Therapeutic community treatment of personality disorder: Service use and mortality over 3 years' follow-up
Abstract
Background: A number of studies have demonstrated reductions in the utilisation of psychiatric services, especially acute in-patient admissions, following therapeutic community treatment of personality disorder. These studies have, however, been of limited duration (1 year) and follow-up has not always been complete. Aims: To identify hospital admissions before and after therapeutic community treatment of personality disorder. Method: A naturalistic clinical cohort of patients admitted between January 1993 and December 1995 was followed up for 3 years. All subjects were traced to their current consultant psychiatrist, general practitioner or death. Results: All patients were traced at 3-year follow-up. The significant reduction in in-patient admissions seen in the first year was maintained over 3 years. Those with the poorest outcomes, suicide, accidental death or prolonged admission were all in the quartile with the shortest admissions (under 42 days) to the therapeutic community. Conclusions: Previously reported reductions in psychiatric admissions following therapeutic community treatment of personality disorder are maintained over 3 years.
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Date
2003
Type
Conference Proceeding
Subject
Length of stay, Personality disorders, Therapeutic community
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Citation
Davies, S. & Campling, P. (2003). Therapeutic community treatment of personality disorder: Service use and mortality over 3 years' follow-up. In: Bhui, K., (Ed.) 2nd Conference of the British and Irish Group for the Study of Personality Disorders, 31 Jan-3 Feb 2003 Leicester, United Kingdom. The British Journal of Psychiatry, p.s24-s27.