Intervening in secure settings

The chapter begins by reviewing the existing evidence base for services for personality disordered offenders within secure settings, outlining approaches used both in the UK and internationally. The chapter goes on to describe the implementation of the Offender Personality Disorder (OPD) strategy in secure services, setting out the commissioning context and the focus on social environments, including Psychologically Informed Planned Environments (PIPEs) and Enabling Environments. It reviews the approach chosen by the London Pathways Partnership in terms of service model (residential, day programme, and outreach) and the intensity of the interventions used. The delivery of the services is then described in detail, including the development phase; referrals and assessment; intervention; and pathway progression. The chapter reviews the progress of the services over the first four years, including what worked and what didn’t, and concludes with an outline of evaluations of the services and proposals for future developments.