There are two main teams offering interventions to service-users at the Personality Disorder Service.
The Community Team provides care coordination via the Structured Clinical Management model, for service users with a diagnosis of personality disorder. This is an eclectic, evidence-based model aimed at working in a structured way towards service users' goals, improving daily functioning, and supporting service users with social care needs in a way that is consistent with the Care Programme Approach (CPA).
The Specialist Therapies Team offers Dialectical Behaviour Therapy (DBT), Mentalisation Based Treatment (MBT), Schema Therapy (ST), and Systems Training for Emotional Predictability and Problem Solving (STEPPS), for service users with a diagnosis of personality disorder. We also run a young people's DBT group. These are evidence-based therapeutic approaches for the treatment of difficulties associated with the diagnosis of personality disorder. DBT mainly focuses on reducing impulsive and self-destructive behaviours, MBT focuses on improving the capacity to understand one’s mind and the mind of others in the service of improving relationships, ST focuses on changing unhelpful blueprints that develop during early life and have an impact on a person’s sense of self and relationships, STEPPS focusses on learning skills to regulate emotions and changing the social environment around service users, to reinforce these skills.
Service users can be offered all of the interventions above following a comprehensive assessment of their difficulties, and mutual agreement over which approach will be bests suited to their goals.18-65 Service users who have difficulties in daily functioning, emotional instability and difficulties in interpersonal relationships. Service users need to meet the diagnostic criteria for a personality disorder.
After referral, service-users will be offered an initial assessment to consider their current circumstances, review their mental health and social care needs, to develop a psychological understanding of their difficulties, and develop a treatment plan. Service users may be offered any of the interventions listed above.
Service user needs are at the heart of practice Range of effective and evidence based interventions for people whose difficulties can be characterised as personality disorder Service user involvement is embedded throughout the service through an innovative partnership with Emergence, a service user led organisation.
Several of our C&I trainee doctors recently made a video about the diagnosis of Borderline Personality Disorder. You can watch the video here.