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Developing effective services for patients with personality disorders

P S Links1

  • 1Department of Psychiatry, Wellesley/Central Hospital, University of Toronto, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|April 30, 1998
PubMed
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New service models show promise for treating personality disorders, reducing suicide attempts and hospitalizations. Comprehensive care, including substance abuse and family programs, is essential for effective patient outcomes.

Area of Science:

  • Psychiatry
  • Mental Health Services Research

Background:

  • Personality disorders present complex care challenges.
  • Existing service models require evaluation for effectiveness.

Purpose of the Study:

  • To review empirical research on the effectiveness of various service models for personality disorder care.
  • To identify successful interventions and areas for improvement.

Main Methods:

  • Systematic review of empirical studies on personality disorder services.
  • Focus on acute care, continuing care, and community programming.
  • Emphasis on randomized controlled trials and relevant patient outcomes.

Main Results:

  • Limited data on acute services; community programming reduces suicide risk and inpatient admissions.

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  • Need for improved treatment compliance strategies.
  • Assertive community treatment and integrated substance abuse/family programs show potential.

    • Conclusions:

    • Novel care models for personality disorders are emerging.
    • These models are ready for further testing and implementation.