None listed
Conditions
Brief summary
The Mentalization-Based Treatment Families and Carers Training and Support Programme (MBT-FACTS) is a five session Mentalization Based Treatment (MBT) informed skills and education program for family members and carers of someone with Borderline Personality Disorder (BPD) (Bateman & Fonagy, 2019). MBT-FACTS focuses on providing family members and carers the knowledge and skills to interact more effectively with their family member with BPD. The sessions are structured and semi-manualised and include didactic psychoeducation, group discussions, in-session practice of skills and homework tasks to practice between sessions. The program was designed to be delivered by family members or carers with lived experience of caring for a person with a diagnosis of BPD. At Alfred CYMHS the program will be facilitated by both a carer support consultant with lived experience of caring for a family member with BPD, and a trained mental health clinician. The program is designed to provide families and carers the skills to understand and interact with their person with BPD differently. The project will evaluate the impact of the program on the experience of adverse events by family members and carers in relation to the person with BPD, and the wellbeing, depression, anxiety, stress, family functioning, and experience of burden outcomes for the family members and carers participating. The project will also evaluate the impact of the program on the experience of family functioning as reported by the person with Borderline Personality Disorder via survey, and also their broader experience and perception of having their person complete the MBT-FACTS program which will be gathered via focus group. The project will utilise a delayed-treatment Randomised Control Trial (RCT) design, with half of the referred families and carers allocated randomly to commence in the first treatment group, and the other half allocated to commence the program approximately 3months after the commencement of the first group. The young person with Borderline Personality Disorder will continue to receive treatment as usual regardless of the randomisation group of their family member or carer. Any usual supports available to the carer of family member will also remain available.
Interventions
The MBT-FACTS Program is a five-session psychoeducation and support program group, with the first session lasting two hours and the subsequent four sessions to be one and a half hours duration. Sessions occur weekly over a total of 5 weeks. All sessions are delivered face to face and in group format at an Alfred Health community psychiatry clinic site. The program was designed to be delivered by carers with relevant lived experience, to be brief, and specifically to be both educational and skill
The MBT-FACTS Program is a five-session psychoeducation and support program group, with the first session lasting two hours and the subsequent four sessions to be one and a half hours duration. Sessions occur weekly over a total of 5 weeks. All sessions are delivered face to face and in group format at an Alfred Health community psychiatry clinic site. The program was designed to be delivered by carers with relevant lived experience, to be brief, and specifically to be both educational and skills based in it’s content. The Program will be delivered at Alfred CYMHS by a carer with lived experience and a mental health experienced social worker. There will be an attendance log taken at each session. Materials given to participants include handouts and presentation of slides and small group discussions. These can be found here: https://www.annafreud.org/training/mentalization-based-treatment-training/families-and-carers-training-and-support-programme-facts/ Each of the five sessions covers a different topic: Session 1. Introduction: What is BPD? Discussion of the characteristics of BPD, and identifying the main areas of difficulty that families and carers face in their relationship and interactions with the person with BPD. Session 2. Mindfulness and Mentalizing. Discussion of both mindfulness and Mentalizing, and practice of mindfulness to manage the emotional reactivity of family member’s and increase Mentalizing language in interpersonal processes. Session 3. Mentalizing. Role plays based on the difficulties that families have been experiencing. Session 4: Mentalizing and empathic validation. Working with the participants to develop the capacity to understand things from the other person’s experience. Session 5. Problem-solving and review. Using Mentalizing techniques to enhance problem solving. The previous modules are also reviewed. Due to the Covid-19 Pandemic and related lockdown measures and restrictions in Melbourne, Victoria, the 2021 Group intervention was delivered online via MS Teams.
Sponsors
Celeste Benetti
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
14 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants will be only be included if they are able to understand and speak English. Inclusion criteria are as follows: Family member/carer inclusion criteria 1. The family member or carer is aged 18 years or over 2. The family member or carer is related to, or cares for, a young person aged between 14 to 25 years who meets criteria for Borderline Personality Disorder according to the diagnostic criteria in the Diagnostic and Statistical Manual for Mental Disorders (5th Edition) (American Psychiatric Association, 2013). 3. The family member or carer is willing to attend all 5 sessions of the FACTS program 4. The family member or carer is able to speak English Young person inclusion criteria 1. The young person is aged over 14 years of age 2. The young person meets criteria for Borderline Personality Disorder according to the diagnostic criteria in the Diagnostic and Statistical Manual for Mental Disorders (5th Edition) (American Psychiatric Association, 2013). 3. The young person is able to speak English
Exclusion criteria
Participants will be excluded where the young person with a diagnosis of BPD also has a current diagnosis of Schizophrenia, Schizoaffective disorder, other primary psychotic disorder, or where there is a severe substance abuse disorder that is the primary focus of treatment. Family member/carer exclusion criteria 1. If the family member or carer is below 18 years of age 2. If the young person they are caring for is under 14 years of age 3. If the family member/carer is unable to attend all sessions 4. The family member or carer is unable to speak English Young person exclusion criteria 1. If the young person is less than 14 years of age 2. If the young person does not meet criteria for BPD 3. The young person is unable to speak English
Outcome results
None listed