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Advances in Psychiatric Treatment (2003) 9: 349-358
© 2003 The Royal College of Psychiatrists

Dangerous severe personality disorder

Adrian Feeney

Adrian Feeney is a specialist registrar on the South West forensic rotation, presently working at Fromeside Clinic (Blackberry Hill Hospital, Manor Road, Fishponds, Bristol BS16 2EW, UK. Tel: 0117 958 3678; fax: 0117 958 5477; e-mail: Adrian.Feeney{at}awp.nhs.uk). His clinical interests include mental health law and substance misuse.

The Draft Mental Health Bill was published in June 2002 and was widely criticised. There were particular concerns regarding the possible detention of those with personality disorders solely for the protection of the general public. Subsequently the Draft Bill was omitted from the Queen’s speech in November 2002. The Department of Health has stated that it intends to push for the Bill’s inclusion in the next Parliamentary year. This review attempts to summarise the present situation so as to inform the debate. It considers the relationship between personality disorder and risk, with examination of treatment models and the existing and proposed mental health legislation.




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