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Working with adults with personality disorder in the community: a multi-agency interview study

  • Nick Huband (a1) and Conor Duggan (a2)
Abstract
Aims and Method

To explore the impact of adults with personality disorder on the professional groups that support them. Staff (n=72) from five agencies participated in interviews focusing on reactions to short case vignettes representing the three personality disorder clusters.

Results

Each presentation was relatively consistent in its impact on staff irrespective of the agency or setting. Several agency-specific themes were also identified, some illustrating areas of potential difficulty in inter-agency working. Many non-mental health workers reported considerable contact with this client group, although most felt dissatisfied with the training available and suggested solutions.

Clinical Implications

Findings from this study may help to match the content of training courses to need. Similar vignette-based surveys could be used to investigate the impact of staff training over time.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). APA.
Bateman, A.W. & Tyrer, P. (2004) Services for personality disorder: organisation for inclusion. Advances in Psychiatric Treatment, 10, 425433.
Lewis, G. & Appleby, L. (1988) Personality disorder: the patients psychiatrists dislike. British Journal of Psychiatry, 153, 4449.
National Institute for Mental Health in England (2003a) Personality Disorder: No Longer a Diagnosis of Exclusion. Department of Health.
National Institute for Mental Health in England (2003b) Breaking the Cycle of Rejection: The Personality Disorder Capabilities Framework. Department of Health.
National Institute for Mental Health in England (2006) At Home? A Study of Mental Health Issues Arising in Social Housing. http://www.socialinclusion.org.uk/publications/GNHFullReport.doc
Rigby, M. & Longford, J. (2004) Development of a multi-agency experiential training course on personality disorder. Psychiatric Bulletin, 28, 337341.
Strauss, A. & Corbin, J. (1990) Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Sage.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Working with adults with personality disorder in the community: a multi-agency interview study

  • Nick Huband (a1) and Conor Duggan (a2)
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