Impact Consultation service
The Impact pilot project in Camden & Islington is a joint NHS and Probation Service endeavour that aims to
enable and empower front line staff to work more effectively with offenders with personality disorder.. One way of
achieving this is to offer a consultation service to frontline staff at approved premises. The Impact consultation
model is based on three simple assumptions:
A person’s pattern of behaviour and way of relate to others, particularly if in response to
strong emotions, has the function of meeting their underlying primary needs, whether the
person is aware of it or not. For example, the need for autonomy, competence, importance,
dignity, choice, truth, trust, safety or connection with others. This is true of all people,
including those with personality disorder, it is just that their strategies for meeting these
needs over a long period of time have become persistant and problematic across many
areas of their life.
By adopting an individually tailored approach to working with the person, frontline staff can
start to respond to the underliying primary needs rather than just the surface-level
Frontline staff can facilitate alternative and healthier ways for the person to meet their
primary needs and by doing so will reduce the risk of harm to self and others in the longer-
The consultation service provides a facilitated ‘thinking space’ for frontline staff at the approved premises to
consider such issues and is a vehicle for understanding and working more effectively with this challenging client
group more generally. We hope the effect of this is that frontline staff will feel more confident, enabled and
empowered to work with offenders with PD and will gain a greater sense of optimism, reward and achievement
in the work that they do.
Impact consultation is not a….
replacement for existing operational management and decision-making processes
The project aims to enable and empower frontline staff rather than replace existing
management systems and protocols. Any suggested ideas for working with offenders from
consultation should be taken on an advisory basis and ultimately the decision-making
process should be led by the offender manager in collaboration with approved premises
staff and (where possible) the offender.
Following every consultation meeting, a summary is typed up in order to provide a helpful
reflection of the discussion. It is distributed only to those staff that attended the meeting
because it is for them to choose how they wish to use the reflection summaries in their own
work or learning. The reflection summaries are not a formal means of documenting an
offender risk management or treatment plan. The organisation will already have
documentation systems in place for this purpose, although frontline staff may wish to use
the reflection summaries as an aid to completing such documentation.
For further details contact Stuart John Chuan (Forensic Psychologist - firstname.lastname@example.org; 07810
855661) or Sarah Simons (Probation Officer - email@example.com; 020 7014 9855)