The Offender Personality Disorder Pathway

Multi-method Evaluation of the Management, Organisation and
Staffing (MEMOS) in high security treatment services for people with Dangerous and Severe Personality Disorder (DSPD) (October 2010)

Mental disorder and offending:

  • Men with a diagnosis of schizophrenia are between 4 and 8 times
    more likely to commit a violent offence
  • For women it is between 3 – 23x more likely
  • The link between schizophrenia and sexual offending is unclear
  • Some evidence that affective disorders are linked to violence
    particularly bipolar disorder; unclear for sexual offending
  • People diagnosed with ‘personality disorder’ are more likely to
    reoffend after hospital discharge than people with mental illness
  • People diagnosed with ‘personality disorder’ are more likely to
    commit violence, and the prevalence rate of ‘personality disorder’
    is higher in people who have committed sexual offences (causality
    not inferred)
  • Anti-social, borderline and narcissistic and histrionic personality
    disorders are most prevalent….

HM Prison & Probation Service

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