From design to reality: setting up a community service for MAPPA offenders with personality disordersVikki Baker Associate Director (Mental Health)Sandra Oluonye Associate Director (Criminal Justice)
Aims
To introduce Resettle To increase awareness of the
challenges faced by personality disordered men in prison and following release
To share our experiences of developing a service to help men to meet these challenges
Our challenges
How to develop a therapeutic service which engages previously difficult to engage men whilst also addressing the needs of:
MAPPA, the parole board, probation and other CJS agencies
The wider community Staff in local agencies and within the project Existing and developing pathways from prison via
Resettle and into mainstream services
What are the particular requirements and challenges of this work?
Split into two groups: 15 Mins Group one What are the challenges faced by
personality disordered men in prison?What are the pros and cons of prison for this
group?Group twoWhat challenges might be faced in
designing a service to meet the needs of these men when they are released from prison?
3 main challenges
1. Engagement2. Achieving joined- up multi
agency and multi disciplinary work
3. Working within the wider context
Challenge 1: How to foster engagement
In reach work Developing a non-threatening therapeutic
milieu Addressing core needs: money, shelter,
food, emotional warmth and care Structured individual and group work Individual pathways through the project Overcoming stigma and facilitating social
inclusion
Fostering engagement 2
Developing and sharing formulations: how I got here, understanding and anticipating difficulties, seeing the whole person
Where I want to be- realistic goal setting (good lives)
Transparency (e.g. re licence conditions, shared expectations)
Noticing and building on strengths and positives
Challenges to engagement
Previous experience of services Research process Access to prisoners Timeliness of referrals (relationship with
referrers) Non supportive prison environment Managing behaviour that invites rejection
safely“Stick with you service”
Challenge 2: achieving joined up multi agency working
Joint training (block and ongoing) Supervision Acknowledging and valuing difference Supporting each other Acknowledging and understanding
different agendas/ priorities Developing a non blaming culture of
enquiry Acknowledge that non of us are experts!
Joined up working 2
Acknowledging, understanding and surviving difficulties:
Challenges to professional roles and identities
Avoiding competition between models/ priorities (e.g. risk/therapy dichotomy)
Clarity re policies and protocols (e.g. information sharing)
Eliciting support from the board and other stakeholders
Evaluate, review, learn, develop
Challenge 3: working within the wider context
DSPD pilots – lessons learned More need for community provision
High level of unmet and unrecognised need in offendersNeed for move on pathways
Mental health context and policy developments - New Horizons – towards a shared vision of mental health
-Knowledge and Understanding Framework- PD, no longer a diagnosis of exclusion
Community pilots for PD- lessons learnedNeed to work towards recovery and social integrationMaximise service user involvement and empowerment
Not one size fits allWe don’t know enough yet about ‘what works’
Engagement is all!
Criminal justice context and policy developmentsIndeterminate Public Protection sentences
Bradley Review
The community
Finding a property (location, creating the right environment)
Pro-active approach- e.g. with police, KIN networks
Local media Links with accommodation providers,
employers, gyms, sports activities, health provision, social networks
Any thoughts or comments?