Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-23T07:55:19.954Z Has data issue: false hasContentIssue false

Personality disorder services in England: findings from a national survey

Published online by Cambridge University Press:  02 January 2018

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
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
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
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.

References

1 Keown, P, Holloway, F, Kuipers, E. The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 225–9.CrossRefGoogle Scholar
2 Bowden-Jones, O, Iqbal, MZ, Tyrer, P, Seivewright, N, Cooper, S, Judd, A, et al. Prevalence of personality disorder in alcohol and drug services and associated comorbidity. Addiction 2004; 99: 1306–14.CrossRefGoogle ScholarPubMed
3 Banerjee, PJM, Gibbon, S, Huband, N. Assessment of personality disorder. Adv Psychiatr Treat 2009; 15: 389–97.CrossRefGoogle Scholar
4 Singleton, N, Meltzer, H, Gatward, R. Psychiatric Morbidity among Prisoners in England and Wales. Department of Health, 1998.Google Scholar
5 Stone, MH. Long-term outcome in personality disorders. Br J Psychiatry 1993; 162: 299313.CrossRefGoogle ScholarPubMed
6 Chiesa, M, Fonagy, P, Holmes, J, Drahorad, C, Harrison-Hall, A. Health service use costs by personality disorder following specialist and nonspecialist treatment: a comparative study. J Personal Disord 2002; 16: 160–73.CrossRefGoogle ScholarPubMed
7 Fok, ML, Hayes, RD, Chang, C, Stewart, R, Callard, FJ, Moran, P. Life expectancy at birth and all-cause mortality among people with personality disorder. J Psychosom Res 2012; 73: 104–7.CrossRefGoogle ScholarPubMed
8 Moran, PR, Romaniuk, H, Coffey, C, Chanen, A, Degenhardt, L, Borschmann, R, et al. The influence of personality disorder on the future mental health and social adjustment of young adults: a population-based longitudinal cohort study. Lancet Psychiatry 2016, 3: 636–45.CrossRefGoogle ScholarPubMed
9 National Institute for Mental Health in England. Personality Disorder: No Longer a Diagnosis of Exclusion. Department of Health, 2003.Google Scholar
10 Department of Health. The Care Programme Approach for People with a Mental Illness, Referred to Specialist Psychiatric Services HC(90)23/ LASSL(90)11. Department of Health, 1990.Google Scholar
11 National Institute for Health and Care Excellence. Borderline Personality Disorder: Recognition and Management (Clinical Guideline CG78). NICE, 2009.Google Scholar
12 National Institute for Health and Care Excellence. Antisocial Personality Disorder: Prevention and Management (Clinical Guideline CG77). NICE, 2009.Google Scholar
13 Tetley, A, Jinks, M, Howells, K, Duggan, C, McMurran, M, Huband, N, et al. A preliminary investigation of services for people with personality disorder in the East Midlands region of England. Personal Ment Health 2012; 6: 3344 CrossRefGoogle Scholar
14 Crawford, MJ, Price, K, Rutter, D, Moran, P, Tyrer, P, Bateman, A, et al. Dedicated community-based services for adults with personality disorder: Delphi study. Br J Psychiatry 2008; 193: 342–3.CrossRefGoogle ScholarPubMed
15 Stoffers, JM, Völlm, BA, Rücker, G, Timmer, A, Huband, N, Lieb, K. Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev 2012; 8: CD005652.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.