Transcript presentation irm

The Compass Project:
an integrated psychology and occupational therapy
programme for women offenders with personality
disorder
Promoting effective transition from prison to the community
BIGSPD Leeds March 2015
Lisa Maltman
Alan Hirons
(Forensic Psychologist)
(Occupational Therapy Clinical Specialist)
Yorkshire and Humber Personality Disorder Pathway
Where Compass fits
• Offender Personality Disorder Strategy (DoH /
NOMS 2012)
• Intensive Integrated Risk Management (IIRMs)
Service Specification.
• Yorkshire & Humberside funding initially for a
women’s IIRM’s
National Policy drivers
• Offender Personality Disorder Strategy for Women (2011)
-
Women are 15.5% of the probation caseload and 5% of the prison
population
Personality disorder 50-60%
‘By 2015, all women meeting the criteria for this strategy will enter
into…planned treatment and interventions’
‘Treatment is psychologically informed, gender specific…..focuses upon
relationships and the social context in which people live’
• The Corston Report (2007)
-
‘Multiple, complex needs’ requiring ‘radically
new’…..‘holistic’….integrated’…….’woman-centred’ approaches
Evidence base
• Locally tested practice – e.g. Journey
programme
• NICE guidance ‘establishment of productive
engagement with services is the first and most
significant challenge….’
• Treatment Readiness Model (TRM-PD) Tetley, Jinks, Huband,
Howells, & McMurran (2012)
• Theoretical basis around schema theory
• But the approach is highly experimental!
custody and / or community
module 1 and module 2
community module 3— ‘putting it into practice’
drug / alcohol services
service user
therapeutic
relationship
CAB
3rd sector
GP
Social Care
advocacy / mentoring services
voluntary engagement
with services /
adaptive functioning
occupational
plans
formulation
service user
therapeutic
relationship
with occupational
therapists
risk / offending behaviour
up to 26 weeks maximum
‘enacting’ the therapeutic relationship
Version 13.1.15
8 weeks
‘building’ the therapeutic relationship
Offender
Manager
and
TWP
Keyworker
housing
completion #3
12`
reflective meeting: service user, Compass staff, OS and / or OM
individual work
development
of
individual
occupational
profile
formulation
completion #2
individual work
‘understanding
me’
development
of
individual
psychological
formulation
group work
‘understanding
what I do’
completion #1
referral and assessment
group work
‘understanding
personality’
Module- 2
reflective meeting: service user, Compass staff, OS and / or OM
module 1
‘So good for
her’
‘Tell us what
you need’
feedback
from our
partners
‘Other work on
hold’
‘News of the
World test?’
‘Co-delivery
model’
‘Making this
my priority’
‘Stay out of
prison’
‘Like
school?’
serviceuser’s
feedback
‘Take time-out
for me’
‘Prove to
myself…. I can
do this’
‘Probation
Officer in the
group?’
‘What’s an
Occupational
Therapist?’
‘Always been
strange’
‘Hoovering
properly’
‘They want to
learn and work’
‘Need to be
flexible’
‘30 down
to 4’
our
reflections
‘Too
chaotic?’
‘Through-thejj
gate?’
‘Clinical
recording?’
‘Capturing
the richness’
‘Cohort 1 in
community’
‘Each module
a completion
point’
comments
feedback
questions
Contact details: [email protected]
[email protected] & [email protected]