Treatment Model

The treatment model


Treatment intervention on the Beacon is based upon attachment and trauma models of personality development and disorder and also recognises and is informed by bio-psycho-social models of the same.


The over-riding therapeutic framework for service delivery is Livesley’s (2012) phases of treatment which are aimed at facilitating gradual and progressive skill-building before entrenched patterns and difficulties are addressed. The appropriate treatment planning and sequencing is proposed as necessary to match an offender's needs at different stages of his recovery; thus the focus and intensity of interventions may change during the pathway and will be responsive to the individual. The promotion of social inclusion, hope and empowerment for change are central tenets of the recovery-based philosophy.


How do we do it?


The Beacon provides a programme of specific treatments following the structure outlined by Livesley (2012) (see below) that are founded on principles of therapeutic change and utilise specific treatment methods derived from evidence-based therapies such as cognitive analytical therapy, schema therapy, cognitive behavioural therapy, mentalisation and mindfulness therapy. In addition to the more psychologically-based treatment methods, a variety of other treatment interventions are provided including occupational therapy, creative therapy, nurse therapy and social work. All interventions offered are aimed at enhancing positive interpersonal relationships and functioning, reducing risk and improving psychological wellbeing.


Livesley’s (2012) phases of treatment:


  • establishing safety
  • containment of symptoms
  • regulation and control
  • exploration and change
  • integration and synthesis


How is it assessed?


Progress in treatment and therapy is reviewed through pathway meetings and staged review meetings. Pathway meetings take place monthly and focus on reviewing treatment goals as well as recognising positives and identifying any difficulties individuals may be experiencing. The staged review meetings take place at 3 months, 9 months, 18 months and 23 months involving all professionals within the individual’s core team alongside the offender manager. The meetings aim to get a more detailed understanding of an individual's risks, strengths, difficulties and the treatments most likely to be helpful to him as he progresses through the programme.