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 Using Time, Not Doing Time: Practitioner Perspectives on Personality Disorder and Risk eBook

Using Time, Not Doing Time: Practitioner Perspectives on Personality Disorder and Risk


eBook Publisher: John Wiley & Sons
Imprint: John Wiley & Sons, Ltd.

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This book offers a wide variety of health care professionals an invaluable and long-awaited resource for the proper assessment, treatment, and management of personality disordered individuals. Addresses clinical practice issues related to the understanding, assessment and treatment of people who have been diagnosed with a personality disorder Focuses on the experience, practice and emerging ideas and findings of practitioners in the field Reflects the multidisciplinary nature of practice in the field Aimed at practitioners working in high security hospitals, prisons and other community services

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Title of eBook: Using Time, Not Doing Time: Practitioner Perspectives on Personality Disorder and Risk
Release Date: 02-09-2010
Publisher: John Wiley & Sons, Ltd.

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Parent title Using Time, Not Doing Time:...
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SKU 9780470710630
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Using Time, Not Doing Time: Practitioner Perspectives on Personality Disorder and Risk


Chapter One

Setting the Scene: National Developments in Services

John Milton and Gopi Krishnan

Introduction

Changes to mental health legislation are relatively rare. The new Mental Health Act 2007 (in force from 3 November 2008) in England and Wales updated the 1983 Mental Health Act 'to ensure it keeps pace with the changes in the way mental health services are - and need to be - delivered' (Department of Health, 2008, p. 4). Arguably the most dramatic changes affect the detention and inpatient care of individuals with personality disorder which partly drove the government's initial desire to update the legislation. From 1983 until the new Act was enforced, individuals with personality disorder who were assessed for formal detention in hospital were required to meet the legal criterion of 'psychopathic disorder' and also be deemed 'treatable'. However, from November 2008 no separate legal category for personality disorder exists, merely the presence of 'mental disorder', and treatability has been sublimated into the 'appropriate medical treatment' being available in the hospital.

The legislative change from an individual needing to be 'treatable' to a service having treatment for them is a subtle but important distinction and arose from growing government frustration with the way professional practice had developed under the old Act. Although the original so-called 'treatability clause' was introduced into the 1983 Act partly to ensure that individuals who were admitted were able to benefit from the treatment available, cr

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