Personality disorder services in England: findings from a national survey

Oliver Dale, Faisal Sethi, Clive Stanton, Sacha Evans, Kirsten Barnicott, Rosemary Sedgewick, Steve Goldsack, Monica Doran, Lucinda Shoolbred, Chiara Samele, Norman Urquia, Rex Haigh, Paul Moran

Research output: Contribution to journalArticle (Academic Journal)peer-review

22 Citations (Scopus)
297 Downloads (Pure)


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.


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.
Original languageEnglish
Pages (from-to)247-253
Number of pages7
JournalBJPsych Bulletin
Issue number5
Publication statusPublished - 1 Oct 2017

Bibliographical note

First published online: 02/01/2018


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