Social Psychiatry for people with a personality disorder
The treatment of people with a personality disorder has improved considerably over the past two decades. Four psychotherapies (Big 4) have proven to be effective for with a personality disorder. These treatments are intensive however and need highly skilled psychotherapists. The last few years treatments have been developed that are based on the common features of the Big 4 psychotherapies. These approaches still are real psychotherapies, and two of them (Strucured Clinical Management (SCM) and Good Psychiatric Management (GPM)) have proven to be effective in one RCT each. These are less time consuming and are applicable by less intensively trained therapists.
The majority of people with a personality disorder however don’t seek help, cannot afford it or it’s just not available. And the majority of the people who seek help for their personality disorder in mental health care don’t receive psychotherapy at all. In addition, some evidence based treatments don’t cover all needs of people with a personality disorder (like crisis intervention, improving the functional level, management of ER treatments, the organization of processes in treatment and going back to work) and the drop out rate is high. So there is an urge to develop treatments that are more accessible, acceptable and affordable like GPM, SCM and the GIT-PD. But there is also an urge to develop a comprehensive clinical management to guarantee that all needs of people who are treated for a personality disorder are met and for patients who are not ready for psychotherapy or never will be ready. They need support to be able to come into psychotherapy in the future or to find stabilization without psychotherapy and don't drop out. In this presentation the author will give an account of the Social Psychiatric services needed for an adequate clinical management and will give the preconditions these services have to meet.
Ad Kaasenbrood, MD PhD
psychiatrist and psychotherapistACT-team East, GGZ-Centraal, Amersfoort, The Netherlands
The aims of this workshop
In this workshop the author will elaborate on the lecture he gave on the Social Psychiatric services needed for an adequate clinical management and go into more detail. He will present illustrating videos. The workshop is highly interactive. At several points the participants will be asked to give their opinions and express their views in a structured way.
- After the workshop the participant will be able to analyze the care system for people with a personality disorder in his/her country, detect shortcomings and caveats and make a plan for the services needed to improve this care as far as this is possible given the resources that are available.
- After this workshop the participant will ba able to plan basic social psychiatric care for people with a personality disorder who are not ready for or will not get access to effective psychotherapy, in the sense of services needed.
- After this workshop the participant will be able to give an account on what characteristics are needed to treat people with a personality disorder, on an organizational, team and professional level.