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1 – 10 of 84The purpose of this paper is to explore service-users’ hopes and expectations of a psychologically informed planned environment (PIPE) located in the high-security prison estate…
Abstract
Purpose
The purpose of this paper is to explore service-users’ hopes and expectations of a psychologically informed planned environment (PIPE) located in the high-security prison estate.
Design/methodology/approach
A semi-structured interview was used to explore the hopes and expectations of five male Category A PIPE prisoners. Interviews were transcribed verbatim and thematic analysis was used to analyse the data.
Findings
Analysis resulted in two overall themes: “Progression” and “Being Part of a Community”. Relevant sub-themes were considered to portray processes within these two wider themes.
Practical implications
In applying these findings to practice, this study provides evidence that places value on the current referral process which ascertains prisoners’ motivations to attend the PIPE.
Originality/value
This is the first known study that explores service-users’ hopes and expectations of the pilot PIPE service. The PIPEs are included within the recently introduced Offender Personality Disorder Pathway.
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Natalie Bond and Linda Gemmell
Psychologically Informed Planned Environments (PIPEs) provide a pathway facility for offenders with complex needs, such as personality disorder; to maintain and develop the…
Abstract
Purpose
Psychologically Informed Planned Environments (PIPEs) provide a pathway facility for offenders with complex needs, such as personality disorder; to maintain and develop the progress made on offending behaviour programmes (Ministry of Justice and Department of Health, 2012). The purpose of this paper is to explore the experiences of prison officers who work on a PIPE in a Lifer prison.
Design/methodology/approach
Interpretative Phenomenological Analysis was used to explore the experiences of five prison officers working on a PIPE in a Lifer prison.
Findings
Main themes identified were labelled “Role Conflict”, “Growth”, “Relationships” and “Impact”. A rich and detailed account of the experience of the “voyage of discovery” and the personal challenges, costs and rewards of the PIPE work was achieved.
Research limitations/implications
Limitations include the small number of participants, limited focus of the researchers, both Forensic Psychologists, and the uniqueness of the context, a Lifer prison. Limitations might be addressed by future research that could expand on the current findings. Implications for future research include further exploration of the psychological impact of the work, dynamics within the PIPE and the value of attachment theory in work with personality disordered offenders. Implications for future policy and practice concern training, support and the development of new PIPEs.
Originality/value
The research adds a rich account of what it is like for these prison officers to work on a PIPE in a Lifer prison. The experiences shared reveal the personal challenge, costs and rewards of the work through which ideas to develop the staff, residents and the PIPE model emerged.
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Karine Greenacre and Rebecca Paez
The purpose of this paper is to apply current understanding of service user involvement (SUI) to forensic practice with reference to the benefits and drawbacks. Specifically, it…
Abstract
Purpose
The purpose of this paper is to apply current understanding of service user involvement (SUI) to forensic practice with reference to the benefits and drawbacks. Specifically, it discusses models of SUI and their application to a psychologically informed planned environment (PIPE) located in a Category C male prison.
Design/methodology/approach
Drawing upon residents’ experiences, the evaluation reflects on the contribution of cultural, environmental and political factors to the success or failure of SUI within the PIPE service.
Findings
The evaluation will review current systems and explore ways of improving and strengthening strategies by referring to the “whole systems approach” to SUI (Wright, 2006).
Originality/value
The evaluation makes recommendations for local and national SUI within PIPE services.
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Although the idea of a therapeutic community (TC) has lost none of its dynamism, there are many modern‐day environments in which the original TC model has been unable to make…
Abstract
Although the idea of a therapeutic community (TC) has lost none of its dynamism, there are many modern‐day environments in which the original TC model has been unable to make headway. In recent years, new ideas have been emerging for the development of institutions and services that can be adapted to a wide range of psychological needs and settings, such as homelessness hostels and refuges. The psychologically‐informed environment (PIE) arises from the scope for reflective practice, leading to changes in day‐to‐day working ‐ including a more planned variant for high secure services. The PIE approach seems to offer greater flexibility in scope than the TC model. Nevertheless, such new approaches may yet need a clear values base; and the next article in this series will explore new ideas for the creation of ‘enabling environments’ in a still wider range of settings.
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Louise Craddock, Maisie Kells, Louise Morgan and Iduna Shah-Beckley
The offender personality disorder (OPD) pathway provides services to people with histories of offending and traits of personality disorder (PD) who are at high risk of violent…
Abstract
Purpose
The offender personality disorder (OPD) pathway provides services to people with histories of offending and traits of personality disorder (PD) who are at high risk of violent re-offending. The residential provisions have been developed as psychologically informed planned environments (PIPE), in which socially creative activities form an integral part. Ryan et al. (2018) suggest that social and creative activities offer individuals experiences to increase their understanding of themselves and others. The purpose of this study is to complete a service evaluation exploring how people who live on an OPD PIPE in a woman’s prison make sense of their experiences of a drumming, singing and ceremony group, which was offered to them as part of their provision PIPE.
Design/methodology/approach
Semi-structured interviews were conducted with six service users (between 19 and 42 years old).
Findings
Thematic analysis identified three themes: emotional regulation, belonging and connectedness and humanising spaces.
Research limitations/implications
This study used a small sample (n = 6), and all participants were accessing the same OPD provision PIPE. Further, participation was voluntary, and results found may relate to possible biases in a self-selecting sample. The interviewer knew the participants through their clinical work, and despite being informed that participation in this research project would have no bearing on their treatment pathway, some may have participated as a way to demonstrate their compliance with the overall programme. A further limitation relates to the group being evaluated on its own without a comparison group.
Practical implications
This study has important implications for treatment delivery in prisons, as it demonstrates the therapeutic merit of social creative activities for one of the most complex, high-risk and challenging offender groups. The findings show that the specific combination of the physical act of drumming and the social act of drumming together may create an environment that allows people to heal and overcome both physical and emotional disconnections that have been caused by their trauma.
Social implications
This study’s findings provide further understanding of the experience of people who have survived trauma.
Originality/value
Findings suggest that the group provides therapeutic value, offering an alternative to traditional therapy and targets specific difficulties particularly associated with emotionally unstable and antisocial PDs. We suggest that socially creative activities form an important part of the rehabilitation process of complex, high-risk groups. Future research would benefit from focusing on the extent to which experiential learning through socially creative group participation can impact on lasting behavioural change.
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Sue Ryan, Nick Benefield and Vikki Baker
Major developments in the management of and intervention for people with significant personality difficulties who have offended are continuing, most recently with the…
Abstract
Purpose
Major developments in the management of and intervention for people with significant personality difficulties who have offended are continuing, most recently with the implementation of the Offender Personality Disorder (Department of Health/National Offender Management Service (DoH/NOMS), 2011) Pathway. Included in this, is the Psychologically Informed Planned Environment model, currently being implemented in Prisons and Probation Approved Premises. This model includes the provision of “socially creative activities” (Benefield et al., 2018), opportunities for social learning and relationship building. The purpose of this paper is to explore the rationale for and examples of the implementation of these.
Design/methodology/approach
The paper offers a narrative review of research around child development, personality, social learning and the policy context around the OPD Pathway. An overview of the socially creative sessions and a rationale for them is provided.
Findings
A conceptual understanding of the rationale for socially creative sessions is provided with a description of the sessions that focussed upon development of imagination, narrative/story making, social expression and relational experiences, i.e. singing, drama and reading with others. It is argued that the activities offered opportunities to engage in a different medium for expression, learning and relating, that may provide a catalyst for change in individuals with entrenched motivational and interpersonal difficulties.
Research limitations/implications
This is a conceptual paper that provides a rationale for socially creative sessions and describes the sessions. This paper does not feature outcome data which are outside the remit of this paper; however, future research into the impact of this approach to aid relational development and assist in emotional and behavioural stability is essential.
Practical implications
The complex needs of this client group emphasise the need for services to offer holistic ways to engage people who can have a positive impact upon relationships.
Originality/value
The work presented in this paper is valuable for professionals working within the personality disorder and criminal justice field, also for policy makers and commissioners.
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Rex Haigh, Tom Harrison, Robin Johnson, Sarah Paget and Susan Williams
This paper aims to describe the origins of the concept of a psychologically informed environment (PIE), as now adopted and applied in homelessness resettlement, placing this in…
Abstract
Purpose
This paper aims to describe the origins of the concept of a psychologically informed environment (PIE), as now adopted and applied in homelessness resettlement, placing this in the context of work recently carried out under the aegis of the Royal College of Psychiatrists' Centre for Quality Improvement to recognise and promote “enabling environments” in all areas of social practice.
Design/methodology/approach
This paper gives an historical account of the contemporary development of new thinking and practical applications for enhancing community mental health and well‐being.
Findings
The concept of an enabling environment (EE) arose out of efforts to up‐date for the twenty‐first century the post‐war concept of a therapeutic community, for all services working with the same basic core values and psycho‐social awareness. The EE approach now applies this framework more flexibly, yet with a clear operational focus in each sector, to a wider range of organisational contexts, social practice and agencies outside the therapy and care services world. From the outset, homelessness resettlement and social housing practice was seen as a key part of the overall ambition.
Practical implications
Understanding the values base behind social‐psychological approaches in social practice environments helps to translate these ideas into service‐led improvements in actual frontline services practice. In particular, the enabling environments approach offers a handy tool for self‐assessment and service improvement, which is fully compatible with the PIE's philosophy.
Originality/value
The concept of a PIE is currently acquiring momentum within homelessness resettlement work in the UK. In helping to establish the underlying values framework for psychologically‐informed services; and also provide tools for such services to use, this paper makes a contribution to help inform developing practice.
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A ‘psychologically informed environment’, or PIE, is the first of many new concepts that have spun off from the Royal College of Psychiatrists' Enabling Environments (EE…
Abstract
A ‘psychologically informed environment’, or PIE, is the first of many new concepts that have spun off from the Royal College of Psychiatrists' Enabling Environments (EE) initiative. Based on the early developments in the therapeutic community movement, and adapting these values and principle to the 21st century world of community mental health, the EE initiative attempts to identify the key features in any setting that fosters a sense of connected belonging; and suggests a process by which these principles can then be customised for specific settings. The implications for a new social psychiatry at the heart of any future public mental health and social policy are clear; and to be pursued further in the final paper in this trilogy.
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Karine Greenacre and Emma Palmer
Increasing attention is focusing on the role of environments in the rehabilitation of offenders, with a range of reported outcomes in the literature. The purpose of this paper is…
Abstract
Purpose
Increasing attention is focusing on the role of environments in the rehabilitation of offenders, with a range of reported outcomes in the literature. The purpose of this paper is to explore forensic environments and the outcomes and changes that result, in order to assess the current knowledge in this area and to inform current and future practice.
Design/methodology/approach
Using a systematic review approach with an extensive literature search and robust application of appraisal methods, nine studies were identified. The studies included one mixed method study (n=1), qualitative methods (n=4) that utilised thematic analysis, interpretative phenomenological analysis and Foucauldian discourse analysis and quantitative methods (n=4) that utilised the responses to psychometric measures including the EssenCES and correctional institution environment scale (CIES) to assess the quality and outcomes associated with environments in forensic settings.
Findings
Three superordinate themes were identified: factors required for successful environments, factors that influence successful environments and factors affected by successful environments.
Research limitations/implications
Further research would be beneficial around motivation, as it appears to influence the success of environments and be a potential outcome of environments. Further research might usefully explore the ideal time in services, for optimal outcomes in order to advise those currently commissioning services of this nature.
Originality/value
In addition to outcomes, this review found factors required for forensic environments that are consistent with previous literature within the field, and factors that might influence how successful environments can be.
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Nick Joseph and Nick Benefield
This article explores the development of an offender personality disorder strategy for the Department of Health (DH) and National Offender Management Service (NOMS). The strategy…
Abstract
This article explores the development of an offender personality disorder strategy for the Department of Health (DH) and National Offender Management Service (NOMS). The strategy has two strands: offenders who present a high risk of serious harm to others, and workforce development. This article primarily considers the first of these. The strategy builds upon the learning so far from the Dangerous and Severe Personality Disorder (DSPD) programme and democratic therapeutic communities in prisons. This indicates the need for NOMS and the NHS to take joint responsibility for the assessment, treatment and management of this population and to deliver services, where appropriate, through joint operations. A greater focus is required on the early identification of personality disordered offenders who present a high risk of serious harm to others, leading to an active pathway of intervention predominately based in the criminal justice system (CJS).
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