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. 2017 Oct;41(5):247-253.
doi: 10.1192/pb.bp.116.055251.

Personality disorder services in England: findings from a national survey

Oliver Dale  1 , Faisil Sethi  2 , Clive Stanton  3 , Sacha Evans  4 , Kirsten Barnicot  5 , Rosemary Sedgwick  2 , Steve Goldsack  6 , Monica Doran  1 , Lucinda Shoolbred  1 , Chiara Samele  7 , Norman Urquia  7 , Rex Haigh  8 , Paul Moran  9
Affiliations

Personality disorder services in England: findings from a national survey

Oliver Dale et al. BJPsych Bull. 2017 Oct.

Abstract

Aims and method We aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations. Results In England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and engagement in education, research and training. However, a wider multidisciplinary team and a greater number of biopsychosocial interventions were available through generic services. Clinical implications There has been a substantial increase in service provision for people affected by personality disorder, but continued variability in the availability of services is apparent and it remains unclear whether quality of care has improved.

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Conflict of interest statement

Declaration of interest None.

Figures

Fig. 1
Fig. 1
Comparison between 2002 and 2015 survey results (percentage change; English mental health NHS trusts only).
See this image and copyright information in PMC

References

    1. Keown P, Holloway F, Kuipers E. The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London. Soc Psychiatry Psychiatr Epidemiol 2002; 37: 225–9. - PubMed
    1. Bowden-Jones O, Iqbal MZ, Tyrer P, Seivewright N, Cooper S, Judd A, et al. Prevalence of personality disorder in alcohol and drug services and associated comorbidity. Addiction 2004; 99: 1306–14. - PubMed
    1. Banerjee PJM, Gibbon S, Huband N. Assessment of personality disorder. Adv Psychiatr Treat 2009; 15: 389–97.
    1. Singleton N, Meltzer H, Gatward R. Psychiatric Morbidity among Prisoners in England and Wales. Department of Health, 1998.
    1. Stone MH. Long-term outcome in personality disorders. Br J Psychiatry 1993; 162: 299–313. - PubMed