Pilot projects
The PD Programme started with the Government’s commitment to build the four ‘DSPD’ units, for dangerous people with severe personality disorder. The term ‘DSPD’ has been criticised, and these services are now usually called ‘for people who pose a high risk of harm to others’, or simply ‘Tier 6 PD Services’. The community programme was for specialist local PD services, and 11 pilot projects with different structures were its main product. All of these are now commissioned by local PCTs as ‘tier 3’ (specialist) services. Five medium secure and community forensic specialist services followed (tier 5). Fourteen ‘Multi Systemic Therapy’ (MST) pilots for children then followed, of which two are in secure settings. The presentation below includes a map that shows the geographical location of the pilot projects, and works up from community services, to the most secure.
This was ‘phase 1’of the National Personality Development Programme. The phase 1 pilot services were evaluated through 3 studies, with interim reports available from this site.
‘Phase 2’ is now under way, and has the aim of embedding what has been learnt in the development of mainstream provision, across sectors, throughout the country. This will be aided by the 2009 NICE guidelines on Borderline and Antisocial Personality Disorder, the Commissioning Guidance, and the Knowledge and Understanding Framework (‘KUF’).