The lessons and legacy of the programme for dangerous and severe personality disorders

摘要: The State Hospital, Carstairs, ScotlandIntroductionIn 1999, the UK government introduced theconcept of dangerous and severe personalitydisorder (DSPD) established four pilot DSPDservices in high security prisons (Frankland andWhitemoor) hospitals (Broadmoor andRampton) to develop a process assess treatmen meeting certain criteria for dangerousness,personality disorder risk. aims thesehigh DSPD services were (1) improvepublic protection; (2) provide new treatmentservices that improve mental health outcomesand reduce risk (c) better understand whatworks treatment management thosewho meet (Department ofHealth, 2005).The programme was highly controver-sial at inception. It set up immediate af-termath horrific murder mother herchild walking home from school. perpetratorwas an individual identified with antisocial per-sonality who not properly engagedin any form because hewas regarded as too difficult help. Although thiswas precipitant introductionof programme, it also chimed morebroadly Government dissatisfaction withpsychiatry’s failure interventions forthose personality (believing themto be untreatable) together need protectthe public (Rutherford, 2010). Pressure then grewup remove what commonly called the‘treatability clause’ Mental Health Act.This clause allowed people signifi-cant spared com-pulsory admission on grounds noeffective available, so newlegislation changed this. As consequence, dan-gerous could bedetained hospital treatment. This had thedual purpose providing group hitherto de-nied protecting thepublicfrom those this disorder.There political motive. Tony Blair,the Prime Minister, repeatedly said opposi-tion Labour would be‘tough crime, tough causes ofcrime’, envisaged ex-cellent way demonstrating In its 2001Manifesto, Party declared wouldprotect citizens ‘…the most of-fenders all…i.e. personalitydisorder.’ policy by