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