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Personality disorder services in England: findings from a national survey

Published online by Cambridge University Press:  02 January 2018

Oliver Dale ,
Faisil Sethi ,
Clive Stanton ,
Sacha Evans ,
Kirsten Barnicot ,
Rosemary Sedgwick ,
Steve Goldsack ,
Monica Doran ,
Lucinda Shoolbred  and
Chiara Samele
...Show all authors
Oliver Dale*
Affiliation:
West London Mental Health Trust, London, UK
Faisil Sethi
Affiliation:
South London and Maudsley NHS Foundation Trust, London, UK
Clive Stanton
Affiliation:
University of New South Wales, Sydney, Australia
Sacha Evans
Affiliation:
Central and North West London NHS Foundation Trust, London, UK
Kirsten Barnicot
Affiliation:
Imperial College London, UK
Rosemary Sedgwick
Affiliation:
South London and Maudsley NHS Foundation Trust, London, UK
Steve Goldsack
Affiliation:
Medway Engagement Group and Network (MEGAN) CIC, Chatham, UK
Monica Doran
Affiliation:
West London Mental Health Trust, London, UK
Lucinda Shoolbred
Affiliation:
West London Mental Health Trust, London, UK
Chiara Samele
Affiliation:
Informed Thinking, London, UK
Norman Urquia
Affiliation:
Informed Thinking, London, UK
Rex Haigh
Affiliation:
Berkshire Healthcare NHS Foundation Trust, UK
Paul Moran
Affiliation:
University of Bristol, Bristol, UK
*
oliver.dale@wlmht.nhs.uk
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Abstract

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Aims and method

We aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations.

Results

In England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and engagement in education, research and training. However, a wider multidisciplinary team and a greater number of biopsychosocial interventions were available through generic services.

Clinical implications

There has been a substantial increase in service provision for people affected by personality disorder, but continued variability in the availability of services is apparent and it remains unclear whether quality of care has improved.

Type
Original Papers
Information
BJPsych Bulletin , Volume 41 , Issue 5 , October 2017 , pp. 247 - 253
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Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 2017 The Authors

Footnotes

Declaration of interest

None.

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