An audit of PTSD at HMYOI Glen Parva

Dr Sunil Lad, C.Psychol.Principal Counselling Psychologist

Offender Health

HMYOI Glen ParvaO Holds up to 808, 18-21 year old men

in LeicestershireO Closed prisonO Service is based within the

secondary mental health teamO Remand and sentenced prisoners

Emerging Personality Difficulties

O High level:O self harmO impulsive behaviours O aggression and violence

AuditO Completed for cases between 2011-

2014 receiving support and interventions for experiencing traumatic events

O N= 42, O 56% of individuals presenting to

therapy for trauma related difficulties (total sample = 75).

Types of trauma

0

10

20Column1

In therapyO Young men grasp psycho-education

quicklyO Once distress is reduced they can

disengage from therapyO Grounding techniques are well

received and alleviates symptoms

ConsequencesO As a result of these problems

individuals often develop problems in relation to: O Substance misuseO High levels of paranoia in relation to

anxietyO Dissociation O High levels of impulsive aggression

AdaptationsO Difficult to tolerate an hourO Longer sessions on psycho-educationO Good time to intervene before

behaviours become ingrained and maladaptive

O Practice grounding techniques in session

Challenges and barriers to change

O High level of uncertainty and fear leads to increased violence

O Difficult to challenge in environment where bullying and aggression dominate

O Thus activating reminders of early experiences of violence

Acknowledgements

O Katherine Pinchbeck, Trainee Clinical Psychologist

O Haley Fong, Honorary Assistant Psychologist