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This article introduces the rationale for bringing more closely together those parts of the Home Office and Department of Health that were concerned with policy for health and offenders. The experience of the Prison Health partnership, now entering its fifth year, has demonstrated the enormous potential for improved joint working. Information about the morbidity rates among offenders is included.The paper also introduces three main developmental projects being taken forward across the new organisation: improving the quality of health services for people in police custody (jointly with the Police Leadership and Powers Unit/Home Office), court diversion and care, and improving health and health services for offenders in the community.The projects are described and the challenge noted of bringing together more effectively and efficiently these two large systems.

The 2011 Offender Personality Disorder Strategy promoted formulation-led approaches to offender management. The purpose of this paper is to demonstrate how formulation can inform partnership-working with women offenders, specifically those with complex needs including personality difficulties.

Learning from partnership case-work is shared to highlight a psychological understanding of the needs of one female offender, and the organisational system operating around her.

The paper describes the development of a “volcano metaphor” as a conceptual framework to assist workers, without psychological training, to better understand the complexity of a client’s intense emotional world. It also reflects the impact of an individualised formulation for through-the-gate working.

The challenges and advantages of “joined-up” inter-agency working are highlighted, including some ideas on how to promote consistency. These include the use of formulation as the basis for decision making and to help “contain” strong emotions attached to working with complex women offenders. Importance is attached to stable and appropriate housing for such women by anticipating their resettlement needs prior to points of transition, and coordinating provision through multi-agency public protection arrangements.

The paper’s originality lies with the development of the volcano diagram as an accessible format for considering individualised formulation and risk assessment. The paper also offers detailed reflections on wider systemic processes attached to working with complex women offenders. It is particularly relevant to psychological practitioners working within probation and prisons, and also to offender managers.

The purpose of this paper is to outline findings from research into Integrated Offender Management (IOM), an example of multi-agency working between the police, probation and drug treatment services, and how this is expected to be affected by the “Transforming Rehabilitation” (TR) changes to the probation service being introduced by the Ministry of Justice.

The methodological approach was realistic evaluation. The findings of this paper draw upon semi-structured interviews undertaken with IOM staff, offenders and a small number of national IOM portfolio holders. Observations of the operation of IOM in the local site have also been used.

Three underpinning mechanisms within IOM were uncovered during the research, all of which are at risk from the TR changes.

IOM, as it currently operates, will be affected fundamentally by the TR changes, due to the disruption to stable multi-agency working. The research is limited by taking place during the planning and initial roll out of the TR changes; as a result interviewees were commenting on their expectations rather than their direct experience of the changes. However, their experience within IOM makes them well placed to assess the likely impact of TR.

As the TR changes are new, this paper is amongst only a small number seeking to assess their anticipated impact based on primary research.

Applied psychology interventions have an important role to play in mental and physical health services with offenders and in reducing re‐offending. There has been a significant growth of the evidence on the effectiveness of specific interventions. Barriers still exist to delivering effective psychological interventions.Psychological interventions also have a key role in comprehensive, accessible services with offenders in relation to long‐term disorders as well as co‐morbid problems. Until 2000 offenders were largely excluded from mainstream health and social care provision. Very significant progress has been made in this respect. The provision of mainstream psychological therapies had until recently lagged behind other areas of health care. As a result, Applied Psychology Group (APG) has developed a new strategy, with a shift of emphasis towards strategic development of psychological interventions ‐ away from a primary focus on psychologists, to psychology and its applications.This paper outlines recent developments designed to ensure delivery of high‐quality psychological interventions in Health and Offender Partnerships.

This article seeks to explore the historical context of government policy in relation to mentally disordered offenders. The article will relate this context to the work of the Probation Service, in particular the development of the Offender Management System (OASys), risk assessment and the implications and challenges that face the National Offender Management Service (NOMS). The key question to be assessed is whether NOMS and OASys can lead to a better service for those with mental disorder, and therefore reduce their risk.

The paper sets out the work of the Mental Health Unit, part of the Health and Offender Partnerships Directorate. It explains the functions of the Unit in advising and taking decisions on behalf of the Home Secretary in exercising his powers in relation to dangerous mentally disordered offenders. It also sets out the work of the Unit in relation to the new Mental Health Bill. The Unit's role in developing Government policy in relation to mentally disordered offenders is not covered here.

Managing the risk of sex offending and sexually harmful behaviour presented by some men with intellectual disabilities is enhanced if community services map the number in their catchment area, apply appropriate risk assessment and management methods, and implement evidence‐based treatment. This paper describes the methods and progress of one community intellectual disability service in mapping and assessing the risks. A second paper is planned that will address progress in treatment.

In the last four years health services in public sector prisons in England have undergone a period of rapid reform and modernisation. Before this, prisoners' health care was characterised by over‐medicalisation, isolation from the NHS, and lack of education and training for health care staff. As part of this process of reform, responsibility for funding and commissioning these services has moved from the Prison Service to the National Health Service (NHS). The results so far seem encouraging. Services are better funded, standards have improved and there is significant progress in developing a strong partnership between the key partners ‐ the Prison Service and the NHS ‐ at national and local levels. These reforms address human rights and the aim of the Prison Health Unit, that prisoners should be able to expect their health needs to be met adequately by services that are broadly equivalent to services on offer in the community. Some learning points for other countries are considered. An equivalent strategy for the modernisation of public sector prisons in Wales is being developed by the Welsh Assembly Government.

Intimate partner violence (IPV) perpetrated by women is an infrequently discussed topic. The lack of knowledge about female perpetrators of IPV results institutionally in insufficient prevention training and discursively in inadequate appreciation of the women's realm. Thus, this chapter will examine the debates on female IPV in the area of tension between violence prevalence research and the gender-based approach in social sciences and shows that female IPV as a women's reality of life is not limited to resistance violence and is far more complex. By collecting data from 58 female IPV cases, the author develops a typology of female offenders of IPV. Case files documented by the counsellors at violenTia, a German counselling specialist working with women perpetrating violence in their partnership, were examined. The counsellors' notes in the case files were analysed by methods of the empirically grounded type construction, that is the notes were thematically coded and dimensionalised and the case files were grouped according to empirical regularities, followed by an analysis of the contexts of meaning, the type construction and the characterisation of the types constructed. As per the findings, four types (1–4) and one subtype (3′) of female IPV were developed. The main dimensions of the typology are the structure of violence (asymmetrical/symmetrical), the pattern of violence (systematic/situational), the agency of violence (who has the ability and capacity to use violence) and attribution of meaning to violence (for example, explanations and legitimisation). The author concludes that types of female offenders show strong external heterogeneity. A finding which is important for appropriate treatment settings. Female perpetrators often lack the words to describe violent behaviour and repeatedly have unprocessed trauma. Accordingly, to understand and prevent IPV, it is necessary to widen perspectives on female offenders without reducing them to traditional gender stereotypes.