Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training

Clarke, Sue; Taylor, G.; Bolderston, Helen; Lancaster, Joanna; Remington, Bob

doi:10.1017/s1352465814000320

Cited by 21 publications

(34 citation statements)

References 29 publications

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“…Further, this finding is consistent with results of previous studies, which have found training in DBT techniques to reduce stigmatizing attitudes towards patients. [13, 14] This outcome is important, as individuals with BPD are a highly stigmatized group, with healthcare workers expressing more negative attitudes towards individuals with BPD than patients with other psychiatric problems. [14] Perhaps unsurprisingly, perceived stigma has been found to contribute to poorer treatment outcomes for individuals with BPD.…”

Section: Discussionmentioning

confidence: 99%

Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting

Haynos

Fruzzetti

Anderson

et al. 2016

JHA

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Training in Dialectical Behavior Therapy (DBT) skills coaching is desirable for staff in psychiatric settings, due to the efficacy of DBT in treating difficult patient populations. In such settings, training resources are typically limited, and staff turnover is high, necessitating brief training. This study evaluated the effects of a brief training in DBT skills coaching for nursing staff working in a child and adolescent psychiatric residential program. Nursing staff (n = 22) completed assessments of DBT skill knowledge, burnout, and stigma towards patients with borderline personality disorder (BPD) before and after a six-week DBT skills coaching training. Repeated measure ANOVAs were conducted to examine changes on all measures from pre- to post- treatment and hierarchical linear regressions to examine relationships between pre- training DBT knowledge, burnout, and BPD stigma and these same measures post-training. The brief DBT skill coaching training significantly increased DBT knowledge (p = .007) and decreased staff personal (p = .02) and work (p = .03) burnout and stigma towards BPD patients (p = .02). Burnout indices and BPD stigma were highly correlated at both time points (p < .001); however, while pre-training BPD stigma significantly predicted post-training client burnout (p = .04), pre-training burnout did not predict post-training BPD stigma. These findings suggest that brief training of psychiatric nursing staff in DBT skills and coaching techniques can result in significant benefits, including reduced staff burnout and stigma toward patients with BPD-related problems, and that reducing BPD stigma may particularly promote lower burnout.

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Section: Discussionmentioning

confidence: 99%

Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting

Haynos

Fruzzetti

Anderson

et al. 2016

JHA

View full text Add to dashboard Cite

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“…Five studies had a follow-up period of 6 months or more. Of these five, three found that improvements in all measures of attitudes were maintained (Clarke, Taylor, Bolderston, et al, 2015;Krawitz, 2004). Like previous studies using the PD-KASQ, Ebrahim et al (2016) found that improved scores on the PD-KASQ-C were not maintained at 6-month follow-up.…”

Section: Are Improvements Maintained Over Time?mentioning

confidence: 53%

“…Both RCTs found that attitudes were improved significantly for the intervention but not control groups post-intervention with small/moderate (Commons-Treloar, 2009) and large (S. R. Fraser, 2001) effect sizes. Both Rn-CTs found that attitudes were improved in both groups post-intervention with small and small/moderate (Clarke, Taylor, Bolderston, et al, 2015) effect sizes. The n-RCT found significant improvements in attitudes for the intervention but not control group post-intervention with a moderate effect size (Miller & Davenport, 1996).…”

Section: Is Training Effective In Improving Attitudes?mentioning

confidence: 95%

“…Four studies included a clinical skills component. All led to improved attitudes with effect sizes ranging from small (Krawitz, 2004), to small/moderate (Clarke, Taylor, Bolderston, et al, 2015), to moderate (Knaak et al, 2015), to large (S. R. Fraser, 2001). Four studies include a self-management skills component.…”

Section: Does Including a Psychological Model Skills Component Or Pmentioning

confidence: 99%

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Improving Attitudes Towards Personality Disorder: Is Training for Health and Social Care Professionals Effective?

Attwood

Wilkinson-Tough

Lambe

et al. 2021

Journal of Personality Disorders

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Health and social care professionals are more likely to hold negative attitudes towards people with a diagnosis of personality disorder than toward people with other mental health diagnoses. Negative attitudes have also been found to adversely impact care and service provision. This review sought to systemically evaluate training aimed at improving professional attitudes towards people with a diagnosis of personality disorder. Electronic databases PsychINFO, PubMed, Embase, Web of Science, and ProQuest were searched, and 19 articles were identified. Results show that training is effective and that improvements tend to be maintained. The results suggest that (1) co-production with people with personal experience of a personality disorder diagnosis, (2) communicating a psychological model to participants, and (3) teaching participants clinical skills for use in their work improve effectiveness. Further research in the form of randomized controlled trials that use validated measures and follow-up participants for at least 6 months is needed.

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“…Consequently Laura was viewed as 'unmanageable' and some of the more inexperienced staff members started to feel like Laura was 'putting it on'. Negative attitudes towards people with a personality disorder label are well documented (Newton-Howes et al, 2008;Clarke, 2015) and impact on the quality of care that service users receive (Department of Health, 2014).…”

Section: Precipitating Factors -Events or Circumstances That May Havementioning

confidence: 99%

To formulate or not to formulate? A case study

Houghton¹,

Jones²

2016

British Journal of Mental Health Nursing

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Abstract:Abstract: Personality disorders are common within specialist forensic mental health services and can complicate the treatment and care of people who may also have other co-morbid mental health problems; especially because they are based on unclear and unvalidated descriptions. The following article analyses the case of Laura who is a fictional character that represents the presentation of several women who have received care for personality disorder(s) and other mental health problems in a specialist forensic hospital. The assessment, formulation and care planning process conducted with Laura adhered to evidence based practice guidelines and led to reductions in aggressive behaviour and violent incidents. This case study shows how effective case formulation can be used to understand service users with complex problems including personality disorder(s) and enhance the safe and effective care provided. Overall this case highlights the necessity of consistent staff teams and clinical supervision when working with this client group. Key phrases1. This article will showcase the usefulness of case formulation when working with personality disorder 2. This case study will outline the care provided for women with severe personality disorders 3. This article will show how vital clinical supervision is for staff members working with personality disorders

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Ameliorating Patient Stigma Amongst Staff Working With Personality Disorder: Randomized Controlled Trial of Self-Management Versus Skills Training

Cited by 21 publications

References 29 publications

Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting

Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting

Improving Attitudes Towards Personality Disorder: Is Training for Health and Social Care Professionals Effective?

To formulate or not to formulate? A case study

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