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Prevalence of personality disorder in the case-load of an inner-city assertive outreach team

Published online by Cambridge University Press:  02 January 2018

Maja Ranger ,
Caroline Methuen ,
Deborah Rutter ,
Bharti Rao  and
Peter Tyrer
Maja Ranger
Affiliation:
Department of Psychological Medicine, Imperial College, London
Caroline Methuen
Affiliation:
Central North West London Mental Health NHS Trust, London
Deborah Rutter
Affiliation:
Imperial College, London
Bharti Rao
Affiliation:
Imperial College, London
Peter Tyrer
Affiliation:
Department of Psychological Medicine, Imperial College, St Dunstan's Road, London W6 8RP
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Abstract

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Aims and Method

The aim was to record the prevalence, type and severity of personality disorder dealt with by an inner-city outreach team. Patients on the register of an assertive outreach team were approached and asked to give informed consent for an informant interview with their principal worker to determine their personality status, using the informant-based ICD–10 version of the Personality Assessment Schedule.

Results

Of the 73 patients, 62 (85%) of whom had a psychotic diagnosis, 67 (92%) had at least one personality disorder, with 37 (51%) having complex or severe personality disorders.

Clinical Implications

The findings suggest that the National Service Framework requirements for assertive outreach teams tend to select many patients with comorbid personality disorder in addition to other severe psychiatric disorders.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 28 , Issue 12 , December 2004 , pp. 441 - 443
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © 2004. The Royal College of Psychiatrists.

References

Casey, P. (2000) The epidemiology of personality disorders. In Personality Disorders: Diagnosis, Management and Course (2nd edn) (ed. Tyrer, P.), pp.71–79. London: Arnold.Google Scholar
Department of Health (1999) A National Service Framework for Mental Health. London: Department of Health.Google Scholar
Keown, P., Holloway, F. & Kuipers, E. (2002) The prevalence of personality disorders, psychotic disorders and affective disorders amongst the patients seen by a community mental health team in London. Social Psychiatry and Psychiatric Epidemiology, 37, 225–229.Google Scholar
Merson, S., Tyrer, P., Duke, P., et al (1994) Interrater reliability of KD–10 guidelines for the diagnosis of personality disorders. Journal of Personality Disorders, 8, 89–95.Google Scholar
Moran, P., Jenkins, R., Tylee, A., et al (2002) The prevalence of personality disorder among UK primary care attenders. Acta Psychiatrica Scandinavica, 102, 52–57.CrossRefGoogle Scholar
National Institute for Mental Healthin England (2003) Personality Disorder: No Longer a Diagnosis of Exclusion. Leeds: NIMHE.Google Scholar
Tyrer, P. (2000) Personality Assessment Schedule: PAS–I (ICD–10 version). In Personality Disorders: Diagnosis, Management and Course (ed. Tyrer, P.), pp. 160–180. London: Arnold.Google Scholar
Tyrer, P. & Johnson, T. (1996) Establishing the severity of personality disorder. American Journal of Psychiatry, 153, 1593–1597.Google Scholar
Tyrer, P. & Seivewright, H. (2000) Studies of outcome. In Personality Disorders: Diagnosis, Management and Course (2nd edn) (ed. Tyrer, P.), pp. 119–136. London: Arnold.Google Scholar
Tyrer, P., Strauss, J. & Cicchetti, D. (1983) Temporal reliability of personality in psychiatric patients. Psychological Medicine, 13, 393–398.CrossRefGoogle ScholarPubMed
Tyrer, P., Mitchard, S., Methuen, C., et al (2003) Treatment-rejecting and treatment-seeking personality disorders: Type R and Type S. Journal of Personality Disorders, 17, 265–270.Google Scholar
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