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The Royal College of Psychiatrists Improving the lives of people with mental illness

Antisocial Personality Disorder: The NICE Guideline on Treatment, Management and Prevention

National Collaborating Centre for Mental Health (NCCMH)

Price: £35.00

College members' price: £31.50

Published: Jan 2010

Format: Paperback + free CD-ROM

Number of pages: 360

ISBN: 9781854334787

Antisocial Personality Disorder: The NICE Guideline on Treatment, Management and Prevention

The NICE guideline takes the first comprehensive view of antisocial personality disorder and is an invaluable resource to enable professionals to improve the outcomes for people with the disorder, who often have significant impairments. Being able to prevent and properly manage antisocial personality disorder will also have considerable social implications.


This publication brings together all of the evidence that led to the recommendations in the NICE guideline, and draws on a wide literature, including evidence for the management of offending behaviour. It includes a review of interventions in children and young people with conduct disorder, which may prevent the development of antisocial personality disorder; risk assessment and management; organisation and experience of care; and a range of interventions for adults with antisocial personality disorder, including psychological interventions, treatment for comorbid disorders, therapeutic communities and pharmacological interventions. The book also contains a useful overview of antisocial personality disorder, including ethical considerations.

Also see the 'sister' NICE guideline: Borderline Personality Disorder

List of the other NICE mental health guidelines

"We need to change our views about antisocial personality disorder.  From being the ultimate diagnosis of exclusion to a condition requiring informed sympathetic management is a great leap.  This guideline is one of the first to plot the way forward, and although we have far to go the path ahead is clear."
- Peter Tyrer, Professor of Community Psychiatry, Imperial College, London.

NICE Mental Health Guidelines

These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.

The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches.

The accompanying free CD-ROM contains all the data used as evidence, including:

  • Included and excluded studies.
  • Profile tables that summarise both the quality of the evidence and the results of the evidence synthesis.
  • All meta-analytical data, presented as forest plots.
  • Detailed information about how to use and interpret forest plots.

Full Contents

1. Preface

1.1       National guidelines

1.2       The national antisocial personality disorder guideline


2. Antisocial personality disorder

2.1       Introduction

2.2       The disorder

2.3       Aetiology

2.4       Presentation in healthcare and other settings

2.5       Use of health service resources and other costs

2.6       Treatment and management in the NHS

2.7       The Dangerous and Severe Personality Disorder (DSPD) initiative

2.8       The organisation and coordination of treatment and care

2.9       Assessment

2.10     Ethical considerations in antisocial personality disorder


3. Method used to develop this guideline

3.1       Overview

3.2       The scope

3.3       The Guideline Development Group

3.4       Clinical questions

3.5       Systematic clinical literature review

3.6       Health economics methods

3.7       Stakeholder contributions

3.8       Validation of the guideline


4. Organisation and experience of care

4.1       Introduction

4.2       Organisation and delivery of care

4.3       Training, supervision and support

4.4       Service user experience of care and services

4.5       Carer experience

4.6       Overall summary


5. Interventions in children and adolescents for the prevention of antisocial personality disorder

5.1       Introduction

5.2       Risk factors

5.3       Early interventions

5.4       Interventions for children with conduct problems

5.5       Coordination of care


6. Risk assessment and management

6.1       Introduction

6.2       Assessment of violence risk

6.3       Risk management


7. Interventions for people with antisocial personality disorder and associated symptoms and behaviours

7.1       Introduction

7.2       Psychological interventions for antisocial personality disorder

7.3       Treatment of comorbid disorders in people with antisocial personality disorder

7.4       Therapeutic community interventions for people with antisocial personality disorder and associated symptoms and behaviours

7.5       Pharmacological interventions for antisocial personality disorder


8. Appendices


9. References

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