Joanne Patterson
Mental Health Nurse Practitioner
Primrose Service
• Treatment needs and treatment options for female
offenders
• To raise awareness of the Offender Personality Disorder
Pathway for Women
• To look at what is available in the Primrose Service
• Additional interventions for female offenders
Past trauma and victimisation
Poor self esteem and self worth
Lack of schooling
Poor coping strategies
Relationship difficulties
Domestic violence
Parenting difficulties
http://www.justice.gov.uk/publications/docs/corston-report-march-2007.pdf
• Offender Personality Disorder Pathway
e.g. Primrose
• LMV-E ®
• CARE
• Dialectical Behaviour Therapy
• EMDR
• Art Therapy
• Psychodrama
Community
• Pathway planning; Joint casework, Links with other agencies
One prison per supra-region
• Specialist treatment unit; CARE; PIPEs
National Prison Provision
• Primrose; PIPEs; Democratic Therapeutic Community
Secure NHS
• High Secure; Medium Secure; WEMSS
DoH 2011
• Service for women with severe personality
disorder with a clear link to their offending
Assessment
Treatment
Needs
Analysis
Time frame : Two to three years
Treatment
Ind. OFW
CHROMIS
PrimRole Play
MTC / OLP
Life Skills
Dialectical
Behavioural
Therapy
Art
Therapy
Life Minus Violence
• Gender-neutral offence-focused intervention for
medium to high risk offenders.
• Uses a cognitive behavioural approach
• 9 – 12 months
• 7 modules
Awareness of
strengths &
increasing
motivation
Understanding
emotions &
developing
empathy
Increasing
communication
skills
Targets for
LMV-E®
Exploring
attitudes &
triggers for
aggression
Increasing
coping skills
Consequences
of behaviour
• Designed by Marsha Linehan (1993)
• A year long programme of individual therapy
sessions, group skills, DBT Consult and telephone
coaching
• DBT targets the 5 facets of BPD:
Difficulties in regulating emotions
Difficulties with relationships
Chaotic lifestyles
Distortion of thinking
Poor sense of self
• Eye Movement Desensitisation and
Reprocessing
• Based on the theoretical model of
incomplete processing of a traumatic event
in a persons memory
• Incomplete memories often lead to
flashbacks, nightmares and
hypersensitivity/avoidance
www.storyboardtoys.com/gallery/Art-Therapy.htm
• Art Therapy is a form of communication and just
as powerful as spoken word
• It is a form of psychotherapy
• It can facilitate the exploration of female centred
issues
baat (2012) British Association of Art Therapists www.baat.org
"Give him a mask, and he will tell you the
truth"- Oscar Wilde
• A way of exploring identity or persona that a
person reveals or conceals to others
• A way of challenging behaviours
http://www.psychologytoday.com/blog/the-healing-arts/201003/cool-art-therapyintervention-8-mask-making
•
•
Arttherapydirectives.blogspot.com/2012/08/outside/inside
Life Skills
Relaxation
Distraction
Self Esteem
Communication
LIFESKILLS
Sleep
Medication
Emotions
Exercise
• ‘Now I can anticipate when something’s going to
happen that I might crash and I know if there’s a
trigger date coming up that might be a date when I
might not cope very well. I know in advance
they’re going to happen I can try and put things
into place so I can be as well as I can around
those days and cope with them better. So it really
helped me to start recognising ‘
OPENING DOORS FOR WOMEN: Evaluation of the Primrose
Programme HMP & YOI Low Newton November 2012
• Wellness Recovery Action Plan®
• Devised by Mary Ellen Copeland
• Trauma focused
• Gender and culturally sensitive
• Psycho-educational format
• Skills based
IDTS
FIRESETTING
SEX
OFFENCE
Further Interventions
used with Female
Offenders
CARE
FREEDOM
TSP
• Designed specifically for women with a history of
violence and complex needs
• Trauma-informed
• Structure of the Programme
– 10 (including 1 assessment) individual
sessions
– 30 group sessions
– Up to 2 years of independent mentoring and
advocacy
Awareness
Social
Inclusion &
Adjustment
Emotional
Management
Motivation
Coping Skills
• There are a range of interventions for
women offenders and their needs are
diverse
• There is a need for treatments that are
sensitive and responsive to the needs of
female offenders
• The Primrose Service is part of the
Offender Personality Disorder Pathway for
Female Offenders