The Compass Project: an integrated psychology and occupational therapy programme for women offenders with personality disorder Promoting effective transition from prison to the community BIGSPD Leeds March 2015 Lisa Maltman (Forensic Psychologist) Alan Hirons (Occupational Therapy Clinical Specialist) Yorkshire and Humber Personality Disorder Pathway

Where Compass fits Offender Personality Disorder Strategy (DoH / NOMS 2012) Intensive Integrated Risk Management (IIRMs) Service Specification. Yorkshire & Humberside funding initially for a women’s IIRM’s

National Policy drivers Offender Personality Disorder Strategy for Women (2011) Women are 15.5% of the probation caseload and 5% of the prison population Personality disorder 50-60% ‘By 2015, all women meeting the criteria for this strategy will enter into…planned treatment and interventions’ ‘Treatment is psychologically informed, gender specific…..focuses upon relationships and the social context in which people live’ The Corston Report (2007) ‘Multiple, complex needs’ requiring ‘radically new’…..‘holistic’….integrated’…….’woman-centred’ approaches

Evidence base Locally tested practice – e.g. Journey programme NICE guidance ‘establishment of productive engagement with services is the first and most significant challenge….’ Treatment Readiness Model (TRM-PD) Tetley, Jinks, Huband, Howells, & McMurran (2012) Theoretical basis around schema theory But the approach is highly experimental!

feedback from our partners ‘So good for her’ ‘Tell us what you need’ ‘News of the World test?’ feedback from our partners ‘Other work on hold’ ‘Co-delivery model’

service-user’s feedback ‘Making this my priority’ ‘Like school?’ ‘Probation Officer in the group?’ ‘Stay out of prison’ ‘What’s an Occupational Therapist?’ service-user’s feedback ‘Take time-out for me’ ‘Always been strange’ ‘Prove to myself…. I can do this’ ‘Hoovering properly’

‘They want to learn and work’ ‘30 down to 4’ ‘Capturing the richness’ ‘Need to be flexible’ our reflections ‘Cohort 1 in community’ ‘Too chaotic?’ ‘Clinical recording?’ ‘Each module a completion point’ jj ‘Through-the- gate?’

comments feedback questions Contact details: lisamaltman@nhs.net alan.hirons@nhs.net & kathyhorne@nhs.net