Personality disordered women in secure care: a treatment evaluation

摘要: – The purpose of this paper is to assess the effectiveness a gender-specific group treatment programme for personality disordered (PD) women in medium secure psychiatric setting. , In all, 56 consecutive admissions with primary diagnosis disorder (mostly borderline type) and co-morbidity were assessed according their participation in, benefit from, core set five manualised treatments that focused on social interpersonal deficits, instability mood problematic substance use. A single cohort pre-test post-test comparison design was used evaluation based global change over an amalgam self-report specific outcome measures. 70 per cent patients attended three or more groups, attendance each ranging from 85 53 cent. Between 65 77 showed significant improvement pre-group psychometrics. Patients who achieved positive one tended do so others. completed two groups had overall direction scores. Those benefited engaged quickly, likely have been admitted hospital, previously therapy score lower measures impulsivity pathology. clinically representative study absence control limits extent which observed changes can be attributed described interventions. Findings reflect importance providing broad clinical approach changing cognitive behavioural functioning PD settings. They also highlight need improve ways engaging at earlier stage hospital stay increasing acceptability uptake relevant treatments. Further evidence-informed service developments are needed meet these challenges. adds small literature impact