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

Julie Trebilcock, Manuela Jarrett, Tim Weaver, Colin Campbell, Andrew Forrester, Julian Walker, Paul A Moran

Research output: Contribution to journalArticle (Academic Journal)peer-review

1 Citation (Scopus)
197 Downloads (Pure)

Abstract

Purpose
This paper explores 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/approach
Thematic analysis of four semi-structured interviews with NHSE and HMPPS commissioners.

Findings
Commissioners 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/implications
Our analysis is based on a small number of interviews. However, there are only a limited number of commissioners involved with the OPD pathway.

Practical implications
While the stronger focus on progression in the OPD pathway is a welcome departure from a narrow focus on high security 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/value
There has been limited empirical work with commissioners in the mental health field. Our paper offers a unique insight into the perspectives of those responsible for commissioning the OPD pathway.
Original languageEnglish
Pages (from-to)306-316
Number of pages11
JournalMental Health Review Journal
Volume24
Issue number4
DOIs
Publication statusPublished - 28 Nov 2019

Keywords

  • criminal justice
  • commissioning
  • probation
  • rehabilitation
  • risk
  • prison

Fingerprint Dive into the research topics of 'A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the Offender Personality Disorder (OPD) pathway'. Together they form a unique fingerprint.

Cite this