Severe personality disorder, treatment engagement and the Legal Aid, Sentencing and Punishment of Offenders Act 2012: what you need to know

Leon McRae*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)
209 Downloads (Pure)

Abstract

Empirical research has demonstrated a link between legal coercion and treatment engagement following conviction among those with severe personality disorder. Legal coercive pressures were often applied by the Indeterminate Sentence for Public Protection (IPP), until it was replaced by the Extended Determinate Sentence by the Legal Aid, Sentencing and Punishment of Offenders Act 2012. In this paper, it is proposed that use of the new determinate sentence will lessen motivation for treatment engagement. One effect of treatment refusal may be greater reliance by the Secretary of State for Justice on his jurisdiction to transfer prisoners due for release to secure hospital transfers under the Mental Health Act 1983. Not only will this risk posturing undermine the principal aim of the Offender Personality Disorder Implementation Pathway to improve treatment engagement among the target group, it will also have negative implications for medical practitioners working in secure forensic hospitals. To demonstrate what is at stake, the paper briefly recapitulates empirical findings familiar to readers of the journal, before drawing on original unpublished data.

Original languageEnglish
Pages (from-to)476-488
Number of pages13
JournalJournal of Forensic Psychiatry and Psychology
Volume27
Issue number4
Early online date31 Mar 2016
DOIs
Publication statusE-pub ahead of print - 31 Mar 2016

Keywords

  • Extended Determinate Sentence (EDS)
  • Indeterminate Sentence for Public Protection (IPP)
  • Legal Aid, Sentencing and Punishment of Offenders (LASPO 2012)
  • Offender Personality Disorder Pathway Implementation Plan
  • Severe personality disorder
  • Treatment engagement

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