Search results for ‘Subject term:"personality disorders"’ Sort:
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Nurses take the lead in setting up an innovative service for people with personality disorder
- Author:
- EVANS Naomi
- Journal article citation:
- Nursing Times, 19.01.10, 2010, pp.10-11.
- Publisher:
- Nursing Times
The Oxford Complex Needs Service (OCNS), a nurse led service for people with personality disorders, is described. The service is based on four tiers of therapeutic care: engagement and consultation; intensive outpatient therapy; intensive treatment and support after treatment. It caters for people aged 10 and over and is intended for those whom other services find difficult to help and whose problems have been long and intractable. User participation is at the heart of the service.
Lessons learned from an evaluation of dedicated community-based services for people with personality disorders
- Authors:
- CRAWFORD Mike, RUTTER Deborah
- Journal article citation:
- Mental Health Review Journal, 12(4), December 2007, pp.55-61.
- Publisher:
- Emerald
This paper summarises some of the key messages from a project commissioned by the National Co-ordinating Centre for the NHS Service Delivery and Organisation and conducted by researchers from Imperial College London and the Mental Health Foundation. The project involved the collection and analysis of qualitative and quantitative data from 11 dedicated community-based pilot services for people with PD in England, including in-depth interviews with over 100 users and carers and 80 frontline staff and managers. Interviews were also conducted with a sample of people who had made referrals to the services and those involved in commissioning health and social care. The paper providers a brief description of the organisational aims and structures of the 11 services, highlights key factors associated with successful service delivery, and discusses the implications of the study findings for those planning new dedicated services for people with Personality Disorder.
Exploring the work of service users within the development of therapeutic community-based personality disorder services
- Authors:
- JONES Vanessa, STAFFORD Clare
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 28(3), Autumn 2007, pp.320-328.
- Publisher:
- Emerald
This article summarises a presentation given at conference, which described the background, evolution and experience of service users involvement in the development of community personality disorder services in the Thames Valley. It outlines a research project carried out in 2006, which aimed to find out how people had experienced their role in service users involvement, what had been good and what problems existed. It offers ideas and challenges to those providing personality disorder services and concludes that there are huge benefits to having and open and flexible approach to involving service users both for those providing services, those currently in treatment, and those who take the service users role.
New kids on the block! The government-funded English personality disorder service
- Author:
- HAIGH Rex
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 28(3), Autumn 2007, pp.300-310.
- Publisher:
- Emerald
In 2004 the Department of Health funded 11 pilot projects to manage people in the community who were diagnosed with personality disorder. Several of the projects chosen were therapeutic communities, were based on therapeutic community principles or were modified forms of therapeutic communities. This paper describes the different projects, and argues that therapeutic communities can have a very important place to play in modern 21st century mental health care, but only if they are prepared to ensure their recognition and survival by adapting to their organisational environment.
How accessible are personality disorder services for black and minority ethnic people?
- Authors:
- JONES Vanessa, STAFFORD Clare
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 28(3), Autumn 2007, pp.329-332.
- Publisher:
- Emerald
Staff from the Thames Valley Initiative, on of the 11 national pilot projects delivering community-based personality disorder services, conducted a literature review regarding personality disorder services and people from Black and Minority ethnic backgrounds in order to identify trends in diagnosis, prevalence, accessibility and use of services. In a presentation at the Windsor conference of 2006 the views of BME service users and staff were also included in order to bring the literature review to life at a local level. In this brief article the authors conclude that the available literature, coupled with anecdotal evidence from service users and staff, offers a powerful mandate to service providers to take action to make their services more accessible.
Clinical problems in community mental health care for patients with severe borderline personality disorder
- Authors:
- KOEKKOEK B., VAN MEIJEL B., HUTSCHEMAEKERS G.
- Journal article citation:
- Community Mental Health Journal, 45(6), December 2009, pp.508-516.
- Publisher:
- Springer
The objective of this research was to assess the problems that professionals perceive in the community mental health care for patients with severe borderline personality disorder that do not fit into specialized therapy. A group of 8 national experts participated in a four-phase Delphi-procedure to identify and prioritize the problems. A total of 36 problems reflecting five categories was found: patient-related, professional-related, interaction-related, social system-related, and mental health care-related. Problems with attachment and dependency and social issues were important patient problems while a lack of skills was an important professional problem. Support from the patient’s social system and the mental health system were identified as limited, which resulted in both the patient and the professional feeling isolated. Patient, professional, and organisational characteristics of community care differ substantially from those of specialized care. The field is thus in need of a more tailored approach that takes these differences into account.
Therapeutic communities
- Authors:
- HODGE Suzanne, BARR Wally, KIRKCALDY Andy
- Journal article citation:
- Openmind, 161, January 2010, pp.12-13.
- Publisher:
- MIND
The benefits of non-residential therapeutic communities for people with mental health problems are discussed. Selected findings from a study into the effectiveness of non-residential therapeutic communities for people with personality disorders are also reported. The study was commissioned by Therapeutic Community Services North and conducted by researchers from the University of Liverpool.
Working across whole systems: using managed clinical networks
- Authors:
- SHIELDS Fiona McMillan, MULLEN Tom
- Journal article citation:
- Mental Health Review Journal, 12(4), December 2007, pp.48-54.
- Publisher:
- Emerald
This article looks at the benefits and obstacles to using a whole systems approach to plan and deliver personality disorder services. It does so using the example of the Leeds Managed Clinical Network, a community pilot service that employs whole system working to support people with personality disorder. Partners in the Network are from health - the Leeds Partnership NHS Foundation Trusts; with accommodation support from Community Links; with third sector services from Touchstone; with West Yorkshire Probation linking the criminal justice system; Leeds mental health advocacy group; and the survivor-led crisis service.
The 16 Personality Disorder Pilot projects
- Author:
- HAIGH Rex
- Journal article citation:
- Mental Health Review Journal, 12(4), December 2007, pp.29-39.
- Publisher:
- Emerald
This article contains brief descriptions of 16 personality disorder pilot services.
Reach out and we'll be there
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 19.07.07, 2007, pp.32-33.
- Publisher:
- Reed Business Information
A co-ordinated response to the chaotic life of a woman with a personality disorder proves key in her care. The co-ordinated response involved working with 'systems' involved in her care, including in-patient services and out-of hours services, the police and family members. This article looks at how the case was handled by her assertive outreach team.