The National Personality Disorder

Development Programme

The Forensic and Non-Forensic Knowledge and

Understanding Frameworks

Regional Event

Kath Lovell
• Dec 2007: Department of Health and Ministry of
Justice commissioned the development of a national
training framework to support people to work more
effectively with personality disorder

• The key goal is to improve service user experience

through developing the capabilities, skills and
knowledge of the multi-agency workforces in Health,
Social Care and Criminal Justice who are dealing with
the challenges of Personality Disorder
 Two Government Publications (2003)
National Institute for Mental Health for England
(NIMHE)
 The
DS Bradley
M Review &
V? The
Corston
Report

The tipping point?

 PDi
OU

PORTMAN BUK
BUK

A High Functioning Partnership

 The goals of the Knowledge and Understanding
Framework are to:
• Design accessible, relevant and quality assured
developmental pathways, making ‘breaking the cycle
of rejection’ a practical reality
• Raise awareness and shift pejorative attitudes
• Build on service user experience
• Ensure informed and responsive leadership and
management
• Improve interagency and inter-professional
collaboration
What do the overall
frameworks aim to do?
 The service
user at the
heart

Making a real difference

 Working with
Personality Disorder:
Raising Awareness Working with Personality
(6modules) Disorder: Developing Working with Personality
Understanding and Effectiveness
Disorder: Extending Expertise
All Frontline staff
(9 modules) and Enhancing Practice
(6 Modules and Dissertation)
Key Staff Lead and Specialist Staff

What is available?
 Connecting past
experience and current
behaviours
Making sense of Communicating
reactions and effectively
responses

Self awareness Sensitivity to

and reflective service user
skills experience
Understanding work
places and teams

The learning journey

 Leading ,developing
and supervising
Teams/individuals

Improving psychological
well-being and increased
awareness of Therapeutic
models
Assessing and managing
risk to self and others and
fulfilling demands of job role

PD/Self awareness and self management

skills and promoting pro social behaviour
through interpersonal engagement

Capability and the

‘contact hypothesis’
It always ends in ‘Tiers’
STAGE 1 (Basic) AWARENESS STAGE 2 (Trainer)
VLE
1 Introduction Introduction
1
2 Modules 1, 2 & 3

3 Midway review Midway review

3
4 Modules 4, 5 & 6

5
Final Review and Final Review and
Evaluation Evaluation 5

Structured Implementation
Facilitated and Embedding
Programmes
 The goals of the Undergraduate Framework are to:
• Challenge stigma through raising awareness and developing
empathic responses of frontline workers
• Highlight the interpersonal nature of working with PD
• Ensure informed and responsive leadership and management
• Develop improved interagency and interprofessional
collaboration
• Equip workers with the necessary knowledge and skills that
help assess and manage risk in relation to complex
presentations
• Develop an appreciation of the importance of effective team
work and staff support

Working with Personality Disorder:

Developing understanding and effectiveness
 60 credits L6 60 credits L6

Introduction to Intervening Effective teamwork and

effectively: Management, Supervision Developing
treatment and support Context sensitive approaches

40 credits L5 40 credits L5 40 credits L5

Responding effectively:
Responding to issues of
making sense of reactions
complexity and risk
and relationships
Facilitating positive
Change Working with
people and context

30 credits L4 30 credits L4 30 credits L4 30 credits L4

Developing a shared Challenges of PD: Personality disorder: Working positively with

Understanding of An interpersonal Across multiagency PD: Building lives
personality disorder perspective contexts challenging stigma

Awareness training with APEL Portal

Working with Personality Disorder:

Developing understanding and effectiveness
 The Masters Framework:
• Designed to meet the professional development needs of people
already working in the field who may have responsibilities in the
following areas
– Leading Services or service development
– Team Management and team consultation
– Developing research and evaluation
– Developing involvement and network strategies
• The principle aim is to provide training that will lead to an
effective improvement in service provision. This is most directly
achieved through practice based training and skill based
learning outcomes

Working with Personality Disorder

Extending expertise, enhancing practice
 MSc PD Services in Action: Improving Practice MSc
A further 60 Dissertation/Project A further 60
Credits L7 60 credits L7 Credits L7

20 credits L7 20 credits L7 20 credits L7

PG Dip PG Dip
A further 60 Leadership and Developing and Extending Consulting to Teams A further 60
Credits L7 service development Therapeutic Practice and Organisations Credits L7

20 credits L7 20 credits L7 20 credits L7

PG Cert Involvement strategies
Developing Facilitating Learning PG Cert
60 Credits L7
Developing links 60 Credits L7
research and audit About PD
and networks

Working with Personality Disorder

Extending expertise, enhancing practice
• A facilitated package of the awareness level modules:
– An online seven module programme designed with a
range of additional facilitated learning activities focused
on different contexts and professions

• A facilitated package of a train the trainers

programme:
– This programme will support students to develop the
foundation knowledge and understanding in relation to
personality at the same time as exploring their potential
role in facilitating others through the learning journey.

Facilitated Programmes
• The awareness level
modules are also supported
by a number of other online
activities including:
– Wikis: .
– Blogs: -
– Discussion Forums: -.
– ‘My Notes’: -.
– Online Resources: -

The Virtual Learning Environment

 Context Related Videos Characters
Forensic unit
Prison
Criminal Justice Community forensic service
Mark

CMHT
A&E
Health GP Surgery
Claire
Psychology – DBT

Housing unit
Housing office
Social Care Community Housing project
Shania

Context relevant Videos

 Trying to get an Visiting her CPN
appointment at the (Module 2)
GP surgery
(Module 1)

Living in a
Community
In supported
Residential Unit
accommodation
(Module 6)
(Module 4)

Foll owi ng Cl ai re‘ s Journey

Demonstrating some of the video
materials
Implementation!
 kathlovell@mac.com
neilfran@aol.com
Victoria.essler@nottshc.nhs.uk