Personality disorder services

Rehabilitation

Meeting the needs of patients with personality disorders can present considerable challenges for local services. Many patients with personality disorder become stuck in cycles of abuse and trauma that originated in childhood, but which continue into adulthood in the form of self-harm, antisocial and aggressive behaviours.

PiC accepts referrals of men and women with a variety of complex personality disorders from the NHS, prisons and other independent sector providers nationwide.

Treatment programmes

PiC offer a diverse range of specialist units across the UK that treat personality disorder. These units provide a choice of treatment models, within a variety of security levels, to cater for the diverse needs of patients with personality disorder.

Our broad approach to care reflects evidence that patients with personality disorders make faster and more sustained progress in specialised units that employ dedicated, multidisciplinary teams and treatment programmes, rather than being managed by teams and services that are primarily geared for the mentally ill. Therefore, our personality disorder services utilise a number of different psychological treatment approaches, such as therapeutic community and open rehabilitation; violent offender and sex offender treatment programmes; programmes tailored specifically for women; and programmes tailored for those with learning disabilities.

Treatment in our units focuses on three key areas:

- We work to alleviate psychiatric suffering and morbidity

- We use our extensive psychological expertise to treat behaviour and distorted cognitions and to understand and explore the meaning of symptoms to each patient and their repeated patterns of behaviour

- As the individual stabilises and feels more confident to manage their personality through life's challenges, we work to re-connect them with care structures and help re-integrate them within normal life

Review

To ensure consistent, focused, individualised care, each patient is reviewed regularly using an enhanced Care Programme Approach (CPA). We encourage referring clinical teams, patients and advocates to attend these meetings, where we jointly review and plan each patient's care.

Care pathways

We accommodate clearly defined pathways of care that depend on individual patient needs and that ensure, whenever possible, that patients can re-integrate into normal life patterns.

Case studies

Personality disorder units

	London and the South East
	North London Clinic Medium secure, rehabilitation and supported community living
	Sutton Manor Medium and low secure
	Kneesworth House Medium secure and rehabilitation (male and female); Low secure (female)
	The Dene Medium and low 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
	Hazelwood House Low secure
	The Willows Step down rehabilitation
	North East
	Stockton Hall Medium secure
	North West
	Kemple View Low secure
	Arbury Court Medium and low secure
	The Spinney Medium and low secure, rehabilitation
	Wales
	Llanarth Court Medium, low secure and rehabilitation
	Aderyn Step down rehabilitation
	Scotland
	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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