The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London

Keown, Patrick; Holloway, Frank; Kuipers, Elizabeth

doi:10.1007/s00127-002-0533-z

Cited by 79 publications

(65 citation statements)

References 15 publications

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“…[14][15][16][17][18][19][20][21] This would be consistent with daily practice noticed in different countries, where care is offered from busy nonspecialised mental health centres. 3,22 From an English study it was concluded that the case-loads of community psychiatric nurses and occupational therapists in community mental health teams contained far more patients with REVIEW ARTICLE Koekkoek et al Community care for severe personality disorder 23 In a comparable study, it was social workers and again occupational therapists who treated most people with personality disorder. 24 A possible explanation is that patients with severe personality disorders are treated by the professionals with the lowest threshold for inclusion in their case-load (i.e.…”

Section: Professionals Providing Community Mental Healthcarementioning

confidence: 99%

“…Support for this hypothesis is offered by the large percentage of patients with severe personality disorders among the case-loads of community psychiatric nurses and occupational therapists: twice as many as among psychiatrists and psychologists (31% v. 15%). 23 Although these professions may be the principal providers of CMHC, they are virtually absent from the literature on severe personality disorders (e.g. in a guide on personality disorders and community mental health teams, they did not author a single chapter).…”

Section: Professionals Providing Community Mental Healthcarementioning

confidence: 99%

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Community mental healthcare for people with severe personality disorder: narrative review

2010

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Aims and methodTo assess the contents and the theoretical and empirical base of community mental healthcare (CMHC) for people with severe personality disorder. Medline and PsycINFO databases and handbooks were searched from 1980, as well as a recent meta-analysis and systematic review of trials in which CMHC served as the control condition.ResultsCommunity mental healthcare is a long-term community-based treatment within a supportive atmosphere, aimed at stability rather than change. Mostly offered by community psychiatric nurses, occupational therapists and social workers, it lacks a formal structure, as well as theoretical underpinnings that guide interventions.Clinical implicationsCommunity mental healthcare might profit from a more systematic application of effective ingredients from other treatments.

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Section: Professionals Providing Community Mental Healthcarementioning

confidence: 99%

Section: Professionals Providing Community Mental Healthcarementioning

confidence: 99%

Community mental healthcare for people with severe personality disorder: narrative review

2010

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“…in community-based clinical settings qualifying for at least one Axis II diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV;American Psychiatric Association, 1994;Keown, Holloway, & Kuipers, 2002). According to the DSM-IV, PDs consist of "an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture" and is manifested in at least two of the areas of cognition, affect, interpersonal functioning, and/or impulse control.…”

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confidence: 99%

Principles for psychosocial treatment of personality disorder: Summary of the APA Division 12 Task Force/NASPR review

Critchfield

Benjamin

2006

J Clin Psychol

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A wide variety of clinical problems and relational styles are collected under the diagnostic heading of personality disorder (PD). These disorders involve maladaptive, persistent ways of thinking, feeling, and behaving that are associated with both functional impairment and disturbed interpersonal relationships. Personality disorders are difficult to treat, and challenge a therapist's ability to intervene helpfully, in part because the maladaptive patterns can impact the therapy relationship itself. Therapeutic principles were derived by Task Force review from the small body of research conducted to date with this family of disorders and include characteristics of clients and therapists, their relationship together, and essential elements of technique. The importance of a collaborative relationship as well as a treatment that is comprehensive, empathic, patiently applied, and flexibly tailored to presenting problems are dominant themes across principles. Treatment research with PD is in its early stages and many important areas remain uncharted. The Task Force principles are here summarized in hopes of providing general guidance to clinicians working with PD, as well as to outline research needs for the area.

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“…In several UK studies, the diagnostic case mixes of consumers receiving community mental health care have been described (Greenwood, Chisholm, Burns, & Harvey, 2000;Hunter et al, 2002;Keown, Holloway, & Kuipers, 2002;Newton-Howes et al, 2010). The findings of these studies vary widely, which may be an artifact of the methods employed and the size of the samples.…”

Section: Psychiatric Diagnosismentioning

confidence: 97%

The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature

Happell

Hoey²,

Gaskin

2012

Issues in Mental Health Nursing

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Mental health nurses increasingly provide care for consumers in the community who once would have received treatment in psychiatric inpatient units. The purpose of this review is to determine the characteristics of these consumers. We searched electronic databases and obtained information on some of the characteristics of community mental health consumers. For some nurses, over half of their caseloads are consumers with schizophrenia. Up to about one-third of consumers may be involuntary, but this proportion varies considerably. Impairments of health and social functioning appear common among consumers of community mental health services. This study identifies the need for greater interrogation of national databases to enhance understanding of community caseloads.

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The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London

Abstract: The prevalence of personality disorder is high amongst patients seen by community mental health teams. Possible explanations for this are presented and implications for community care are discussed.

Cited by 79 publications

References 15 publications

Community mental healthcare for people with severe personality disorder: narrative review

Community mental healthcare for people with severe personality disorder: narrative review

Principles for psychosocial treatment of personality disorder: Summary of the APA Division 12 Task Force/NASPR review

The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature

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