Wolverhampton Forensic Liaison Scheme
The Forensic Mental Health Liaison Scheme (WFLS) is a partnership with the Black Country Partnership NHS Foundation Trust.
The partnership facilitates and co-ordinates secondary and tertiary care for mentally disordered offenders and other forensic service users from the Wolverhampton area.
The multi-disciplinary team from MPFT is based at the Hatherton Centre, medium secure unit and consists of a consultant forensic psychiatrist, consultant forensic nurse and a consultant forensic and clinical psychologist. They provide input to Wolverhampton on a weekly basis.
Trainees/students from the disciplines also attend the meeting as part of their training programme.
Members of both services work together as a mulit-professional clinical team.
Referral to the scheme will normally be the responsibility of the responsible clinician or care co-ordinator and the individual will normally have a current or past history of violent offending behaviour and are presenting with complex risk management issues.
There will often already be multi-agency involvement/input, such as Probation, MAPPA and MARAC. Referrals are made to the scheme co-ordinator who works for the Black Country Partnership NHS Foundation Trust. The Hatherton centre provides specialist advice and support. Clinical responsibility for their care remains with the local services when they are resident in Wolverhampton.
Service users admitted to the Hatherton Centre are the clinical responsibility of the Hatherton Centre Team throughout their stay with us (this is the same clinical team which provides input into WFLS).
For further information on the service please contact:
Samantha Mason, Advanced Nurse Practitioner, on 0300 790 7000
Dr. I Ray, Consultant Forensic Psychiatrist, on 0300 790 7000
Shropshire Forensic Liaison Scheme
The Shropshire Forensic Liaison Scheme (SFLS) is operated by the members of the Shropshire Forensic Mental Health Team. The scheme aims to serve local clinicians in Shropshire and Telford & Wrekin using a liaison model, tailored to meet the needs of the more rural and geographically dispersed community. The scheme provides specialist multi-disciplinary forensic advice to colleagues working with service users who may pose a risk of harm to others.
The SFLS aims to:
- Ensure effective clinical consultation and liaison over the care of people with mental health difficulties who have offended or who present risks to others, no matter where they may be located.
- Facilitate effective early involvement of the forensic services and increase the effectiveness of risk management plans.
- Ensure appropriate dissemination of clinical information according to the principles and practice of the Care Programme Approach.
- Facilitate mutual learning and development through collaborative working between specialised forensic and local mental health services.
- Share best practice between the liaison scheme locally and nationally.
- Promote well informed, effective rewarding working relationships.
- Ensure that the limited resources available are used to the maximum advantage.
The SFLS consists of:
- Consultant Clinical Psychologist
- Senior Social Worker
- Senior Forensic Nurse
- Senior Occupational Therapist
- Consultant Forensic Psychiatrist
- Key stakeholders
- Service users
- Families and carers
- Local adult mental health services
- Court diversion & liaison teams
- Ministry of Justice
- Probation services
- Prison services
To make a referral
Please contact the team secretary via email or telephone (see details below). A written referral can be made providing details of the service user concerned and a brief description of what assistance/advice you are seeking. Upon receipt of the referral, the team secretary will arrange an appointment for you to attend the SFLS which meets regularly at the Clee meeting room, The Redwoods Centre, Shrewsbury, between 09:30 and 12:30 every Wednesday. Appointments are 45 minutes.
If you need to speak to a clinician urgently please contact the team secretary on 01743 210116 (Monday to Friday 9-5pm).
Shropshire Forensic Liaison Scheme contact information
Dr Chris Davis
Low Secure Services
Offender Personality Disorder Pathway Projects
The Forensic Mental Health Directorate is currently delivering four new, innovative partnership projects in the region, working with National Probation Service partners:
- Two Personality Disorder (PD) Community Specification Projects in South Staffordshire and in West Mercia areas;
- Mentalisation Based Treatment (MBT) service for male offenders with a diagnosis of anti-social personality disorder (ASPD) in South Staffordshire;
- Psychologically Informed Planned Environment (PIPE) at Crowley House, Approved Premises for women in Birmingham.
The projects form part of the new Offender Personality Disorder Pathway, which represents a new approach to working with offenders who have severe personality disorders. This national initiative was launched following the 2011 consultation led by the Department of Health and the Ministry of Justice, which led to an implementation plan for re-investment of resources available through a re-configuration of the dangerous and severe personality disorder programme.
The target population for the pathway is male offenders who are likely to have a severe personality disorder and who have been assessed as presenting a high likelihood of violent or sexual offence repetition and a high or very high risk of serious harm to others. For female offenders the target population is defined as those with a current offence of violence and who have been assessed as presenting a high risk of committing another serious offence.
Development of an understanding of a clinically justifiable link between the traits associated with personality disorder and the identified risk, and formulation of appropriate treatment and management plans informed by this understanding, are central tenets of the pathway.
The PD Community Specification Projects
The two PD Community Specification projects are delivered in South Staffordshire and in West Mercia areas (i.e. formerly National Probation Trusts). The projects were amongst the first wave of initiatives and launched in 2013. In each area the specialist services are delivered by a consultant applied psychologist, employed by SSSFT, working closely with a dedicated probation officer, to provide a high quality service embedded within local probation teams.
Key objectives of the project are: to support the identification of offenders with personality disorder through caseload screening methods; to deliver case consultations with probation officers and develop case formulations in relation to offenders; and to deliver training for probation staff in relation to the needs of this group of offenders.
Both projects have been fully operational since summer 2013. The initial period of funding was identified until the end of March 2015 and our National Probation Service partners have recently confirmed this will be extended for 2015-2016.
The Mentalisation Based Treatment (MBT-ASPD) service
The MBT-ASPD service in South Staffordshire is one of 11 pilot sites in a national project to implement and evaluate the efficacy of this treatment approach for male offenders with a diagnosis of anti-social personality disorder (ASPD) who are in the community and subject to supervision by probation services. The MBT-ASPD project, coordinated by the Tavistock and Portman NHS Foundation Trust, is one of the more recent developments of the integrated Offender Personality Disorder Pathways Strategy, commencing in May 2014.
MBT-ASPD participants attend weekly group therapy session and in addition receive monthly individual therapy sessions with an allocated therapist. A dedicated clinical team of 3 therapists has been recruited to work one day a week, led by the Consultant Forensic Psychologist currently in post (and successfully delivering the PD community specification in South Staffordshire), with additional support provided by an Assistant Psychologist and a Consultant Forensic Psychiatrist. All members of the team have attended training in MBT-ASPD delivered by the Anna Freud Centre.
The MBT-ASPD service commenced delivery of the group therapy in September 2014.
The Psychologically Informed Planned Environment (PIPE) service
The PIPE project is located at Crowley House, Approved Premises for women in Birmingham, which takes women on community sentences or on licence upon release from custody.
PIPEs are specifically designed environments, operating in Prisons and in Probation Approved Premises, where staff members have additional training to help them develop an increased psychosocial understanding of their work. The approach enables staff to create an enhanced safe and supportive environment, which can facilitate the development of those who live there. They are designed to have a particular focus on the environment in which they operate; actively recognising the importance and quality of relationships and interactions. They aim to maximise learning opportunities within 'ordinary' living experiences and to approach these in a psychologically informed way, paying attention to interpersonal difficulties, for example those issues that might be linked to personality disorder.
The PIPE model at Crowley House is delivered by a psychologist and supported by a part-time assistant psychologist, working alongside the Crowley House staff team to deliver the key elements of the PIPE Operating Model. Key elements include: supporting an 'Enabling Environment' accreditation; provision of staff training and development; coordination and provision of structured sessions for residents, including socially creative sessions and key worker sessions; and implementation of high quality clinical supervision.
The project commenced in July 2014.
Dr Chris Davis
Low Secure Services
Shropshire SY3 8DS