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Key points:
I
The government’s policy of ensuring people
with personality disorders are treated as part
of core services in mental health and forensic
settings, with access to specialist
multidisciplinary personality disorder teams,
is welcomed.
I
Service developments that reflect this policy
would need the skills of clinical and forensic
psychologists as clinical leaders.
I
Staff in a wide range of health and social
care, education, criminal justice and
voluntary sector agencies require some level
of training to understand personality
disorders, ranging from basic awareness to
specialist training. 
I
Structured assessments are essential to
services treating individuals with the
problems of personality disorder.
I
Services should focus on formulating a
client’s needs and goals for treatment.
I
People with personality disorder need a
multidisciplinary and multiagency service.
I
Sharing of ideas and expertise between
psychologists in forensic and general mental
health services would enhance service
development.
I
Because personality disorders are a problem
that affects individuals across the lifecycle,
good communication between agencies is
essential at an early stage.
I
Clinical supervision of staff working with
individuals with personality disorders is
essential to maintain the emotional health of
staff. 
I
Good quality research is urgently needed to
inform service development.
I
User views should inform service development.