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The Offender Personality Disorder (OPD) Pathway for Men in England and Wales: A Qualitative Study of Pathway User Views About Services, Perceived Impact on Psychological Wellbeing, and Implications for Desistance

    • Birmingham Business School
    • Brunel University London
    • Middlesex University
    • SLaM South London and Maudsley NHS Foundation Trust
    • King's College London

    Research output: Contribution to journal › Article › peer-review

    13 Citations (Scopus)
    50 Downloads (Pure)

    Abstract

    The offender personality disorder (OPD) Pathway is a network of services across prison, health and community settings in England and Wales providing psychological support for high-risk people who have offended and are thought to have a personality disorder. As part of a national evaluation of the Pathway, semi-structured interviews were carried out with 36 Pathway users to determine their views about their experiences in these services; and whether and how these impacted on their psychological wellbeing. Framework analysis was used to analyze the data. Participants reported positive therapeutic relationships with staff; improved psychological wellbeing; and for some, a shift away from antisocial toward more pro-social identities. They also described a negative impact of staff turnover and uncertainty about the role of prison officers and psychologists within prison services. Pathway services are able to engage individuals who have not previously engaged with services. Constancy of staff is fundamental to the Pathway.

    Original languageEnglish
    Pages (from-to)98-118
    Number of pages21
    JournalCRIMINAL JUSTICE AND BEHAVIOR
    Volume52
    Issue number1
    Early online date18 Oct 2024
    DOIs
    Publication statusPublished - Jan 2025

    Keywords

    • environment
    • offender
    • pathway
    • personality disorder
    • psychological wellbeing

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