The UK Government’s Offender Personality Disorder (OPD) Strategy is one of the most significant developments in mental health and criminal justice in recent years. The challenges presented by personality disorder offenders are not unique to the UK and this book also provides a useful overview of developments in the UK for those working with this population in countries where health service provision and legal frameworks pose different challenges. Managing Personality Disordered Offenders: A Pathways Approach describes how the OPD Strategy has been implemented by a consortium of mental health trusts in the UK, in collaboration with the National Probation Service and the Prison Service. This volume covers the broad range of key tasks in developing and delivering an OPD service. This includes reviewing the political and clinical context and how it aims to address some of the criticisms levelled at previous initiatives developed to meet the needs of this population. In each chapter, the authors review the existing literature and discuss the various options that were considered during the development of each of the services. Through this lens, the reader gains a better understanding of the direction taken, followed by a detailed, practical “how to do it” guide.