Search results for ‘Subject term:"personality disorders"’ Sort:
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Family connections: a program for relatives of persons with borderline personality disorder
- Authors:
- HOFFMAN Perry D., et al
- Journal article citation:
- Family Process, 44(2), 2005, pp.217-225.
- Publisher:
- Wiley
This study assessed changes in family members who participated in Family Connections, a 12-week manualized education program for relatives of persons with borderline personality disorder (BPD). Family Connections, led by trained family members, is based on the strategies of standard Dialectical Behavior Therapy (DBT) and DBT for families. The program provides (a) current information and research on BPD, (b) coping skills, (c) family skills, and (d) opportunities to build a support network for family members. Forty-four participants representing 34 families completed the pre-, post-, and 6-month postbaseline self-report questionnaires. Analyses employing hierarchical linear modeling strategies showed significant reductions in grief and burden, and a significant increase in mastery from pre- to post-group assessment. Changes were maintained at 6 months post baseline.
Personality disorder and community mental health teams: a practitioner's guide
- Editors:
- SAMPSON Mark J., MCCUBBIN Remy A., TYRER Peter, (eds.)
- Publisher:
- John Wiley and Sons
- Publication year:
- 2006
- Pagination:
- 371p.
- Place of publication:
- Chichester
Recent UK government initiatives have emphasised the role of community mental health teams (CMHTs) in providing health services for people with a personality disorder. However practitioners often find that traditional forms of support do not work well for these clients are therefore unsure how best to support them. This book hopes to convey the considerable distress associated with personality disorder; for the patent, their family and friends and those working with them. It aims to provide useful ideas to help CMHT practitioners support each of these groups. The text is specifically written for the ‘non-specialist’ practitioner and aims to be jargon free. Rather than promote an approach based on a single theoretical model, the contributors look at ways different approaches can be combined and effective care plans developed by multi-disciplinary team. The book is divided into two sections. The first outlines recent Government initiatives and the theory behind psychological and biological approaches to therapy. The second focuses specifically on the roles and functions of the CMHT in relation to these patients.
When does personality disorder become enduring mental illness
- Author:
- SHAD Douglas
- Journal article citation:
- Nursing Times, 19.5.99, 1999, p.52.
- Publisher:
- Nursing Times
At the heart of mental health care practice is the question of what constitutes a severe and enduring mental health problem. In this article, the author maintains that there is confusion about the best use of resources and appropriate targeting of patients. He questions the wisdom of generic services trying to meet the complex and often long-term needs of people with a personality disorder.
Collaboration in the provision of services for people with personality disorders
- Author:
- SUNDARAM Palaniappan
- Journal article citation:
- Mental Health Review Journal, 15(1), March 2010, pp.10-19.
- Publisher:
- Emerald
Asserting that the need for services for people with personality disorders has returned to the political agenda, this article examines the current understanding of personality disorders, with specific emphasis on service provision in the context of recent Department of Health policies and guidelines, and provides an overview of the wide-ranging perspectives of stakeholders. It looks at policy perspectives, the manager's perspective, the professional's perspective, and interest group and service user perspectives. It discusses the key aspects of collaboration as a possible solution to existing problems, and sets out recommendations for implementation and the implications of collaborative approach to delivering services to people with personality disorders. The author concludes that a collaborative approach based on partnership between existing service providers may facilitate coordination and horizontal integration to improve service user experience.
Understanding and engaging families: an education, skills and support program for relatives impacted by borderline personality disorder
- Authors:
- HOFFMAN Perry D., FRUZZETTI Alan E., BUTEAU Ellie
- Journal article citation:
- Journal of Mental Health, 16(1), February 2007, pp.69-82.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Few methodologically sound studies have been conducted to facilitate the understanding of relationships in families with a member suffering from severe personality disorders. Because of severity, symptomatology, and high rates of co-occurring disorders, borderline personality disorder (BPD) particularly affects family members and others in their social environment. However, there are few interventions available to address the needs of these family members. The aim was to report on a replication and extension study of Family Connections (FC), a 12-week community-based BPD education program for family members. FC participants (N = 55) were assessed pre, post and at 3-month post program follow-up on: (i) levels of change in family well-being outcomes: burden, grief and empowerment; and (ii) differences between male and female participants in these outcomes. Findings from the original FC study were replicated and extended: Participants showed significant improvements on all well-being variables, including significant reductions in depression. Outcomes for male vs. female participants were comparable at program completion except for grief, on which women remained higher than men despite significant improvements for both. BPD family members experience significant distress but benefited from this semi-structured group program led by family members. Findings support the use of the FC program.
Family members' knowledge about borderline personality disorder: correspondence with their levels of depression, burden, distress and expressed emotion
- Authors:
- HOFFMAN Perry D., et al
- Journal article citation:
- Family Process, 42(4), Winter 2003, pp.469-478.
- Publisher:
- Wiley
This American study assessed 32 family members of Borderline Personality Disorder (BPD) patients for their level of knowledge about BPD. Knowledge level was correlated with family members' burden, depression, distress, and expressed emotion. Greater knowledge about BPD was associated with higher levels of family members' burden, distress, depression and greater hostility toward patients. The findings raise concerns about: the value of information family members receive about BPD and the importance of the source and accuracy of the information they receive.
Co-occuring disorders among jail inmates: bridging the treatment gap
- Author:
- YOUNG Diane S.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 3(3), 2003, pp.63-85.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper presents findings based on a retrospective review of health and mental health records of 359 mentally ill jail inmates. Regardless of demographic group, substance-related disorders and the most prevalent disorder. Sixty-seven percent of the sample had a substance-related disorder, 37% an adjustment disorder, 23% a mood disorder, and 12% had schizophrenia or another psychotic disorder. Comorbidity was extensive with close to 45% of the sample having both a substance-related disorder and an additional major mental illness. Study findings indicate that there is a great need to strengthen services and create jail-community linkages for inmates with comorbid mental health and substance abuse disorders. Innovative programme and resource information are provided. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Personality disorder: no longer a diagnosis of exclusion
- Authors:
- SNOWDEN Peter, KANE Eddie
- Journal article citation:
- Psychiatric Bulletin, 27(10), November 2003, pp.401-403.
- Publisher:
- Royal College of Psychiatrists
It is perhaps not unfair to suggest that many, if not most, adult mental health services have become psychosis services, dealing with those who are suffering from severe and enduring mental illness. Personality disorders are common, and are also disabling conditions. Many of those who suffer distress as a result of their conditions, or who place a burden on others, are managed by primary care. Only those who suffer the most significant distress or difficulty are referred to secondary services, but provision is patchy even for this group. Some may be admitted to an acute in-patient unit at times of crisis, but many are unable to access secondary mental health services.
Ethnic minority psychiatric illness rates in the community (EMPIRIC)
- Editors:
- SPROSTON Kerry, NAZROO James
- Publisher:
- Stationery Office
- Publication year:
- 2002
- Pagination:
- 210p.
- Place of publication:
- London
The results of this survey allow for the first time detailed analysis of the mental health of ethnic minority groups and comparisons with a general White population. It contains data on common mental disorders, psychosis, social functioning, physical health, use of services and social support. The survey was carried out by the Joint Health Surveys Unit of the National Centre for Social Research (NatCen) and University College, London among ethnic minority adults aged 16-74 living in England to make comparisons with the prevalence of psychiatric morbidity in the general population. The survey took place in 2000 and was conducted at the same time as the Office for National Statistics (ONS) survey of the adult population of Great Britain. It had a focus on some of the main ethnic minority groups in England. The survey consisted of two elements, a quantitative survey of rates of mental illness among different ethnic groups in England and a qualitative study investigating ethnic and cultural differences in the context, experience and expression of mental distress.
An open and shut case?
- Author:
- MARTELL Rael
- Journal article citation:
- Nursing Times, 30.12.98, 1998, p.19.
- Publisher:
- Nursing Times
Reports on the long-awaited shake-up of mental health services and asks whether the changes will work.