new beginnings: the development of a service for young male offenders aged 18-25 with traits of...

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New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling Psychologist NHFT Keith Conlon –Prison Officer and Keyworker Swinfen Hall Derek Johnson - Prison Officer and Keyworker Swinfen Hall

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Page 1: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

New Beginnings: The development of a service

for young male offenders aged 18-25 with traits of

emerging personality disorder

Dr Sunil Lad - Counselling Psychologist NHFT

Keith Conlon –Prison Officer and Keyworker Swinfen Hall

Derek Johnson - Prison Officer and Keyworker Swinfen Hall

Page 2: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Background to the Service

O Northamptonshire Healthcare Foundation NHS Trust (NHFT) was awarded to run a Psychologically Informed Planned Environment (PIPE) and assessment and treatment service for male offenders with traits of emerging Personality Disorder in collaboration with the Prison Service at HMP/YOI Swinfen Hall, near Lichfield, Staffordshire.

Page 3: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

About HMP/YOI Swinfen Hall

O HMP/YOI Swinfen Hall holds approximately 650 offenders, it is a closed Young Offender institute for offenders aged 18-21 and a Category C prison for those aged 21-25. The service will be for male offenders aged between 18 to 25 years, with a history of violent and/ or sexual offending. Offenders will be serving sentences from 4 years to life.

Page 4: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Challenges of young men at Swinfen Hall

O Understanding “bad behaviour”O Labelling behaviour as manipulativeO Now understanding the causes and

reasons

Page 5: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Delta Enabling Environment

O 30 beds for assessment and treatment

O Remaining 38 beds for progression

O Group, individual work and keyworker sessions

O CAT and DBT framework

Page 6: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

PIPEO 60 beds for PIPEO Work led by prison officersO Not therapyO Uses the Good lives model and

Desistance frameworkO Weekly structured , creative and

keyworker sessions

Page 7: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Enabling EnvironmentO The Enabling Environments Award is

based on core values that contribute to healthy relationships. Through a standards-based accreditation program NHFT will be supported in providing evidence that the unit achieving excellence in providing a healthy relational environment for all their offenders’.

Page 8: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Progress so far……O 7 men in assessment on DEE

O 18 men on PIPEO Fully staffed clinical teamO Awaiting more officers to support the

clinical teamO Working with the behaviour and the

young rather than against or ignoring

Page 9: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

The challenges….O New service, will it work??

O Anxiety of staff and young menO High level of expectations and immediate

responses

O Introduced during austere times in the prison service and low staffing

O Ingrained paranoia and mistrust in young men

O Impulsivity leading to high levels of aggression

O Macho culture- not wanting to lose face

Page 10: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

The challenges O Difficulty in recognising emotions

apart from angerO Stigma of those that have sexually

offendedO Introducing supervision and

reflection to an organisation that historically have not

Page 11: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

The environmentO Punishment vs care dialectic

O Inconsistency will happen…

Page 12: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

The successes….O Relationship between clinical and

prison staffO Men positively engaging in serviceO Training requests from prisonO Support from governor,

commissioners and other sites

Page 13: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Moving forwardsO Raising the profile and building

relationsO Joint training and visitsO Fully staffed – increase numbers of

men graduallyO Launch dayO Research

Page 14: New Beginnings: The development of a service for young male offenders aged 18-25 with traits of emerging personality disorder Dr Sunil Lad - Counselling

Any questions?O If you would like any further

information about the service please contact:

O Corinne Spearing – Service Manager email: [email protected]

O Telephone:01543 484163