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An extension of the Pathfinder service has allowed the development of an Assertive Case Management (ACM) function. The service undertakes gate-keeping responsibilities for referrals to high, medium and low secure and independent sector personality disorder placements. The ACM team works to monitor the care received by personality disordered offenders (PDOs) who access the NHS and independent sector hospitals for inpatient treatment by ensuring that they receive a standard and type of care that is appropriate to their specific needs and in line with current national guidelines and strategy.

The ACM team works to ensure that clear, high quality care pathways exist for this complex service user group. This means conducting independent assessments of patient's presentation, diagnosis and therapeutic needs, reviewing their care and supporting recommendations through consultation and liaison with service providers. It also means committing to the ongoing tracking and supervision of patients as they progress through their specific care pathways, monitoring the ongoing appropriateness of inpatient care, working to minimise length of stay in unhelpful therapeutic environments and expedite discharge to community care or the Criminal Justice System. The team also provides a quality assurance role for independent sector service providers by engaging in scoping evaluations and evaluating patient outcomes for these services.

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