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.
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
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.
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.
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 |
|
 |
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 * |
|
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Lombard
House & Richmond House Rehabilitation * |
|
|
Oaktree Manor
Low secure * |
| Midlands | |
|
|
Calverton Hill Medium secure |
|
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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 | |
|
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Stockton Hall
Medium secure |
|
North West |
|
|
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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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