Abstract
Improvements to service provision for personality disorder has been predominately explored through the perspectives of clinicians, with limited understanding of the views of consumers and carers. The aim of the present study was to understand the priorities for service improvement through multiple perspectives. Twelve roundtables, with a total of 53 consumers, clinicians and carers, discussed how organizations could improve service provision for people with personality disorder and completed a questionnaire on current and optimal service provision. Inductive thematic analysis was used to identify the priorities for service improvement, and we aimed to identify differences between what participants currently receive and what they believe to be optimal. Four priorities were identified: (1) increasing consumer, carer and peer involvement in care, (2) re-orienting approaches to service provision, (3) improving access and accessibility of treatment and (4) building the capacity of services. Participants were more likely to receive individual or group treatment alone, yet believed combined individual and group treatment to be optimal. Significantly, more participants believed that long-term treatment was optimal. A shift in focus from establishing a consistent approach to servicing, to focusing on holistic care that involves consumers and carers in care, is required. © 2020 The Authors Personality and Mental Health Published by John Wiley & Sons Ltd.
Highlights
Personality disorder is a complex mental health issue, experienced by 7.8% of the global population,[1] and represents approximately 20.5% of all inpatient mental health admissions,[2] despite community-based treatment being recommended by clinical guidance.[3]
Clinicians were defined as participants in a paid role within the public or private mental health service in Australia
The present paper sought to understand the perspectives of consumers, family members, carers and clinicians on service provision for personality disorder in Australia and to identify recommendations for service improvement
Summary
Personality disorder is a complex mental health issue, experienced by 7.8% of the global population,[1] and represents approximately 20.5% of all inpatient mental health admissions,[2] despite community-based treatment being recommended by clinical guidance.[3]. In England, 16% of mental health trusts had no dedicated services for people with personality disorder,[12] despite evidence for the effectiveness of treatment[13] and subsequent costeffectiveness.[14]
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