Consistent treatment choices for people with Personality Disorder.
Research type
Research Study
Full title
Demystifying intervention: enabling consistent treatment choices for people with Personality Disorder.
IRAS ID
157333
Contact name
Judith Graham
Contact email
Sponsor organisation
University of Derby
Duration of Study in the UK
1 years, 4 months, 30 days
Research summary
In the current UK NHS context, there are significant changes regarding mental health care delivery and expectations concerning worker productivity (DoH,2014a,b,2011a,b,c,d,2009). Many professional caseloads have altered in regards to the changes, specifically in regard to the formation of specialist Community Mental Health Treatment teams (e.g.: diagnostic specific teams), and the threshold for service provision has increased, with ‘payments per treatment’ under evaluation (DoH,2011e).
The UK government have introduced measures such as ‘The New Ways of Working’ (DoH,2007) to more economically use existing resources regarding client care and supporting the above changes. The two services in the locality studied, in which this initiative has significantly altered, have been psychiatrist out-patients clinics, and psychological therapy, who have subsequently integrated with mental health treatment teams.
Two clinical issues have been raised which prompted this study: (1) the need to create a clinical tool for guiding consistent treatment choices for people with Personality Disorder, (2) the need for a consistent approach to be taken in regards to psychotherapeutic supervision of staff working within services where there may be value judgements connected with access to specialist treatments.
An initial literature search demonstrated that there are multiple interventions specified to treat Personality Disorder, however, there appears to be no specific tool available for guiding treatment choice for this patient group. As a part of the action research process, I have therefore focussed informal exploratory work with key stakeholders to understand the problem better. I have worked with the locality clinical leads to develop a ‘treatment choices grid’ for clinicians who work with people with personality disorder, to aid clinical decision making.
The purpose of this study would be to conduct an action research study in one Adult Community Mental Health NHS site, concerning a newly developed ‘treatment choices grid’ for service users, clinicians, and clinical supervisors.
REC name
Yorkshire & The Humber - Bradford Leeds Research Ethics Committee
REC reference
14/YH/1039
Date of REC Opinion
26 Jun 2014
REC opinion
Further Information Favourable Opinion