Search results for ‘Subject term:"personality disorders"’ Sort:
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The trouble with Modernisation: we need better relationships, not policies and procedures
- Author:
- HAIGH Rex
- Journal article citation:
- Mental Health Review, 10(3), September 2005, pp.3-7.
- Publisher:
- Pier Professional
The author offers a personal perspective on how people with a diagnosis of personality disorder can often be made worse from unsuitable care from the statutory services and be caught in a 'cycle of rejection'. He argues that this is inevitable in a system that defines what is acceptable in solely behavioural terms, institutionalises coercion through mechanisms like Care Programme Approach, pays attention to only one type of evidence, prizes the technological over the human, and pays little regard to trust.
Engaging clients with personality disorder in treatment
- Authors:
- JINKS Mary, MCMURRAN Mary, HUBAND Nick
- Journal article citation:
- Mental Health Review Journal, 17(3), 2012, pp.139-144.
- Publisher:
- Emerald
Poor engagement with psychosocial treatment is an issue for clients with personality disorder and rates of non-completion are high. Discontinuation of treatment is associated with adverse clinical outcomes. This review highlights studies on improving treatment engagement for clients with personality difficulties. Included are literature examining non-completion of psychosocial treatment by people with personality disorder, a systematic review of assessments to measure treatment engagement, and a Delphi survey of both staff and patients' views on factors that impact on engagement in psychosocial treatment for this client group. Although a number of assessments exist for measuring engagement, none can be described as comprehensive and few are adequately validated. Engagement factors identified were broadly in keeping with previous work, but additional factors specific to this client group were identified. The authors conclude with a set of specifications for good practice in facilitating engagement, and a web-based training package aimed at helping staff improve their understanding of their clients' engagement issues.
Deserving people
- Author:
- McMAHON Alex
- Journal article citation:
- Mental Health Today, September 2007, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The authors outline the work of the Scottish Personality Disorder Network, set up in 2006, which aims to improve the care and treatment offered to people in Scotland with a personality disorder. The Network arranges conferences; has developed a website to help users, carers and professionals keep up with national and local developments; is supporting the development of user-led support groups; and has also developed a set of standards for integrated care pathways for borderline personality disorder.
Stepping off the map
- Authors:
- SOUTH SOMERSET MIND, (Producer)
- Publisher:
- MIND
- Publication year:
- 2006
- Pagination:
- DVD
- Place of publication:
- Yeovil
For the past three years Mind has run a variety of training sessions. The original philosophy behind this training was driven by the dearth of existing training for everyone, particularly mental health service users, whose main source of information was often the psychiatrist. This audience developed to include professionals mainly from the voluntary sector but also some from the statutory provision. This DVD deals personality disorders.
The philosophy of greencare: why it matters for our mental health
- Author:
- HAIGH Rex
- Journal article citation:
- Mental Health and Social Inclusion, 16(3), 2012, pp.127-134.
- Publisher:
- Emerald
This article demonstrates the confluence of thinking across several areas the mental health field. It uses case and organisational examples related to relevant theory and clinical practice to demonstrate relevant contradictions and paradoxes in “modernised” mental health care. The author suggests that modern methods of management, focusing on measurement, prediction and control – in the service of efficiency and economy – are not sufficient to meet the needs of a population with high incidence of personality disorder. A major change of attitude is required, to an authentic biopsychosocial approach, including spiritual and other non-verbal considerations. The article concludes that mental health care should not be considered an entirely rational process that can be measured and manualised, considerations of how to better manage complexity and uncertainty are urgently needed.
MHT insight guide: women’s secure services
- Authors:
- JACOB Caroline, LILLEY Steve
- Journal article citation:
- Mental Health Today, September 2011, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Partnerships in Care (PiC) is the largest independent provider of secure mental health facilities across the UK. PiC Midlands provides medium and low secure plus locked rehabilitation services across the East Midlands. Following the introduction of the national Quality, Innovation, Productivity and Prevention (QIPP) programme in 2009, PiC Midlands reviewed its model of care in terms of the aim of the programme and current psychological knowledge of the treatment of women. This article describes the design and early stages of implementation of the new staged model of care adopted by PiC Midlands. The model of care comprises 4 different stages: stabilisation; engagement and awareness; choosing change; and maintaining recovery. A shared care pathway functions across levels of security and streamlines the patient’s journey through PiC Midlands. Transitions during a patient’s recovery are often destabilising factors, and a ‘moving on’ programme for patients aims to help patients in managing transitions, such as transferring to a lower security unit or moving to the next step in the care pathway.
Cassel pioneers expert patient input
- Author:
- GILL Helen
- Journal article citation:
- Young Minds Magazine, 111, April 2011, pp.24-25.
- Publisher:
- YoungMinds
London's Cassel Hospital is leading a programme to create a network of expert patients that get involved in developing all aspects of its personality disorder service for adolescents. A former patient explains why the project is so important to her. A brief history of the personality disorder service at Cassel Hospital is also provided.
Women with borderline personality disorder in prison
- Authors:
- BLACK Georgia, FOSSEY Matt
- Journal article citation:
- Mental Health Today, December 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Many women in prison have a mental health problem, and one of the most common of those is borderline personality disorder. The authors discuss current mental health care in prison, the impact on prisoners' children and put forward recommendations for improved mental health care in prisons.
Understanding personality disorders: your guide to today’s mental health issues
- Author:
- BURNS Tom
- Journal article citation:
- Mental Health Today, July 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The understanding, identification, assessment and treatment of people with a personality disorder remains an area where there is little theoretical agreement and a relative paucity of comprehensive and useful research and data. This briefing paper describes this patient group, highlights some of the challenges in trying to engage with these individuals, and provides some messages about organising services to best meet their needs. People with a personality order rarely belong to any single category of disorder, but into one of 3 broad clusters: cluster A (‘odd or eccentric’); cluster B (‘dramatic, emotional or erratic’); or cluster C (‘anxious or fearful’). The article provides advice for staff working with patients with personality disorders and considers the best methods of treatment. It also looks at personality disorders in offenders, as 66% of the prison population suffer from a personality disorder as opposed to 5.3% of the general population. The article concludes that the needs of people with a personality disorder are diverse and complex, which puts wide ranging and challenging demands on health and social care professionals.
Not my problem: summary of our investigation into the care and treatment of Mr G
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2007
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
The Mental Welfare Commission for Scotland was asked to see Mr G, a 61 year-old man, in prison in July 2004. The prison health services and the visiting psychiatrist were very concerned about his condition. He had been charged with assault and was thought to have a 'personality disorder' that explained his behaviour. The Mental Welfare Commission for Scotland disagreed and intervened to make sure he received hospital care. He was found to have a form of dementia (fronto-temporal dementia) that affects behaviour and judgement but, in the early stages, does not seriously affect memory. Mr G died in April 2006 in hospital care. Recommendations for the health boards and local authorities involved in Mr G’s care, NHS Quality Improvement Scotland, the Social Work Inspection Agency, the Care Commission, the Scottish Government, Scottish Prison Service, the Scottish Personality Disorder Network, the Royal College of Psychiatrists, the British Psychological Society, the Postgraduate Medical Education and Training Board and NHS Education Scotland are summarised.