title: An evaluation of new services for personality-disordered offenders: staff and service user perspectives.
abstract: BACKGROUND
  Little is known about effective treatment for personality-disordered (PD) offenders. We aimed to obtain the perspective of service users and staff on: (a) the experience of receiving treatment; and (b) the experience of delivering treatment, within new forensic services for PD offenders.
  
  
  METHODS
  Thematic analysis was applied to qualitative interviews with 30 service users and 22 staff.
  
  
  CONCLUSIONS
  Service users perceived that they were making positive changes in the areas of anger management, communication, self-harm, self-esteem and insight into their difficulties. Undertaking the clinical work was extremely stressful for staff.
  
  
  CONCLUSIONS
  Forensic PD services may be having an important impact on the quality of service users' lives. Whether treatment is successful in reducing long-term risk to others remains to be seen, and the cost-effectiveness of these services needs to be examined.
authors: Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK. zoe.fortune@iop.kcl.ac.uk
authors: Zoë
authors: Z
authors: Fortune
authors: Diana
authors: D
authors: Rose
authors: Mike
authors: M
authors: Crawford
authors: Mike
authors: M
authors: Slade
authors: Ruth
authors: R
authors: Spence
authors: David
authors: D
authors: Mudd
authors: Barbara
authors: B
authors: Barrett
authors: Jeremy W
authors: JW
authors: Coid
authors: Peter
authors: P
authors: Tyrer
authors: Paul
authors: P
authors: Moran
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D057237:Criminals / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D017060:Patient Satisfaction; D010554:Personality Disorders / Q000628:therapy*; D006113:United Kingdom; D000078329:Workforce; D055815:Young Adult