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Quick reference guide


Issue date: January 2009

Antisocial personality disorder
Treatment, management and prevention




NICE clinical guideline 77
Developed by the National Collaborating Centre for Mental Health

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Antisocial personality disorder




About this booklet
This is a quick reference guide that summarises the recommendations NICE has made to the NHS in
'Antisocial personality disorder: treatment, management and prevention' (NICE clinical guideline 77).

Who should read this booklet?
This quick reference guide is for healthcare professionals and others involved…

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Antisocial personality disorder Contents




Contents
Definitions of terms used in this guideline 4

Key priorities for implementation 5

Person-centred care 6

General principles of care 7

Prevention of antisocial personality disorder ­ 9
working with children and young people and
their families

Assessment and risk management 14

Treatment of antisocial…

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Definitions of terms used in
Antisocial personality disorder this guideline




Definitions of terms used in this guideline
Anger control: usually offered to children who are aggressive at school, anger control includes a
number of cognitive and behavioural techniques similar to cognitive problem-solving skills training
(see below).
Brief strategic family therapy:…

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Antisocial personality disorder Key priorities for implementation




Key priorities for implementation

Developing an optimistic and trusting relationship
Staff working with people with antisocial personality disorder should recognise that a positive and
rewarding approach is more likely to be successful than a punitive approach in engaging and
retaining people in treatment.…

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Antisocial personality disorder Key priorities for implementation




Multi-agency care
Provision of services for people with antisocial personality disorder often involves significant
inter-agency working. Therefore, services should ensure that there are clear pathways for people
with antisocial personality disorder so that the most effective multi-agency care is provided.
These pathways should:…

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Antisocial personality disorder General principles of care




General principles of care
Access and assessment
People with antisocial personality disorder should not be excluded from any health or social care
service because of their diagnosis or history of antisocial or offending behaviour.
Seek to minimise any disruption to therapeutic interventions for…

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Antisocial personality disorder General principles of care




Staff providing interventions for people with antisocial personality disorder with learning or physical
disabilities or acquired cognitive impairments should, where possible, provide the same interventions
as for other people with antisocial personality disorder. Staff might need to consider adjusting the
method of delivery…

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Prevention of antisocial
Antisocial personality disorder personality disorder




Prevention of antisocial personality disorder ­ working
with children and young people and their families
General principles
Child and adolescent mental health service (CAMHS) professionals working with young people should:
­ balance their developing autonomy and capacity with the responsibilities of parents…

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10
Interventions for children at risk of developing, or who have, conduct problems

Target population Intervention type Intervention should:

Parents of pre-school Consider early interventions including: Usually be provided by health and social care professionals
children at high risk non-maternal care (such as well-staffed over 6­12 months.
of developing nursery…

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