Treatment of the borderline patient in partial hospitalization

Current reimbursement trends are forcing a search for less expensive alternatives to hospitalization for the mentally ill. Much of the literature on the treatment of patients with severe borderline personality disorders has focused on inpatient treatment, often on the pros and cons of long-term versus short-term programs. Little has been written about the treatment of patients with borderline disorders in partial hospitalization programs. This paper emphasizes the usefulness of such a setting and describes its staffing, program components, and approaches for intensive reconstructive treatment. Special emphasis is placed on admission and discharge boundaries, careful coordination of treatment, and crisis management.