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Dangerous and severe personality disorder and in need of treatment

Monash University, Clayton and Victorian Institute of Forensic Mental Health, Thomas Embling Hospital, Locked Bag 10, Fairfield, Victoria 3078, Australia. Tel: +61 3 9495 9136; fax: +61 3 9495 9195; email: paulmullen{at}forensicare.vic.gov.au

Declaration of interest None.

The Dangerous and Severe Personality Disorder Programme was born out of a populist law and order reaction, developed on false premises, but is now evolving into an exciting initiative for providing effective services to a group of offenders with mentalillness who psychiatry, and the justice services, have so long ignored. Enthusiasm, flexibility and an evidence-based approach may yet lead to real progress towards the improved management of disturbed high-risk offenders, improving the psychological and social functioning of the offenders as well as delivering a safer community.