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The Impact on Staff of Working with Personality Disordered Offenders: A Systematic Review.

Freestone MC, Wilson K, Jones R, Mikton C, Milsom S, Sonigra K, Taylor C, Campbell C - PLoS ONE (2015)

Bottom Line: This study aimed to provide an overview of studies examining the impact on staff of working with PDOs, identify impact areas associated with working with PDOs, identify gaps in existing research,and direct future research efforts.Studies identified negative impacts upon staff including: negative attitudes, burnout, stress, negative counter-transferential experiences; two studies found positive impacts of job excitement and satisfaction, and the evidence related to perceived risk of violence from PDOs was equivocal.The overall level of identified evidence was low: 23 studies (85%) were descriptive only, and only one adequately powered cohort study was found.

View Article: PubMed Central - PubMed

Affiliation: East London NHS Foundation Trust, London, United Kingdom; Queen Mary University of London, London, United Kingdom.

ABSTRACT

Background: Personality disordered offenders (PDOs) are generally considered difficult to manage and to have a negative impact on staff working with them.

Aims: This study aimed to provide an overview of studies examining the impact on staff of working with PDOs, identify impact areas associated with working with PDOs, identify gaps in existing research,and direct future research efforts.

Methods: The authors conducted a systematic review of the English-language literature from 1964-2014 across 20 databases in the medical and social sciences.

Results: 27 papers were included in the review. Studies identified negative impacts upon staff including: negative attitudes, burnout, stress, negative counter-transferential experiences; two studies found positive impacts of job excitement and satisfaction, and the evidence related to perceived risk of violence from PDOs was equivocal. Studies demonstrated considerable heterogeneity and meta-analysis was not possible. The overall level of identified evidence was low: 23 studies (85%) were descriptive only, and only one adequately powered cohort study was found.

Conclusions: The review identified a significant amount of descriptive literature, but only one cohort study and no trials or previous systematic reviews of literatures. Clinicians and managers working with PDOs should be aware of the potential impacts identified, but there is an urgent need for further research focusing on the robust evaluation of interventions to minimise harm to staff working with offenders who suffer from personality disorder.

No MeSH data available.


Related in: MedlinePlus

PRISMA Flow chart for selection of studies included in the systematic review.
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pone.0136378.g001: PRISMA Flow chart for selection of studies included in the systematic review.

Mentions: Initial searches of electronic databases generated 988 possible articles, which were then reviewed for relevance. Eventually 27 articles were deemed of sufficient relevance and selected for data extraction (Fig 1). A full summary list of these studies is given in Table 2.


The Impact on Staff of Working with Personality Disordered Offenders: A Systematic Review.

Freestone MC, Wilson K, Jones R, Mikton C, Milsom S, Sonigra K, Taylor C, Campbell C - PLoS ONE (2015)

PRISMA Flow chart for selection of studies included in the systematic review.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4549262&req=5

pone.0136378.g001: PRISMA Flow chart for selection of studies included in the systematic review.
Mentions: Initial searches of electronic databases generated 988 possible articles, which were then reviewed for relevance. Eventually 27 articles were deemed of sufficient relevance and selected for data extraction (Fig 1). A full summary list of these studies is given in Table 2.

Bottom Line: This study aimed to provide an overview of studies examining the impact on staff of working with PDOs, identify impact areas associated with working with PDOs, identify gaps in existing research,and direct future research efforts.Studies identified negative impacts upon staff including: negative attitudes, burnout, stress, negative counter-transferential experiences; two studies found positive impacts of job excitement and satisfaction, and the evidence related to perceived risk of violence from PDOs was equivocal.The overall level of identified evidence was low: 23 studies (85%) were descriptive only, and only one adequately powered cohort study was found.

View Article: PubMed Central - PubMed

Affiliation: East London NHS Foundation Trust, London, United Kingdom; Queen Mary University of London, London, United Kingdom.

ABSTRACT

Background: Personality disordered offenders (PDOs) are generally considered difficult to manage and to have a negative impact on staff working with them.

Aims: This study aimed to provide an overview of studies examining the impact on staff of working with PDOs, identify impact areas associated with working with PDOs, identify gaps in existing research,and direct future research efforts.

Methods: The authors conducted a systematic review of the English-language literature from 1964-2014 across 20 databases in the medical and social sciences.

Results: 27 papers were included in the review. Studies identified negative impacts upon staff including: negative attitudes, burnout, stress, negative counter-transferential experiences; two studies found positive impacts of job excitement and satisfaction, and the evidence related to perceived risk of violence from PDOs was equivocal. Studies demonstrated considerable heterogeneity and meta-analysis was not possible. The overall level of identified evidence was low: 23 studies (85%) were descriptive only, and only one adequately powered cohort study was found.

Conclusions: The review identified a significant amount of descriptive literature, but only one cohort study and no trials or previous systematic reviews of literatures. Clinicians and managers working with PDOs should be aware of the potential impacts identified, but there is an urgent need for further research focusing on the robust evaluation of interventions to minimise harm to staff working with offenders who suffer from personality disorder.

No MeSH data available.


Related in: MedlinePlus