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Personality disorder services in England: findings from a national survey

  • Oliver Dale (a1), Faisil Sethi (a2), Clive Stanton (a3), Sacha Evans (a4), Kirsten Barnicot (a5), Rosemary Sedgwick (a2), Steve Goldsack (a6), Monica Doran (a1), Lucinda Shoolbred (a1), Chiara Samele (a7), Norman Urquia (a7), Rex Haigh (a8) and Paul Moran (a9)...
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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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
oliver.dale@wlmht.nhs.uk
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Declaration of interest

None.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Personality disorder services in England: findings from a national survey

  • Oliver Dale (a1), Faisil Sethi (a2), Clive Stanton (a3), Sacha Evans (a4), Kirsten Barnicot (a5), Rosemary Sedgwick (a2), Steve Goldsack (a6), Monica Doran (a1), Lucinda Shoolbred (a1), Chiara Samele (a7), Norman Urquia (a7), Rex Haigh (a8) and Paul Moran (a9)...
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