(精选)PERSONALITY DISORDER A WELSH PERSPECTIVE教学课件.pptVIP

Main features of effective treatment:- Well structured. Apply effort to enhance compliance. Clear therapeutic focus. Theoretically highly coherent to P and T. Relatively long term. Encourage powerful attachment relationships (which are worked within). Well integrated with other services. PERSONALITY DISORDER SERVICEWHAT WORKS? Respect, fairness, compassion, understanding, acceptance and validation. Enable patients to take control of responsibility for their lives. Equals and collaborative. Provide meaningful interventions choices. Use a variety of treatment approaches. Respect patients’ right to choose not to participate in treatment ? risk management plan. GWYLFA THERAPY SERVICE PHILOSOPHY Consultation/ advice/ support/ supervision service to CMHT’s. Specialist assessment reporting to teams. Clinical service for a small number of BPD severely distressed patients who cannot be managed at CMHT level. Involvement in assessment to ongoing liaison/ monitoring of patients who are referred to Out of Area PD Services. Training and staff development GWYLFA THERAPY SERVICE KEY FUNCTIONS GWYLFA THERAPY SERVICE SERVICE MODEL Community Mental Health Team/ In-patient services Consultation Service Clinical Service Out of Area Services GWYLFA THERAPY SERVICES Liaison with local services. Consultation service. Systemic interventions. Assessment. Formulation. Intensive therapeutic programme. Training. User group. GWYLFA THERAPY SERVICES Information resource. Out of Area Referrals:- Assessment. Recommendations re: which of area treatment. Liaison/ monitoring. Agree therapeutic focus, goals, length, return asap. Knowledge base about OAP’s Diagnosis of PD or a suspected Personality Disorder, including dual diagnosis with other psychiatric illness e.g. PD + Bipolar Disorder. Challenging or Tx interfering behaviour over protracted period. Resistant to change over protracted period. CMHT have run out of ideas - are “stuck”. GTS - REFERRAL CRITER