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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 in the care of people
with antisocial personality disorder.…read more

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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 personality disorder and 16
related and comorbid conditions
Psychopathy and dangerous and severe 18
personality disorder
Organisation and planning of services 19
Staff training, supervision and support 20
Implementation tools 21
Further information 22
Introduction…read more

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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: an intervention that is systemic in focus and is influenced by other
approaches such as structural/systemic family therapy.…read more

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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.…read more

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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:
­ specify the various interventions that are available at each point
­ enable effective communication among clinicians and organisations at all points and provide
the means to resolve differences and disagreements.…read more

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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.…read more

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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 or duration of the intervention to take account of the disability or impairment.…read more

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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 and carers
­ be familiar with the legal framework that applies to young people, including the Mental Capacity
Act, the Children Acts and the Mental Health Act.…read more

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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 care) for children younger than Consist of well-structured, manualised programmes
conduct problems 1 year that are closely adhered to.…read more

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