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C-11. Educational course: Psychoeducationand risk management strategies with borderline personality disorder patients

Published online by Cambridge University Press:  16 April 2020

Abstract

Type
Personality and behavioural disorders
Copyright
Copyright © European Psychiatric Association 2005

The course will consist of two parts: 1. risk management within an ambulatory crisis intervention, 2. psycho-educative training program for various (inpatient and outpatient) environments Psychotherapy and antidepressant medication showed advantage compared to treatment as usual among borderline patients. Recent reports indicated, however, that simple case management programs aimed to enhance compliance and to provide careful risk management have significant relevance to better treatment policies with these patients. Specifically, several studies indicated that personalized on call response 24h a day, supportive care directed to secure treatment adherence and antidepressant maintenance, psychoeducational interventions, family support, home based social case-work and nursing after care, continuous follow-up aimed to express interest in the person's well being may significantly reduce drop-out from treatment, suicidal and self damaging behaviour and service consume. The course plan will provide a structured review of these studies and a rationale for valuable provision of specialized case management for borderline patients. An additional point is in keeping with “who” and “where” such programs should be implemented and “how” train and supervise these programs in various psychiatric environments. Finally, we will develop essential guidelines for fruitful integration of case management and specialized outpatient treatment in a comprehensive mental health plan aimed to develop ambulatory crisis intervention for borderline patients. Psycho-education in psychotherapy means to inform the patient about his/her specific disorder, aetiology, therapy strategies and settings as well as prognosis. Consistent with an empirically based model of borderline personality disorder including aspects of symptomatology and etiology, an individual explanation model of the disorder is worked out together with the patient that subsumes maladaptive as well as functional aspects of the personality style and provides an hierarchical analysis of behavioural problems and therapeutic aims. The aim of psycho-education is to make the padent to an expert of his/her disorder and to encourage the patient for change.

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