Together Wellbeing Pathway

The Together Wellbeing Pathway (TWP) is commissioned as a part of the Offender Personality Disorder (OPD) pathway in London.

Together Wellbeing Pathway

The OPD Pathway is part of the Integrated Community Service (ICS), managed by the London Pathways Partnership (LPP) and the National Probation Service (NPS). It is jointly funded, commissioned and delivered by HMPPS and NHS England.

The aim of the OPD Pathway is to improve the management of people who have offended and who are likely to meet the criteria for a diagnosis of personality disorder. The OPD Pathway takes place predominantly within the criminal justice system (CJS) and takes a Biopsychosocial approach. The four high level outcomes for the OPD pathway are:

  • Improved public protection
  • Improved psychological health, wellbeing, pro-social behaviour and relational outcomes
  • Improved competence, confidence and attitudes of staff working with people who have offended, and who are likely to meet the diagnostic criteria for ‘personality disorder’
  • Increased efficiency, cost effectiveness and quality of OPD pathway services

The TWP operates an integrated model of care and demonstrates effective communication methods, involving health, criminal justice and social care professionals, as well as non-statutory partners. The model is underpinned by the concept of relational security and a clear understanding of the importance of boundaries.

The TWP service supports people who identify as male and who are impacted by personality difficulties and are screened on the Offender Personality Disorder Pathway. The service focuses on men over the age of 18 and individuals from Black, Asian and Minority Ethnic backgrounds.

The support offered is independent, flexible, needs-led and highly individualised; aiming to help people who use the service increase their levels of overall engagement and improve their ability to form and maintain stronger relationships. The TWP service aims to support people for up to 12-18 months to:

  • Increase and sustain their engagement with support networks
  • Build stronger relationships (e.g. family, friends, community-based groups)

People using the service have the opportunity to access one or a combination of the following options of support concurrently or consecutively:

  1. The Forensic Mental Health Practitioner (FMHP) offers one-to-one emotional support sessions. These often involve low-Intensity CBT-based interventions, Motivational Interviewing and Brief Solution Focused Interventions.
  2. The Community Link Worker who supports with practical issues including accommodation and benefits, they also provide support accessing services including substance misuse, health, education and employment.

Enquiries

Referrers should email together.referrals.twp@nhs.net and include the OPD PAN London Referral form, a Level 2 or 3 Formulation (please note pro-forma is available) and the OASys with additional documents such as PSR/psych report if available.

Resources