History & Pathways | London Pathways Partnership

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History & Pathways

Introduction

The London Pathways Partnership (LPP) brings together four mental health trusts, all of whom have a longstanding history and recognised expertise, in delivering effective psychological approaches to complex high risk offenders. The partners include:

  • Oxleas NHS Foundation Trust
  • East London NHS Foundation Trust
  • South London & Maudsley NHS Foundation Trust
  • Barnet, Enfield & Haringey Mental Health Trust

We work together in partnership to design and deliver services across London and south England in line with the Offender Personality Disorder Pathway specification (NOMS & NHS England). Our aim is to develop services which are easily accessible and responsive to need, and which deliver high quality but value for money interventions which support both service users and staff.

See below to learn more about each service, many of which also have information for referrers available in the download section.

Aylesbury
The HMYOI Aylesbury Pathways Service has been designed for high risk young offenders aged 18-21, with signs of an emerging personality disorder. The service offers a range of activities to help young men progress through their sentence and addressing their needs in an individual way. It is particularly aimed at those who are not able to (for various reasons) access the normal services already available in the prison due to their emotional or behavioural difficulties

The service provides an outreach component which provides preparatory and engagement work for young men who may not be ready to engage in longer term intervention, or who have completed intensive intervention and now require less intensive support. There are also 20 treatment places in the Intervention Service (IS), which provides more intensive and individualised treatment for prisoners with 12 months or more left to serve. The Pathways service is also supporting the prison to establish Enabling Environments within two prison wings through the provision of a range of supportive activities, including key work, structured and creative groups.

Belmarsh
The London Pathways Progression Unit (LPPU) at HMP Belmarsh is a service for men from London with personality difficulties and histories of violence who are ‘stuck’ in their sentences or at risk of further offending on release. The Unit accepts men from all security categories who have a realistic prospect of a progressive move within two years. The Unit has its own prison staff, all of whom have volunteered for the role and have received special training. Officers and clinical staff (mainly psychological therapists) work alongside each other to build relationships with prisoners and develop an understanding of each individual’s strengths, difficulties and progression needs. Regular sessions with a keyworker (personal officer) and psychological therapist are central to the work. We also run a range of courses and activities to assist men in progressing through their sentence and preparing for life in the community. The Unit is integrated into the rest of the prison, and most men go to work and access available courses in the wider prison.

We have close links with the community, including probation, health services and third sector/charitable agencies. We aim to help men to build relationships with supportive friends, family members and professionals during their time on the Unit. Each prisoner’s offender manager visits the Unit regularly and we offer additional and supported family visits to help men maintain and develop their family roles and relationships.

Swaleside
The Pathways Service at HMP Swaleside is for men with personality difficulties and histories of violence who are ‘stuck’ in their sentences or at risk of further offending on release. The Pathways Service is a PIPE (a Psychologically Informed Planned Environment) which is based on one of the prison wings.

The Pathways PIPE currently has two elements – an Engagement service for 30 men and a Treatment service for up to 30 men. The Engagement service accepts men who have emotional and behavioural problems which make it difficult for them to settle in prison and begin working on their sentence plans. The Treatment service is for men who are more settled and ready to participate in psychological treatment for the kinds of interpersonal, behavioural and emotional difficulties men with personality disorder may experience. The emphasis in both elements of the service is on developing supportive relationship with the men and helping them to progress in their sentence plans. We hope to help prepare them for eventual release to a safe and meaningful life in the community.

The prison and clinical staff on the Pathways PIPE work closely together, and the prison staff, who have all volunteered to work on Pathways, receive special training for their role. We aim to build relationships with the men on the Pathways PIPE and develop an understanding of each person’s strengths, difficulties and progression needs. Each person on our service has a keyworker (personal officer) who regularly meets with them. We also offer a range of courses and activities to assist men in progressing through their sentence. These include workshops to address specific difficulties, social and creative activities to enhance self-esteem and build interpersonal skills, and third sector activities such as theatre workshops, musical and animation projects and urban art.

We have close links with the community, including probation, health services and third sector/charitable agencies. We aim to help men to build relationships with supportive friends, family members and professionals during their time on the Pathways PIPE. We encourage each prisoner’s offender manager to visit the service regularly and we offer supported family visits to help men maintain and develop their family roles and relationships.

LPP community pathway
The Community Pathways Service is part of the Offender Personality Disorder pathway implementation plan.

The Community Pathways model is a joint operation between the National Probation Service (NPS) London Division and the London Pathways Partnership. Psychological therapists and Specialist Probation Officers work together across all London NPS Local Delivery Units to deliver the Pathways model. The model which comprises a three-tiered intervention of training, consultation and time-limited co-working of complex cases. Specific tasks include screening for personality disorder, formulating complex cases, agreeing treatment and intervention strategies, allocating pathways through custody, risk management planning for the community and strategies for motivation and engagement. Direct co-working of offenders is reserved for the highest level of risk and complexity; typically involving assessment, brief interventions to enhance motivation and insight via shared formulations, referrals to treatment services and strategies for risk management.

The community pathway has three partners who enable us to offer an enhanced service:

  • Women in Prison provide a case management service for 15 women offenders who are identified as part of the offender personality disorder pathway in London
  • First Step Trust provide work experience for a small number of individuals who otherwise would be excluded from mainstream employment services/li>
  • SOVA Support Link provide a volunteer-led support service for around 50 individuals in London, including those leaving prison at their sentence end.

Further details for these services can be found in our downloads section