Changes in Personality Disorder Traits Following 2 Years of Treatment in a Secure Therapeutic Community Milieu

摘要

Therapeutic community treatment models have not previously been applied to forensic patients with mild intellectual disabilities (IDs) with a comorbid diagnosis of personality disorder. Thirteen patients with mild IDs were allocated to a unit within a high secure psychiatric service operating a model of treatment based on the principles and practices of therapeutic communities. After 2 years, 9 patients remained in treatment. Self-rated personality disorder traits, maladaptive schema relating to personality disorder, and clinician-rated psychopathy were measured at start of treatment and after 2 years. Seclusion hours were measured for 6 months before treatment and during the 2 years of treatment.