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The purpose of this paper is to explore staff and prisoner experiences of a newly implemented Personality Disorder Service (PDS) within a category B male establishment.

A semi-structured interview was used to explore the experiences of seven male category B PDS prisoners and eight PDS members of staff (four National Health Service (NHS) clinical staff and four prison service staff) from a multi-disciplinary team (MDT). Interviews were transcribed verbatim and thematic analysis was completed.

Prisoner sample: one overarching theme “environment” organised two themes: “enabling factors” and “disabling factors” which had a subtheme “integrating men who have sexually offended onto the unit”. Another theme “opportunities for self-development” was identified. Staff sample: an overarching theme “environment” organised two themes: “enabling factors” and “disabling factors”. An overarching theme “multi-disciplinary working” organised two themes: “working in partnership” and “cultural differences in working practices”. Two further themes were: “professional development” and “stressors”.

This study focused on a small sample of staff and prisoners and their experiences of a newly implemented PDS. In addition, both staff and prisoners volunteered to take part in the study, and therefore may not be a representative sample. Consequently the results cannot be generalised to other establishments or PD services.

Staff and prisoner experiences indicate that a multi-disciplinary approach to personality disorder services is desirable and can be effective. Prisoners are gaining experiences of positive therapeutic relationships with staff and hope that their experiences of the PDS will reduce their risk of reoffending. Staff experiences indicate that the integration of two services presents challenges and that they are working to overcome these. It may be advantageous for the impact of cultural differences within a MDT to be explored further.

This is the first study that explores the experiences of the MDT and prisoners of the newly implemented PDS. The PDS forms part of the new development under the National Offender personality disorder pathway.

Therapeutic relationships have been identified to be a key feature of staff working with patients within mental health settings and are widely referred to within research literature. The aim of this study is to explore the experiences of support staff within secure mental health services with regards to the formation and development of therapeutic relationships with patients.

Ten participants were interviewed, all of whom were unqualified support staff based within secure establishments and working directly with patients.

Interpretative phenomenological analysis of the data resulted in the identification of three themes: “Building bridges”: developing relationships with patients; “You do forget what they've done”: seeing the person and managing risk, and “Playing your cards close to our chest”: maintaining boundaries.

The themes are discussed and evaluated in terms of relationship formation and development, barriers that may prevent such relationships from being built and the implications for clinical practice.

This paper looks at the outcomes of a mental health education group for patients in a high secure setting. The effects measured included assessments of knowledge about schizophrenia and its treatments, insight into the illness, drug compliance and attitude, and self esteem. The results from the measures were broadly consistent with findings from previous studies in non‐forensic settings: notably, that patients were able to acquire knowledge about their illness and its treatment and also that psycho‐education could have a positive impact on their attitudes towards taking medication and their levels of insight.The study outlines the structure and content of the group sessions and the teaching methods used. It offers discussion on the findings and concludes with recommendations about high secure service issues that may have relevance for wider service settings.