Douglas House Project (DHP)

Douglas House is a therapeutic residential service for personality disordered offenders, funded jointly by NHS England and NOMS.

The Bracton Centre, Turning Point and the London Probation Area have formed a partnership to address the need for a hostel (Douglas House) for offenders with personality disorders and who have proved hard to manage with their complex needs. The service is intended to bridge the gaps between health, housing and probation. Based in Lewisham, the hostel takes referrals from across London, prioritising those from south east London.

Douglas House combines residential and outreach components.  The hostel caters for six residents (plus one assessment bed),  with outreach support for a further twelve community clients, including those who were previously resident. The local nature enables existing support networks to be retained and developed where possible. The accommodation consists of six semi self-contained flatlets with individual kitchen facilities, in which clients will be supported in effectively by developing daily living skills including: housekeeping, cooking and personal care.

The resident profile must meet the below three main criteria:

  • A primary diagnosis of significant personality disorder
  • A history of serious offending against the person and/or a significant potential for future harm to others
  • All other local provision – whether hospital-based or community – is deemed to be inappropriate or has been unable to meet their needs

A number of patients are received directly from the high secure hospitals, although some places are taken up by patients discharged from current medium secure provision, perhaps after moving on from high security. The remaining source of patients are from the criminal justice system, including prisoners discharged on determinate sentences with licence restrictions, and lifers whose supervision package includes a period of residence at the hostel.

Referrers are encouraged to discuss potential cases with the clinical lead, Caoimhe McAnena or the seconded probation officer, Richard Rollins, in the first instance. They can be contacted by email:

Caoimhe McAnena: c.mcanena@nhs.net

Richard Rollins: richard.rollins@turning-point.co.uk