{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:35:42Z","timestamp":1791480942156,"version":"4.3.4"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,7,5]],"date-time":"2017-07-05T00:00:00Z","timestamp":1499212800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In England, the National Offender Management Service and the NHS have come together to try and improve management and treatment of offenders with personality disorder by developing a pathways approach to assist high\u2010risk male offenders with severe personality disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the study is to investigate service user and staff perceptions of change in this pathway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were conducted with 16 prisoners and 16 staff in one unit in a London\u2010based personality disorder pathway. The four core questions were as follows: (1) what changes do you think have occurred?; (2) what do you think helped make these changes?; (3) how do you think this helped change?; and (4) what hindered positive change? Thematic analysis was applied to the narratives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prisoners and staff separately reported similar changes, each observing that prisoners became less anti\u2010authority, improved their self\u2010understanding, developed feelings of self\u2010worth and increased their optimism about change. There was similar consensus on what they thought had brought about change \u2013 primarily development of trusting relationships. These allowed a psychological perspective on understanding prisoners' behaviour. Maintenance of this approach was seen as demanding, with barriers including \u2018security restrictions\u2019 curtailing purposeful activities, visits and community contact and \u2018stigmatising beliefs about personality disorder\u2019 in the wider prison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Findings suggest that shared goals and progress are achievable. Difficulties in sustaining these will require a range of solutions, but wider support from the prison is essential to containing hostility to such prisoners and specialised work and ensuring the provision of purposeful activity. Copyright \u00a9 2017 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cbm.2032","type":"journal-article","created":{"date-parts":[[2017,7,5]],"date-time":"2017-07-05T10:10:19Z","timestamp":1499249419000},"page":"254-264","source":"Crossref","is-referenced-by-count":23,"title":["Processes of change in an offender personality disorder pathway prison progression unit"],"prefix":"10.1002","volume":"27","author":[{"given":"Mary","family":"McMurran","sequence":"first","affiliation":[{"name":"Institute of Mental Health University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Delight","sequence":"additional","affiliation":[{"name":"Delight Training Ltd.  Macclesfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough?","volume":"18","author":"Guest G","year":"2006","journal-title":"Field Methods"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2011.577137"},{"key":"e_1_2_6_5_1","unstructured":"HM Inspectorate of Prisons(2015).HM chief inspector of prisons for England and Wales annual report 2014\u20132015.https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/444785\/hmip\u20102014\u201015.pdf[22August 2016]"},{"key":"e_1_2_6_6_1","unstructured":"National Offender Management Service(2013).Enabling features of psychologically informed planned environments.Ministry of Justice Analytical Series.https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/211730\/enabling\u2010pipe\u2010research\u2010report.pdf[15 August 2016]"},{"key":"e_1_2_6_7_1","unstructured":"National Offender Management Service & NHS England(2015).The offender personality disorder pathway strategy 2015.https:\/\/www.england.nhs.uk\/commissioning\/wp\u2010content\/uploads\/sites\/12\/2016\/02\/opd\u2010strategy\u2010nov\u201015.pdf[15 August 2016]"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.75.1.104"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/14789949.2013.823219"}],"container-title":["Criminal Behaviour and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcbm.2032","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cbm.2032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T03:32:52Z","timestamp":1694403172000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cbm.2032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1002\/cbm.2032"],"URL":"https:\/\/doi.org\/10.1002\/cbm.2032","archive":["Portico"],"relation":{},"ISSN":["0957-9664","1471-2857"],"issn-type":[{"value":"0957-9664","type":"print"},{"value":"1471-2857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}