DSPD
DSPD står for Dangerous People with Severe Personality Disorders. Disse mennesker udgør et moralsk/etisk dilemma – nemlig, hvad skal man stille op med disse mennesker? De kan ikke betegnes som sindssyge, og tilsyneladende virker ingen kendt behandling.
Hat tip: Bloggen Angst
Admission to the DSPD Programme (læs mere) is based on three factors; risk of serious harm, personality disorder and there being a functional link between the two. A candidate for the DSPD high secure units can be admitted for treatment if assessment confirms that:
- S/he is more likely than not to commit an offence that might be expected to lead to serious physical or psychological harm from which the victim would find it difficult or impossible to recover; and
- S/he has an identifiable severe disorder of personality (defined later) and
- There is an evidential link between the disorder and the risk of offending.
In practice, this means that a person is likely to be suitable if they are very high risk of harm to others on OASys (Offender Assessment System) and have previously been assessed by a psychologist or psychiatrist as having a severe personality disorder or meet several criteria indicated later. The ‘severe’ component will be reflected in a high score on the psychopathy checklist (PCL-R) and /or a diagnosis of two or more personality disorders. The units themselves will determine this.
Treatment is complex and requires a demanding programme of therapy to enable a reduction in potential risks the person poses to other people. It is likely to take a minimum of three years so early identification and referral is essential.
