The British Journal of Psychiatry (2008) 193: 342-343. doi: 10.1192/bjp.bp.107.043042
© 2008 The Royal College of Psychiatrists
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SHORT REPORTS

Dedicated community-based services for adults with personality disorder: Delphi study

Mike J. Crawford, MD, Katy Price, BA and Deborah Rutter, PhD

Faculty of Medicine, Imperial College London

Paul Moran, MD

King's College London

Peter Tyrer, MD

Faculty of Medicine, Imperial College London

Anthony Bateman, FRCPsych and Peter Fonagy, PhD

University College London

Sarah Gibson

Mental Health Foundation

Tim Weaver, PhD

Faculty of Medicine, Imperial College London, UK

Correspondence: Dr M. J. Crawford, Department of Psychological Medicine, Faculty of Medicine, Imperial College London, Claybrook Centre, 37 Claybrook Road, London W6 8LN, UK. Email: m.crawford{at}imperial.ac.uk

Declaration of interest

None. P.T. is the Editor of the British Journal of Psychiatry but had no part in the evaluation of this paper for publication. Funding detailed in Acknowledgements.

Dedicated community-based services have been recommended for people with personality disorder, but little is known about how such services should be configured. We conducted a Delphi survey to assess opinions about this. A panel of expert authors, service providers and service users agreed on only 21 (39%) of 54 statements on the organisation and delivery of care. Consensus was not reached on important issues such as working with people with a history of violent offending, the role of community outreach and the use of compulsory treatment. Further work needs to be undertaken before the optimal organisation of dedicated personality disorder services can be agreed.




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Interesting times for personality disorder services
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BJP Online, 31 Oct 2008 [Full text]