Assessing the efficacy of a stepped-care group treatment programme for borderline personality disorder: study protocol for a pragmatic trial.

Trials
Judy A PickardBrin F S Grenyer

Abstract

Borderline personality disorder (BPD) is a high prevalence and serious mental health disorder that has historically challenged the finite resources of health services. Despite empirical evidence supporting structured psychological therapy as the first line of treatment, there remains significant barriers in providing timely access to evidence-based treatment for this population. The primary aim of this study is to evaluate the effectiveness of providing a stepped-care structured psychological group treatment to individuals with BPD within local mental health services. The secondary aims of the study are to identify the variables that predict the need to step up or down in care and the effectiveness of treatment on psychosocial functioning. Participants seeking treatment at two community mental health services will be invited to participate. Randomised controlled trial assignment will be to either (i) group skills treatment or (ii) treatment as usual. Group treatment will be offered via a stepped-care pathway with participants initially attending a 12-week group with the option of a subsequent 16-week group. The criteria for inclusion in continuing treatment includes meeting > 4 BPD diagnostic criteria or severity on GAF (< 65) ...Continue Reading

References

Jul 18, 2002·Epidemiologic Reviews·Peter PeduzziPhilip Lavori
Jan 28, 2004·Journal of Personality Disorders·Mary C ZanariniJohn Hennen
Jan 5, 2005·The British Journal of Psychiatry : the Journal of Mental Science·Peter Tyrer
Mar 22, 2013·Journal of Personality Disorders·Luba Leontieva, Robert Gregory
Jan 17, 2014·Personality and Mental Health·Helen BeckwithJoe Reilly
Jul 1, 2015·Journal of Psychiatric and Mental Health Nursing·S Lawn, J McMahon
Nov 19, 2018·The Psychiatric Clinics of North America·Kenneth N LevyTracy Clouthier
May 31, 2019·Borderline Personality Disorder and Emotion Dysregulation·Sebastian SimonsenLars Mehlum
Nov 30, 2019·International Journal of Environmental Research and Public Health·Jennifer NicholasDavid C Mohr
May 6, 2020·The Cochrane Database of Systematic Reviews·Ole Jakob StorebøErik Simonsen

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