Author(s):  
Nick Huband ◽  
Conor Duggan
Keyword(s):  
Personality Disorder ◽  
Staff Training ◽  
Health Workers ◽  
Mental Health Workers ◽  
Professional Groups ◽  
Client Group ◽  
Potential Difficulty ◽  
Case Vignettes ◽  
Training Courses ◽  
The Impact

Aims and MethodTo explore the impact of adults with personality disorder on the professional groups that support them. Staff (n=72) from five agencies participated in interviews focusing on reactions to short case vignettes representing the three personality disorder clusters.ResultsEach presentation was relatively consistent in its impact on staff irrespective of the agency or setting. Several agency-specific themes were also identified, some illustrating areas of potential difficulty in inter-agency working. Many non-mental health workers reported considerable contact with this client group, although most felt dissatisfied with the training available and suggested solutions.Clinical ImplicationsFindings from this study may help to match the content of training courses to need. Similar vignette-based surveys could be used to investigate the impact of staff training over time.

The impact of case formulation focussed consultation on criminal justice staff and their attitudes to work with personality disorder

2014 ◽  
Vol 19 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Jo Ramsden ◽  
Mark Lowton ◽  
Emma Joyes
Keyword(s):  
Pilot Study ◽  
Personality Disorder ◽  
Probation Officers ◽  
Case Formulation ◽  
Small Pilot Study ◽  
Consultation Process ◽  
Content Type ◽  
Knowledge And Attitudes ◽  
Personality Disordered ◽  
The Impact

Purpose – The purpose of this paper was to examine the impact of a highly structured, formulation focused consultation process on knowledge and attitudes towards personality disorder and on perceived practice with personality disordered offenders. Consultation was delivered by the Yorkshire/Humber regional Pathway Development Service (PDS). This pilot study sought to inform the development of this service and the support offered to probation Trusts across Yorkshire/Humber to implement the national Personality Disorder Offender Pathway. Design/methodology/approach – Consultation was offered to a number of offender managers working in the Yorkshire/Humber region. The impact of the consultation on their knowledge and understanding of personality disorder in general was examined as was their attitudes to working with this population and their perceived confidence and competence in delivering supervision to each individual. Findings – The findings from this small pilot study would suggest that the structured format used by the Yorkshire PDS was helpful in enhancing the probation officers’ knowledge and understanding of personality disorder as well as their perceived confidence in and attitudes towards working with individuals with a personality disorder. Originality/value – The study indicates that the structured format used by the PDS is of value and may be applied to the support offered to probation Trusts across Yorkshire/Humber as they implement the community specification of the national Personality Disorder Offender Pathway.

The Content, Quality and Impact of Cognitive Behavioural Case Formulation During Treatment of Obsessive Compulsive Disorder

2014 ◽  
Vol 43 (5) ◽  
pp. 590-601 ◽  
Author(s):  
Anna Nattrass ◽  
Stephen Kellett ◽  
Gillian E. Hardy ◽  
Tom Ricketts
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Obsessive Compulsive Disorder ◽  
Routine Practice ◽  
Case Formulation ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
The Impact

Background: Case formulation (CF) is considered a core component of cognitive behavioural therapy (CBT). Despite this, few studies have explored the content and quality of CFs in routine practice and any associated impact on treatment outcome. Aims: This study investigated (1) the content, timing and quality of CF for patients (N = 29) with Obsessive Compulsive Disorder; (2) the impact of CF on symptoms, distress and therapeutic alliance; and (3) the relationship between CF quality and treatment outcome. Method: CF content and quality were assessed from audiotapes of routine CBT sessions using a validated coding manual and evaluated against treatment outcomes at different stages of therapy. Results: CFs were developed early during treatment and contained strong behavioural and cognitive components, with a focus on symptoms and maintaining factors. CF quality ratings ranged from rudimentary to excellent. A significant improvement in distress and the therapeutic alliance occurred following the introduction of CF, but no significant relationship was found between CF quality and outcome at any stage of treatment. Conclusion: CF may be valuable in reducing patient attrition, due to its impact early in treatment. Further research is needed to explore the most important components of CF. Theoretically sound and disorder specific measurement tools for evaluating CFs are required.

If you want to change the world you have to start with yourself: The impact of staff reflective practice within the Offender Personality Disorder pathway

2020 ◽  
Vol 67 (3) ◽  
pp. 283-296 ◽  
Author(s):  
Nicole Webster ◽  
Laura Doggett ◽  
Stephanie Gardner
Keyword(s):  
Personality Disorder ◽  
Reflective Practice ◽  
Workforce Development ◽  
Structured Interviews ◽  
North East ◽  
The North ◽  
Client Group ◽  
Service Staff ◽  
Probation Service ◽  
The Impact

The offender personality disorder (OPD) pathway was implemented in 2012 to help improve services for people with personality difficulties within the criminal justice system. The OPD pathway acknowledges the importance of supervision, training and reflective practice for staff working with this client group and such activities have therefore been embedded within this initiative. Despite the research from this pathway identifying benefits to both staff and service users, there is a gap in knowledge about the impact of reflective practice. This study aims, therefore, to increase this knowledge base by exploring staff’s experience and perception of reflective practice as part of the OPD pathway programme. Focus groups and semi-structured interviews were completed with 32 members of National Health Service and National Probation Service staff within offender management teams and approved premises in the North East of England. Thematic analysis was used to analyse the data, resulting in the emergence of four key themes relating to the utility of reflective practice sessions. The findings suggest that reflective practice is useful, however, there are some barriers to attending sessions. The findings have implications for service delivery and workforce development within the OPD pathway programme and more widely within NPS.

Interviewing and Case Formulation

2010 ◽  
pp. 223-254
Author(s):  
Naomi Koerner ◽  
Heather K. Hood ◽  
Martin M. Antony
Keyword(s):  
General Structure ◽  
Clinical Interview ◽  
Case Formulation ◽  
Core Component ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Clinical Interviewing ◽  
Axis I ◽  
The Impact

The main objective of this chapter is to provide an overview of clinical interviewing. Although clinical interviewing is often referred to as an art (Shea, 2007), the information in this chapter highlights the science of clinical interviewing as well. The chapter opens with a discussion of the general structure and content of clinical interviews that are typically conducted in mental health contexts. The reader is introduced to a variety of interviews that are used in the assessment of Axis I and Axis II conditions, including their psychometric properties; guidelines for the assessment of suicidality are also presented. This is followed by an overview of interviewing skills. Specifically discussed are ways in which information processing limitations, verbal and nonverbal cues, and style of questions can influence the clinical interview. We then turn to a discussion of case formulation, a core component of the clinical interview. Empirical research on the impact of training on quality of case conceptualization and on the association between case formulation and treatment outcome is summarized. The chapter closes with a brief overview of issues that may arise when interviewing certain populations, in particular, couples, individuals from diverse populations, and young individuals.

Interviewing and Case Formulation

2014 ◽  
pp. 225-255
Author(s):  
Naomi Koerner ◽  
Heather K. Hood ◽  
Martin M. Antony
Keyword(s):  
General Structure ◽  
Clinical Interview ◽  
Case Formulation ◽  
Core Component ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Clinical Interviewing ◽  
Axis I ◽  
The Impact

The main objective of this chapter is to provide an overview of clinical interviewing. Although clinical interviewing is often referred to as an art (Shea, 2007), the information in this chapter highlights the science of clinical interviewing as well. The chapter opens with a discussion of the general structure and content of clinical interviews that are typically conducted in mental health contexts. The reader is introduced to a variety of interviews that are used in the assessment of Axis I and Axis II conditions, including their psychometric properties; guidelines for the assessment of suicidality are also presented. This is followed by an overview of interviewing skills. Specifically discussed are ways in which information processing limitations, verbal and nonverbal cues, and style of questions can influence the clinical interview. We then turn to a discussion of case formulation, a core component of the clinical interview. Empirical research on the impact of training on quality of case conceptualization and on the association between case formulation and treatment outcome is summarized. The chapter closes with a brief overview of issues that may arise when interviewing certain populations, in particular, couples, individuals from diverse populations, and young individuals.

Effect of Psychotherapy for Borderline Personality Disorder on Quality of Life: A Systematic Review and Meta-Analysis

2019 ◽  
pp. 1-15 ◽  
Author(s):  
Farid Chakhssi ◽  
J. Monique Zoet ◽  
Jeanine M. Oostendorp ◽  
Matthijs L. Noordzij ◽  
Marion Sommers-Spijkerman
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Meta Analysis ◽  
Borderline Personality ◽  
Long Term Outcome ◽  
The Impact

Whereas several meta-analyses have shown that psychotherapy is effective for reducing borderline personality disorder (BPD) pathology, the overall impact of psychotherapy for BPD on quality of life (QoL) remains as yet unclear. Because impaired QoL is associated with poor long-term outcomes after therapy for BPD, this seems a timely and relevant issue. The authors conducted a systematic review and meta-analysis of randomized controlled trials of psychotherapies for adults diagnosed with BPD that reported results of QoL at posttreatment. Fourteen trials were included (1,370 individuals with BPD). Psychotherapies for BPD relative to control conditions showed significant effect sizes for QoL (Cohen's d = 0.32; 95% CI [0.17, 0.48]), and for BPD pathology (d = 0.44; 95% CI [0.16, 0.71]). The effect on QoL was not significantly moderated by the effect on BPD pathology. Psychotherapies for BPD have a positive effect on QoL of patients with BPD. However, more studies are needed to examine the impact of psychotherapy on QoL and long-term outcome, including recovery.

Sign in / Sign up

Export Citation Format

Share Document