Antisocial personality disorder in conjunction with any major mental illness Mental and Behavioural Disorders Mental illness
Conditions
Interventions
Up to 12 sessions of nidotherapy over a six month period given by a trained nidotherapist.
Sponsors
National Programme on Forensic Mental Health Research and Development (UK)
Eligibility
Inclusion criteria
Inclusion criteria: All patients attending a range of local secure and assertive outreach services in the London Boroughs of Brent and Hammersmith and Fulham are considered for intervention with nidotherapy if they satisfy the following inclusion criteria: 1. Written informed consent for treatment, assessment and examination of case records 2. A diagnosis of any mental state (Axis 1) psychiatric disorder and a personality disorder after assessment using the OPCRIT system (mental state diagnosis) and personality disorder (after assessment with the Personality Assessment Schedule (PAS) 3. Evidence they are likely to stay in the relevant area for a period of at least six months (i.e. are not likely to have a major forced environmental change such as imprisonment) 4. Agreement for at least some nidotherapy treatment sessions to be audio-taped
Exclusion criteria
Exclusion criteria: None if all above satisfied.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in scores on Modified Overt Aggression Scale (MOAS) after six months from baseline. The primary objectives of the analysis will be: 1. To describe the processes involved in nidotherapy and which aspects of strategy and approach are most often used 2. To assess from the perspective of service users about the benefits and dis-benefits of this complex intervention and the factors that may promote successful therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| To measure changes in personality treatment seeking, engagement, severe episodes of aggression and social functioning after six months. | — |
Countries
United Kingdom
Outcome results
None listed