Treatment of personality disorder using a whole of service stepped care approach: A cluster randomized controlled trial.

ABSTRACT:

Background and objectives

People with personality disorders are prevalent in emergency and inpatient mental health services. We examined whether implementing a stepped care model of psychological therapy reduces demand on hospital units by people with personality disorder, in a cluster randomized controlled trial.

Method

A total of 642 inpatients (average age 36.8, 50.5% female) with a primary ICD-10 personality disorder were recruited during 18 months baseline, then monitored during an 18 month active trial phase. In the active trial phase two equivalent sites were randomised to either treatment as usual (TAU), or a whole of service intervention that diverted people away from hospital and into stepped care psychological therapy clinics. The study design was cost neutral, wi

SUBMITTER: Grenyer BFS 

PROVIDER: S-EPMC6219775 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature