Antisocial Personality Disorder: The NICE Guideline on Treatment, Management and Prevention
National Collaborating Centre for Mental Health (NCCMH)
The NICE guideline takes the
first comprehensive view of antisocial personality disorder and is
an invaluable resource to enable professionals to improve the
outcomes for people with the disorder, who often have significant
impairments. Being able to prevent and properly manage antisocial
personality disorder will also have considerable social
implications.
This publication brings together all of the
evidence that led to the recommendations in the NICE guideline, and
draws on a wide literature, including evidence for the management
of offending behaviour. It includes a review of interventions in
children and young people with conduct disorder, which may prevent
the development of antisocial personality disorder; risk assessment
and management; organisation and experience of care; and a range of
interventions for adults with antisocial personality disorder,
including psychological interventions, treatment for comorbid
disorders, therapeutic communities and pharmacological
interventions. The book also contains a useful overview of
antisocial personality disorder, including ethical
considerations.
Also see the 'sister' NICE guideline: Borderline Personality Disorder
List of the other NICE mental health
guidelines
"We need to change our views about antisocial personality
disorder. From being the ultimate diagnosis of exclusion to a
condition requiring informed sympathetic management is a great
leap. This guideline is one of the first to plot the way
forward, and although we have far to go the path ahead is
clear."
-
Peter Tyrer, Professor of Community Psychiatry,
Imperial College, London.
NICE Mental Health Guidelines
These guidelines from NICE set out clear
recommendations, based on the best available evidence, for health
care professionals on how to work with and implement physical,
psychological and service-level interventions for people with
various mental health conditions.
The book contains the full guidelines that cannot be obtained
in print anywhere else. It brings together all of the evidence that
led to the recommendations made, detailed explanations of the
methodology behind their preparation, plus an overview of the
condition covering detection, diagnosis and assessment, and the
full range of treatment and care approaches.
The accompanying free CD-ROM contains all the data used as
evidence, including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Full Contents
1. Preface
1.1
National guidelines
1.2 The
national antisocial personality disorder guideline
2. Antisocial personality
disorder
2.1
Introduction
2.2 The
disorder
2.3
Aetiology
2.4
Presentation in healthcare and other settings
2.5 Use of
health service resources and other costs
2.6
Treatment and management in the NHS
2.7 The
Dangerous and Severe Personality Disorder (DSPD) initiative
2.8 The
organisation and coordination of treatment and care
2.9
Assessment
2.10 Ethical
considerations in antisocial personality disorder
3. Method used to develop this
guideline
3.1
Overview
3.2 The
scope
3.3 The
Guideline Development Group
3.4
Clinical questions
3.5
Systematic clinical literature review
3.6 Health
economics methods
3.7
Stakeholder contributions
3.8
Validation of the guideline
4. Organisation and experience of
care
4.1
Introduction
4.2
Organisation and delivery of care
4.3
Training, supervision and support
4.4
Service user experience of care and services
4.5 Carer
experience
4.6
Overall summary
5. Interventions in children and
adolescents for the prevention of antisocial personality
disorder
5.1
Introduction
5.2 Risk
factors
5.3 Early
interventions
5.4
Interventions for children with conduct problems
5.5
Coordination of care
6. Risk assessment and
management
6.1
Introduction
6.2
Assessment of violence risk
6.3 Risk
management
7. Interventions for people with
antisocial personality disorder and associated symptoms and
behaviours
7.1
Introduction
7.2
Psychological interventions for antisocial personality disorder
7.3
Treatment of comorbid disorders in people with antisocial
personality disorder
7.4
Therapeutic community interventions for people with antisocial
personality disorder and associated symptoms and behaviours
7.5
Pharmacological interventions for antisocial personality
disorder
8. Appendices
9. References