Connell, Catriona, McKay , Elizabeth A. , Furtado, Vivek and Singh, Swaran P. (2019) People with severe problematic personality traits and offending histories : what influences occupational participation? European Psychiatry, 60 . pp. 14-19. doi:10.1016/j.eurpsy.2019.05.002 ISSN 0924-9338.
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Abstract
Background
Occupational participation is important for personality disordered offenders (PDOs) because it is integral to health and desistance from offending. What influences occupational participation is unknown for PDOs in the community, limiting effective intervention to affect change. In England and Wales, the Offender Personality Disorder Pathway aims to improve outcomes for people considered highly likely to have a severe personality disorder and who present a high risk of reoffending, who are determined to be PDOs on the basis of a structured assessment. This study identified the influencers of occupational participation for the population who receive this service.
Method
In this critical realist, qualitative study, narrative interviews were conducted with 18 PDOs supervised by probation in England. Transcripts were analyzed using a grounded theory approach to establish influencers of occupational participation.
Results
Four themes describe influencers of occupational participation: function of occupations; influence of the past; external forces; and learning and adaptation. The latter theme reflected understandings of occupational adaptation described by the Model of Human Occupation.
Conclusions
An intervention to increase prosocial occupational participation should be developed and evaluated for PDOs in the community, taking account of occupational participation over the life course.
| Item Type: | Journal Article |
|---|---|
| Subjects: | H Social Sciences > HN Social history and conditions. Social problems. Social reform R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine R Medicine > RC Internal medicine |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Personality disorders, Personality disorders -- Patients, Forensic psychiatry , Quality of life |
| Journal or Publication Title: | European Psychiatry |
| Publisher: | Elsevier |
| ISSN: | 0924-9338 |
| Official Date: | August 2019 |
| Dates: | Date Event August 2019 Published 14 May 2019 Available 5 May 2019 Accepted |
| Volume: | 60 |
| Page Range: | pp. 14-19 |
| DOI: | 10.1016/j.eurpsy.2019.05.002 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Date of first compliant deposit: | 10 June 2019 |
| Date of first compliant Open Access: | 14 May 2020 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID |
| URI: | https://wrap.warwick.ac.uk/117642/ |
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