Male case study
Eddie
Eddie is a young man who nearly died when he tried to kill
himself on remand. He had felt completely hopeless, after another failed rehabilitation.
As a child, he was beaten by his parents and was taken into care when he couldn't
bring himself to trust anybody. Instead he would wipe out his pain with drugs and
inflict it on others with bullying and violent behaviour, or inflict pain on himself
with severe self-harm.
At Kneesworth House, one of our specialist personality disorder treatment environments, Eddie attended daily community meetings on the ward where he was able to explore the reasons for his difficulties with peers struggling with the same issues. Discussions with staff in various psychotherapy sessions also aided this. In the cognitive behavioural therapy (CBT) programme he learned how to control his temper and impulses to self-harm, and learned new ways to communicate and problem solve without needing to resort to harming himself or others.
After 20 months in treatment, Eddie can predict what triggers his violence or self-harm, and now uses a set of strategies to manage himself. He has more of a stable sense of identity, engaging more healthily in relationships with peers and authority figures. He has learned to ask for help and work through problems, vastly reducing the frequency of adverse incidents. Whilst there are still difficulties, the foundation has been laid down for him to be able to manage himself and he is living semi-independently while awaiting a community hostel placement. For the first time, he, his family and his professional team anticipate that discharge to the community will be sustained.
Case studies are based on real events, but names have been changed to protect the identity of the individuals involved.
At Kneesworth House, one of our specialist personality disorder treatment environments, Eddie attended daily community meetings on the ward where he was able to explore the reasons for his difficulties with peers struggling with the same issues. Discussions with staff in various psychotherapy sessions also aided this. In the cognitive behavioural therapy (CBT) programme he learned how to control his temper and impulses to self-harm, and learned new ways to communicate and problem solve without needing to resort to harming himself or others.
After 20 months in treatment, Eddie can predict what triggers his violence or self-harm, and now uses a set of strategies to manage himself. He has more of a stable sense of identity, engaging more healthily in relationships with peers and authority figures. He has learned to ask for help and work through problems, vastly reducing the frequency of adverse incidents. Whilst there are still difficulties, the foundation has been laid down for him to be able to manage himself and he is living semi-independently while awaiting a community hostel placement. For the first time, he, his family and his professional team anticipate that discharge to the community will be sustained.
Case studies are based on real events, but names have been changed to protect the identity of the individuals involved.
Personality disorder units
|
London and the South East |
|
 |
Kneesworth House Medium secure and rehabilitation (male and female); Low secure (female) |
|
|
The Dene Medium secure |
|
|
Pelham Woods Step down rehabilitation |
|
Eastern |
|
|
|
St John's House
Medium Secure * |
|
|
Burston House
Low Secure * |
|
|
Lombard
House & Richmond House Rehabilitation * |
|
|
Oaktree Manor
Low secure * |
| Midlands | |
|
|
Calverton Hill Medium secure |
|
|
Abbey House Step down rehabilitation |
|
|
Annesley House Low secure |
|
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Hazelwood House New service due to open June 2009 |
|
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The Willows Medium and low secure |
| North East | |
|
|
Stockton Hall
Medium secure |
|
North West |
|
|
|
Kemple View Low secure |
|
|
Arbury Court
Medium and low secure, rehabilitation |
|
|
The Spinney Medium secure |
Wales |
|
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Llanarth Court Medium, low secure and rehabilitation |
|
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Aderyn Step down rehabilitation |
|
Scotland |
|
|
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The Ayr Clinic Low Secure |
|
* These facilities provide personality disorder services for patients with a primary diagnosis of a learning disability |
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