Mental and behavioural disorders: Other mental disorder Mental and Behavioural Disorders Other mental disorder
Conditions
Interventions
1. 24 sessions of cognitive-analytical therapy (CAT)
2. Standard care
Sponsors
NHS R&D Regional Programme Register - Department of Health (UK)
Eligibility
Inclusion criteria
Inclusion criteria: 48 'hard to treat' mental health service users with complex mental health problems who have been in active contact with the participating trusts for at least one year and whose major presenting problems have not been successfully treated. Inclusion criteria: 1. A diagnosis of Cluster B Personality Disorder (Diagnostic and Statistical Manual of Mental Disorders, fourth edition [DSM IV], Axis II - as per Million Clinical Multiaxial Inventory III [MCMI III]) 2. A Beck Depression Index score above 25 3. One year (or longer) history of unsuccessful treatment (assessed by case note review by the responsible medical officers [RMOs]); or at least two hospital admissions in the past 5 years following parasuicide. 4. Still on active caseload of Community Mental Health Team (CMHT) (Care Programme Approach [CPA] level 1 or higher).
Exclusion criteria
Exclusion criteria: 1. Concurrent organic or definite psychotic illness (though patients suffering micropsychotic episodes only will not be excluded) 2. Referral to CAT services in past five years 3. Currently receiving another formal psychological treatment 4. Current admission to inpatient care (though subsequent admission during the course of the trial will not exclude patients from further follow-up) 5. Current active substance abuse (including alcohol)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Beck Depression Inventory, Structured Clinical Interview for DSM-IV, MCMI-III, Client Service Receipt Interview. | — |
Secondary
| Measure | Time frame |
|---|---|
| Not provided at time of registration | — |
Countries
United Kingdom
Outcome results
None listed