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Enhancing member engagement in a Tier 3 personality disorder service during COVID-19: evaluation of a virtual group
Emma Smith1, Cat Papastavrou Brooks1,2, Emma Clifford1
1Sussex Partnership NHS Foundation Trust, Trust HQ, Swandean, Arundel Road, Worthing, West SussexBN13 3EP, UK.
Background:
Drop-out rates from evidence-based interventions for people with a diagnosis of personality disorder (PD) are high. The COVID-19 pandemic has likely exacerbated barriers to engagement with the introduction of virtual working. Virtual therapy has a good evidence-base for Axis I disorders, but limited research for Axis II disorders.
Aims:
To investigate facilitators and barriers to engagement in a Tier 3 PD service virtual group programme.
Method:
A virtual group programme was developed in collaboration with service members, and analysed members' attendance rates over a 5-month period pre- and post-COVID-19. Thematic analysis of semi-structured telephone interviews with 38 members is reported, describing their experience of the virtual group programme.
Results:
Attendance rates were significantly higher pre-COVID (72%) than post-COVID (50%). Thematic analysis highlighted key barriers to attendance were: practical issues, low motivation, challenges of working in a group online and feeling triggered at home. Main promoters of engagement were: feeling valued, continued sense of connection and maintaining focus on recovery.
Discussion:
The results suggest that the pandemic has exacerbated relational and practical barriers to engagement in a Tier 3 PD service. Ways of enhancing engagement are discussed, as well as preliminary recommendation for services offering virtual therapy to people with a diagnosis of PD.
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