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Lessons from an Australian community dialectical behaviour therapy programme for borderline personality disorder

Published online by Cambridge University Press:  02 January 2018

Catherine Thompson
Catherine Thompson*
Affiliation:
Adult Psychiatry, North West Shropshire Community Mental Health Trust, email [email protected]
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Abstract

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In 2003, the National Institute for Mental Health in England (NIMHE) published guidelines for the development of services for people with personality disorders (NIMHE, 2003), prompting community mental health teams (CMHTs) to reassess their service provision for this patient group. The guidelines did not recommend any particular treatment approach, but CMHTs were encouraged to develop specialist programmes. For many CMHTs the focus has been on borderline personality disorder, as it is one of the most prevalent personality disorders seen in adult mental health services and has high costs for both the patient and the service (Moran, 2002). The evidence base for which treatment may be most effective within the community remains small, however, and this has left many CMHTs unclear regarding a suitable programme. Here I will outline a CMHT-based dialectical behaviour therapy (DBT) programme operating in Western Australia and reflect on why I feel it is an option that CMHTs in the UK looking to develop their service should consider.

Type
Original Papers
Information
International Psychiatry , Volume 5 , Issue 1 , January 2008 , pp. 15 - 16
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2008

References

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NIMHE (2003) Personality Disorder: No Longer a Diagnosis of Exclusion. Policy Implementation Guidance for the Development of Services for People with Personality Disorders. NIMHE.Google Scholar
Palmer, R. L. (2002) Dialectical behaviour therapy for borderline personality disorder. Advances in Psychiatric Treatment, 8, 10–16.Google Scholar
Peel Development Commission (2005) Peel Development Commission Annual Report 2004–05. Government of Western Australia.Google Scholar
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