Escolar Documentos
Profissional Documentos
Cultura Documentos
Everybody’s Business
July 2009
The impact of PD
People with personality disorder may
suffer lives of rejection, anguish and
alienation. The effects on individuals,
families and society can be pervasive,
chaotic and expensive - and cross many
organisations, services and systems.
The context ….
Policy guidance in 1999 & 2003 has
led to considerable progress
but locally services are still patchy
2009 brings together key guidance
to support change and leadership
at regional and local levels
NICE Guidelines
Bradley Review Personality Disorder
is everybody’s
Knowledge and business
Understanding
Framework
Implementation
Recognising
Complexity
What’s driving this?
50 – 78% of prisoners
PSA 12
emotional health and well-being of children and
young people
PSA 14
increase number of children and young people
on path to success
PSA 16
increase proportion of socially excluded adults in
settled accommodation, employment, education
and training
Recognising Complexity
Public service targets
PSA 18
promote better health and well-being for all
PSA 23
make communities safer
PSA 25
reduce harm caused by alcohol and drugs
Recognising Complexity
Commissioning for complexity
Recognising overlapping client groups with:
learning disability
substance misuse
offending behaviour
think PD
Encouraging effective pathways
think cooperation, co-production
As part of other required duties and needs
assessments
think PD
Equalities matter
think PD
Recognising Complexity
Effective commissioning
Leadership
Collaboration
Involve patients/communities
Engage with clinicians
Recognising Complexity
Potential cost benefits
Reduction in conduct
disorder
appropriate use of
Primary care
Reduced Prescribing
Less escalation to
prison, segregation,
Severe PD, high secure or forensic
risk of harm to placements
others Strengthened
community
(Tier 5) management
More rational use of
high cost placements
How is this useful to you?
It will support you in
Whole systems thinking
Collaboration across sectors
Involvement of service users
Leadership
Better outcomes for people
Policy in the future
Bradley
www.personalitydisorder.org.uk