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Psychosocial treatment for severe personality disorder - 36-month follow-up

Chiesa, M; Fonagy, P; (2003) Psychosocial treatment for severe personality disorder - 36-month follow-up. BRIT J PSYCHIAT , 183 356 - 362.

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Abstract

Background In a previous report a step-down psychosocial programme for severe personality disorders was found to be more effective at expected termination of treatment than a longer in-patient treatment with no planned after-care.Aims To evaluate the clinical effectiveness of these two psychosocial specialist programmes-over a 3-year' follow-up period.Method Two samples allocated to the in-patient treatment and to the step-down programme were compared prospectively on symptom severity, social adjustment, global assessment of mental health and other clinical indicators at 6,12, 24 and 36 months after intake.Results Improvements-were significantly greater in the step-down programme for social adjustment and global assessment of mental health. Patients in the programme were found to self-mutilate, attempt suicide and be readmitted significantly less at 24- and 36-month follow-up than patients in the in-patient group.Conclusions Improvements associated with specialist residential treatment continued 2 years after discharge. A step-down model has significant advantages over a purely in-patient model.Declaration of interest Grants from the Henry Smith and Welton Foundations.

Type: Article
Title: Psychosocial treatment for severe personality disorder - 36-month follow-up
Keywords: PARTIAL HOSPITALIZATION
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/134282
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