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Related Experiment Videos

Developing a systems approach to caring for persons with borderline personality disorder

N Nehls1, R J Diamond

  • 1University of Wisconsin-Madison School of Nursing 53792.

Community Mental Health Journal
|April 1, 1993
PubMed
Summary

This paper proposes adapting a systems approach, originally for schizophrenia care, to improve treatment for individuals with severe borderline personality disorder. The modified model aims for multi-focused, coordinated, comprehensive, and continuous care in community mental health settings.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Personality Disorders

Background:

  • Community mental health centers often lack structured treatment for severe borderline personality disorder (BPD).
  • Existing approaches may not be sufficiently multi-focused, coordinated, comprehensive, or continuous for seriously ill individuals.
  • There is a need for evidence-based, integrated care models for severe BPD.

Purpose of the Study:

  • To propose a modified systems approach for treating seriously ill persons with borderline personality disorder.
  • To adapt a successful model used for schizophrenia care to the BPD population.
  • To describe the rationale, principles, and clinical components of the proposed BPD treatment model.

Main Methods:

  • Literature review and conceptual model development.

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  • Adaptation of the "systems approach" framework (Stein, Diamond, & Factor, 1990).
  • Description of proposed clinical components and underlying principles for BPD care.

    • Main Results:

    • The paper outlines a theoretical framework for a modified systems approach tailored to severe BPD.
    • Key principles include integration, continuity of care, and a multi-disciplinary team approach.
    • Specific clinical components are detailed for implementation in community mental health settings.

    Conclusions:

    • The proposed modified systems approach offers a promising framework for enhancing care for seriously ill individuals with BPD.
    • Further research and empirical testing are needed to validate the efficacy of this adapted model.
    • Implementation in community mental health centers could improve treatment outcomes and continuity of care for severe BPD.