Evaluating Adapted Structured Clinical Management for People With a Diagnosis of Personality Disorder

N/ACompletedNCT04207970

Camden and Islington NHS Trust27 enrolled

Overview

Camden and Islington NHS Foundation Trust in London has a Personality Disorder Service (PDS) which offers a number of evidence-based interventions to people with a diagnosis of Personality Disorder. One team in the PDS, the Community Team, offers an adapted form of Structured Clinical Management (SCM; Bateman and Kravitz, 2013). As these adaptations are novel, this study aims to formally explore the effectiveness of this intervention, through a sample of clients under the team, with outcomes (proxy measures of distress such as inpatient admissions) pre- and post- intervention.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Personality Disorders

Interventions

Adapted Structured Clinical ManagementOTHER

Adapted form of a previous Evidence Based Treatment- adapted to local context, in light of input from service-users and commissioners.

Eligibility

Medical Language ↔ Plain English

Inclusion Criteria: * Allocated to a care coordinator at the PDS for greater than one year (a reasonable time period for therapeutic rapport to form and the effect of the intervention to manifest). Exclusion Criteria: * No existing notes for one year prior to allocation. * No primary diagnosis of Personality Disorder.

Outcomes

Primary Outcomes

Proxy measures of client distress

Inpatient admissions, safeguarding concerns, crisis centre contacts, crisis house admissions, criminal justice contacts.

Time frame: One year pre-referral and one year post-allocation