Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the Offender Personality Disorder (OPD) pathway

A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality... The purpose of this paper is to explore the views of NHS England (NHSE) and Her Majesty’s Prison and Probation Service (HMPPS) commissioners about the Offender Personality Disorder (OPD) pathway.Design/methodology/approachA thematic analysis of four semi-structured interviews with NHSE and HMPPS commissioners is conducted.FindingsCommissioners offered a cautious but confident assessment of the potential effectiveness of the OPD pathway, drawing particular attention to its potential to enhance the confidence and competency of staff, offer better value for money and provide enhanced progression routes for offenders with personality disorders. Additionally, commissioners identified a number of potential risks for the pathway including wider system flux, funding availability, multi-agency working, offender engagement and the need to evidence effectiveness.Research limitations/implicationsThe analysis is based on a small number of interviews. However, there are only a limited number of commissioners involved with the OPD pathway.Practical implicationsWhile the stronger focus on progression in the OPD pathway is a welcome departure from a narrow focus on high security Dangerous and Severe Personality Disorder (DSPD) services, the foundations of the OPD pathway ultimately lie with the DSPD programme and similar challenges are likely to follow. The system within which the pathway operates is subject to a great deal of flux and this inevitably poses significant challenges for pathway services, staff and offenders, as well as for those of us charged with its evaluation.Originality/valueThere has been limited empirical work with commissioners in the mental health field. The paper offers a unique insight into the perspectives of those responsible for commissioning the OPD pathway. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Mental Health Review Journal Emerald Publishing

A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the Offender Personality Disorder (OPD) pathway

Loading next page...
 
/lp/emerald-publishing/a-more-promising-architecture-commissioners-perspectives-on-the-hh4HDTQ0vR
Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1361-9322
DOI
10.1108/mhrj-06-2019-0021
Publisher site
See Article on Publisher Site

Abstract

The purpose of this paper is to explore the views of NHS England (NHSE) and Her Majesty’s Prison and Probation Service (HMPPS) commissioners about the Offender Personality Disorder (OPD) pathway.Design/methodology/approachA thematic analysis of four semi-structured interviews with NHSE and HMPPS commissioners is conducted.FindingsCommissioners offered a cautious but confident assessment of the potential effectiveness of the OPD pathway, drawing particular attention to its potential to enhance the confidence and competency of staff, offer better value for money and provide enhanced progression routes for offenders with personality disorders. Additionally, commissioners identified a number of potential risks for the pathway including wider system flux, funding availability, multi-agency working, offender engagement and the need to evidence effectiveness.Research limitations/implicationsThe analysis is based on a small number of interviews. However, there are only a limited number of commissioners involved with the OPD pathway.Practical implicationsWhile the stronger focus on progression in the OPD pathway is a welcome departure from a narrow focus on high security Dangerous and Severe Personality Disorder (DSPD) services, the foundations of the OPD pathway ultimately lie with the DSPD programme and similar challenges are likely to follow. The system within which the pathway operates is subject to a great deal of flux and this inevitably poses significant challenges for pathway services, staff and offenders, as well as for those of us charged with its evaluation.Originality/valueThere has been limited empirical work with commissioners in the mental health field. The paper offers a unique insight into the perspectives of those responsible for commissioning the OPD pathway.

Journal

Mental Health Review JournalEmerald Publishing

Published: Nov 7, 2019

Keywords: Criminal justice; Rehabilitation; Prison; Probation; Commissioning; Risk

References