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Service provision for men with antisocial personality disorder who make contact with mental health services
Author(s) -
Crawford Mike J.,
Sahib Layth,
Bratton Helen,
Tyrer Peter,
Davidson Kate
Publication year - 2009
Publication title -
personality and mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 22
eISSN - 1932-863X
pISSN - 1932-8621
DOI - 10.1002/pmh.85
Subject(s) - antisocial personality disorder , mental health , psychiatry , anxiety , psychology , personality , personality disorders , clinical psychology , medicine , poison control , medical emergency , injury prevention , social psychology
Concerns have been raised about the quality of health services for people with antisocial personality disorder (ASPD). As part of a randomized trial of cognitive behaviour therapy for men with ASPD, we collected prospective data on service utilization over a 12‐month period. Among the 52 men that participated, 96% had evidence of anxiety disorder and 64% met criteria for probable alcohol misuse. Almost half the sample presented to emergency medical services and 21% were admitted to a mental health inpatient unit during the following year. Despite this, only 11 (21%) were provided with follow‐up care from mental health services. Levels of alcohol and drug misuse were lower among those that were given follow‐up (27.3% compared with 63.4%, p < 0.05). Although services for people with personality disorder in Britain have expanded, most men with ASPD do not receive follow‐up care from mental health services. Copyright © 2009 John Wiley & Sons, Ltd.
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