For a client with antisocial personality disorder, what should the care plan primarily emphasize?

In the care plan for a client with antisocial personality disorder, emphasizing the enforcement of unit rules and facility policy is particularly important. Individuals with this disorder often display manipulative and deceitful behaviors, which can challenge the structure and safety of the therapeutic environment. Clear boundaries and consistent enforcement of rules help provide a predictable framework that can mitigate disruptive behaviors and enhance the overall safety of both staff and other clients.

Moreover, having strict policies in place supports the staff in maintaining control of the treatment environment and addressing any behavioral issues effectively. This consistency is crucial for creating a sense of stability, which can be particularly beneficial for the client and the unit as a whole. Establishing firm guidelines aids in promoting accountability, which is an essential aspect of treatment for clients with antisocial personality traits.

While developing rapport with staff, avoiding power struggles, and isolation can be components of care, they do not address the need for a structured and rule-based environment that is vital for managing antisocial behaviors. An emphasis on enforcing unit rules creates a foundation for all other therapeutic interventions to be successful.