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Table 4 Prototype screening checklist for appropriate transfer of offender with personality disorder to forensic mental health services

From: “Who needs secure services for personality disorder?” Results of an expert Delphi study with professional staff

D Diagnostic Considerations Yes No
 D1 Presence of personality disorder (PD) comorbid with severe and enduring mental illness. + 1 0
 D2 PD comorbid with mental illness not considered severe or enduring e.g. mood disorder. + 1 0
 D3 Is the mental illness managed appropriately by medication? 0 + 1
 D4 More than one PD diagnosis. + 1 0
 D5 Diagnosis of borderline personality disorder. + 1 0
 D6 Diagnosis of paranoid personality disorder + 1 0
C Clinical Characteristics  
 C1 Offender has repeated incidents (2+) of self-harm. + 1 0
 C2 Offender presents an acute risk of suicide. + 1 0
 C3 Offender is engaging in verbal aggression, abuse or threats to other individuals. + 1 0
 C5 Offender assessed as being at high or very high risk of violence. + 1 0
 C6 Offender has a history of previous trauma + 1 0
 C7 Offender presents with impulsivity + 1 0
 C8 Offender has poor social functioning. + 1 0
 C9 Evidence of identified need for further assessment of offender. + 1 0
P Prior Treatment History and Engagement  
 P1 Successfully attended and engaged in previous psychological programmes either in prison or in the community setting? + 1 0
 P2 One or more convictions aged less than 18 years? + 1 0
 P3 Motivation to engage in treatment. + 1 0
 P4 Lack of progress in the prison setting? + 1 0
T Total Score