Joanne Patterson Mental Health Nurse Practitioner Primrose Service

Treatment needs and treatment options for female offenders To raise awareness of the Offender Personality Disorder Pathway for Women To look at what is available in the Primrose Service Additional interventions for female offenders

Past trauma and victimisation Poor self esteem and self worth Poor coping strategies Lack of schooling Relationship difficultiesDomestic violence Parenting difficulties

Offender Personality Disorder Pathway e.g. Primrose LMV-E ® CARE Dialectical Behaviour Therapy EMDR Art Therapy Psychodrama

Pathway planning; Joint casework, Links with other agencies Community Specialist treatment unit; CARE; PIPEs One prison per supra-region Primrose; PIPEs; Democratic Therapeutic Community National Prison Provision High Secure; Medium Secure; WEMSS Secure NHS DoH 2011

Service for women with severe personality disorder with a clear link to their offending Assessment Treatment Needs Analysis Treatment Time frame : Two to three years

Life Skills Art Therapy Life Minus Violence Dialectical Behavioural Therapy PrimRole Play MTC / OLP CHROMIS Ind. OFW

Gender-neutral offence-focused intervention for medium to high risk offenders. Uses a cognitive behavioural approach 9 – 12 months 7 modules

Targets for LMV-E® Awareness of strengths & increasing motivation Understanding emotions & developing empathy Increasing coping skills Consequences of behaviour Exploring attitudes & triggers for aggression Increasing communication skills

Designed by Marsha Linehan (1993) A year long programme of individual therapy sessions, group skills, DBT Consult and telephone coaching DBT targets the 5 facets of BPD: Difficulties in regulating emotions Difficulties with relationships Chaotic lifestyles Distortion of thinking Poor sense of self Linehan (1993) Cognitive Behavioural Treatment of Borderline Personality Disorder

Eye Movement Desensitisation and Reprocessing Based on the theoretical model of incomplete processing of a traumatic event in a persons memory Incomplete memories often lead to flashbacks, nightmares and hypersensitivity/avoidance

Art Therapy is a form of communication and just as powerful as spoken word It is a form of psychotherapy It can facilitate the exploration of female centred issues baat (2012) British Association of Art Therapists

"Give him a mask, and he will tell you the truth"- Oscar Wilde A way of exploring identity or persona that a person reveals or conceals to others A way of challenging behaviours intervention-8-mask-making

Arttherapydirectives.blogspot.com/2012/08/outside/inside

Life Skills LIFESKILLS RelaxationCommunicationSleepMedicationExerciseEmotionsSelf EsteemDistraction

‘Now I can anticipate when something’s going to happen that I might crash and I know if there’s a trigger date coming up that might be a date when I might not cope very well. I know in advance they’re going to happen I can try and put things into place so I can be as well as I can around those days and cope with them better. So it really helped me to start recognising ‘ OPENING DOORS FOR WOMEN: Evaluation of the Primrose Programme HMP & YOI Low Newton November 2012

Wellness Recovery Action Plan® Devised by Mary Ellen Copeland

Trauma focused Gender and culturally sensitive Psycho-educational format Skills based

Further Interventions used with Female Offenders FIRESETTING SEX OFFENCE IDTS CARE TSP FREEDOM

Designed specifically for women with a history of violence and complex needs Trauma-informed Structure of the Programme –10 (including 1 assessment) individual sessions –30 group sessions –Up to 2 years of independent mentoring and advocacy

AwarenessMotivationCoping Skills Emotional Management Social Inclusion & Adjustment

There are a range of interventions for women offenders and their needs are diverse There is a need for treatments that are sensitive and responsive to the needs of female offenders The Primrose Service is part of the Offender Personality Disorder Pathway for Female Offenders