<i>Shining lights in dark corners of people's lives</i>: Reaching consensus for people with complex mental health difficulties who are given a diagnosis of personality disorder

Norman, Lamb; Sibbald, Sue; Stirzaker, Alex

doi:10.1002/cbm.2068

Cited by 26 publications

(34 citation statements)

References 6 publications

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“…These are surprisingly high figures given that current guidelines (DoH, 2014(DoH, , 2015 have set an expectation to minimise these practices. Research shows that the use of restrictive practices is often linked to staff lack of knowledge and skills in managing risk behaviours (Lamb, Sibbald & Stirzaker, 2018). The literature has stated that providing training, consultation and formulation sessions, can reduce restrictive practice use (Royal College of Psychiatry, 2017).…”

Section: Discussionmentioning

confidence: 99%

The evaluation of a highly specialist inpatient psychologist working with patients with high risk presentations in an acute mental health inpatient setting

Wood¹,

Alonso²,

Morera³

et al. 2021

j psych intensive care

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Objective: To evaluate the function and impact of a highly specialist psychologist working with high risk patients in an acute mental health inpatient setting. The impact was examined on outcomes such as risk related incidents, re-admission, average length of stay, and use of restrictive practice.Method: A mixed methods service evaluation of a pilot project was undertaken to examine the impact of the specialist psychologist role on these outcomes over a 17-month period. Demographic and clinical data was collected for 18 patients who were seen by the psychologist. Routinely collected clinical data examiningrisk incidents, re-admission rates, average length of stay, and use of restrictive practice, were also used to evaluate outcome across the evaluation period (at baseline and six-month follow-up).Results: The specialist psychologist provided input to patients’ care and undertook a variety of direct and indirect work and training. Examination of descriptive routine clinical data indicated a slight reduction in risk related incidents, readmissions, and average length of stay after the introduction of the psychologist role, however these were not statistically significant.Conclusion: These initial findings suggest the potential for outcome improvement, but further, more robust research is required to see if such a role can have a significant impact on outcomes.

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Section: Discussionmentioning

confidence: 99%

The evaluation of a highly specialist inpatient psychologist working with patients with high risk presentations in an acute mental health inpatient setting

Wood¹,

Alonso²,

Morera³

et al. 2021

j psych intensive care

View full text Add to dashboard Cite

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“…Despite significant progress in the field, many individuals with personality disorder continue to experience stigma and marginalisation from services, the provision of which remains patchy and uncoordinated locally and nationally. 40 , 41 If psychiatrists are interested in improving the lives of our patients, whose presentations are often complex and do not fit into neat diagnostic categories, and whose mental illnesses are frequently intertwined with personality pathology, they need to be more willing and confident in assessing and treating patients with personality disorder and not relegate this to psychotherapists or psychologists alone.…”

Section: Recommendations For Trainingmentioning

confidence: 99%

Personality disorder: Complexity, countertransference and co-production

Yakeley¹

2019

Med Sci Law

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“…Difficulties with psychosocial functioning, enduring emotional and cognitive disturbances and pervasive distress is often diagnosed as 'personality disorder', a contentious diagnostic term due to the stigmatised perception of the whole person (Department of Health, 2003;Lamb and Sibbald, 2018). The term is used here to aid clarity as it is without doubt that people meeting diagnostic criteria typically experience these idiosyncratic features.…”

Section: Introductionmentioning

confidence: 99%

Subthreshold personality disorder: how feasible is treatment in primary care?

Barber

Apps

Strauss

et al. 2021

tCBT

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Individuals with subthreshold borderline personality disorder (BPD) are commonly encountered in primary care settings, yet the psychological treatments they receive are rarely tailored to their needs. In an effort to capture and treat this group of individuals in a targeted and meaningful way, some primary care settings offer Systems Training for Emotional Predictability and Problem Solving – Emotional Intensity (STEPPS-EI). This evaluation sought to assess the feasibility of STEPPS-EI within NHS primary care services. Employing an uncontrolled design, the evaluation examined recruitment, retention, effectiveness and group appraisal. Findings supported three out of four evaluation objectives for feasibility: uptake of the group was high at 74%, the group was well received by the group and significantly effective at reducing symptoms of BPD, depression and anxiety. However, retention rates were low, with only 43% classed as ‘completers’ of the programme. The results indicate preliminary evidence for STEPPS-EI as a potentially feasible intervention with possible modification to enhance retention and avenues for further study. Key learning aims After reading this paper, the reader will be aware of: (1) Recent developments in the classification and diagnosis of personality disorder leading to the conceptualisation of subthreshold presentations. (2) The feasibility of conducting a primary care intervention for individuals with emotional intensity difficulties. (3) The preliminary beneficial outcomes of utilising a primary care intervention for individuals with emotional intensity difficulties. (4) Potential issues for participants and providers of primary care programmes with future direction for improvement and implementation.

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Shining lights in dark corners of people's lives: Reaching consensus for people with complex mental health difficulties who are given a diagnosis of personality disorder

Cited by 26 publications

References 6 publications

The evaluation of a highly specialist inpatient psychologist working with patients with high risk presentations in an acute mental health inpatient setting

The evaluation of a highly specialist inpatient psychologist working with patients with high risk presentations in an acute mental health inpatient setting

Personality disorder: Complexity, countertransference and co-production

Subthreshold personality disorder: how feasible is treatment in primary care?

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