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

doi:10.1192/pb.bp.116.055251

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 journal › Article (Academic Journal) › peer-review

59 Citations (Scopus)

490 Downloads (Pure)

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.

Original language	English
Pages (from-to)	247-253
Number of pages	7
Journal	BJPsych Bulletin
Volume	41
Issue number	5
DOIs	https://doi.org/10.1192/pb.bp.116.055251
Publication status	Published - 1 Oct 2017

Bibliographical note

First published online: 02/01/2018

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1192/pb.bp.116.055251

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title = "Personality disorder services in England: findings from a national survey",

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.",

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

note = "First published online: 02/01/2018",

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doi = "10.1192/pb.bp.116.055251",

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T1 - Personality disorder services in England

T2 - findings from a national survey

AU - Dale, Oliver

AU - Sethi, Faisal

AU - Stanton, Clive

AU - Evans, Sacha

AU - Barnicott, Kirsten

AU - Sedgewick, Rosemary

AU - Goldsack, Steve

AU - Doran, Monica

AU - Shoolbred, Lucinda

AU - Samele, Chiara

AU - Urquia, Norman

AU - Haigh, Rex

AU - Moran, Paul

N1 - First published online: 02/01/2018

PY - 2017/10/1

Y1 - 2017/10/1

N2 - 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.

AB - 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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DO - 10.1192/pb.bp.116.055251

M3 - Article (Academic Journal)

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SP - 247

EP - 253

JO - BJPsych Bulletin

JF - BJPsych Bulletin

IS - 5

ER -

Personality disorder services in England: findings from a national survey

Abstract

Bibliographical note

UN SDGs

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