Designing Community Services for People With Borderline Personality Disorder to Reduce Hospitalizations
Previous evaluations of interventions for borderline personality disorder have focused on psychotherapies. This study (N=42 patients), conducted in Liverpool, United Kingdom, reviewed the effect on out-of-area treatments (OATs) and hospital admissions of establishing a local case management team and a combined day treatment and crisis service for patients who are too dysregulated to access typical office-based psychotherapy. Data from 12, 24, and 36 months postintervention were compared with baseline data. All patients in OATs were repatriated to the local community. No new patients were sent to OATs. Admissions decreased (at 12 months, 49%; 24 months, 64%; 36 months, 74%), achieving savings in hospitalization costs. Moderate increases in the use and costs of some other services were observed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Psychiatric services (Washington, D.C.) - (2024) vom: 19. Feb., Seite appips20230028 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Graham, Simon [VerfasserIn] |
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| Links: |
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| Themen: |
Borderline personality disorder |
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| Anmerkungen: |
Date Revised 19.02.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1176/appi.ps.20230028 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368599396 |
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| 520 | |a Previous evaluations of interventions for borderline personality disorder have focused on psychotherapies. This study (N=42 patients), conducted in Liverpool, United Kingdom, reviewed the effect on out-of-area treatments (OATs) and hospital admissions of establishing a local case management team and a combined day treatment and crisis service for patients who are too dysregulated to access typical office-based psychotherapy. Data from 12, 24, and 36 months postintervention were compared with baseline data. All patients in OATs were repatriated to the local community. No new patients were sent to OATs. Admissions decreased (at 12 months, 49%; 24 months, 64%; 36 months, 74%), achieving savings in hospitalization costs. Moderate increases in the use and costs of some other services were observed | ||
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| 700 | 1 | |a Clegg, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Thornton, Abigail |e verfasserin |4 aut | |
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