experienced adverse
childhood events including
disruptions to their attachments, trauma, death
of a parent, and so on, and to have difficulties
integrating with their peers both as adults and
children. Their problems are likely to be long
term and cyclical leading to chronic and/or
repeated presentations
to agencies throughout
their lives. These individuals are likely to come
into contact with many health, social care,
voluntary, or criminal justice agencies. In order to
provide effective interventions for these
individuals, it is necessary to consider an all-
embracing approach
to identifying the potential
for personality disorders and acting to promote
positive change at the earliest opportunity. This
would require good communication between
education, health and social services for children.
Children identified as at risk of developing a
personality disorder would need to access early
intervention services, which could include family
based interventions
to help parents rectify any
difficulties with their parenting that may be
exacerbating the situation. This approach would
be consistent with recent changes to the children
at risk services (Department of Health, 2004).
There is also a need to provide a seamless
transition between services that meet the needs
of the client
at each stage in their lives, moving
through services for children to adolescent
services to adult services to services for older
adults. Many of these services exist within current
service provision but do not routinely
communicate. Communication has been a long-
term problem in health and social care (Laming,
2003). There is
no simple solution to this
problem but specialist personality disorder teams
providing input across the life cycle could act as a
central point of contact for all agencies and
promote multi-agency treatment as the norm for
this client group.
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