Collaborative Care for patients with severe personality disorderss.

Collaborative Care for patients with severe borderline and NOS personality disorders: A comparative multiple case study on processes and outcomes.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON25247

Enrollment

Registered

2011-02-25

Start date

2010-12-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

personality disorders, destructive behaviours, suicidal behaviour, self management In Dutch: persoonlijkheidsstoornissen, destructief gedrag, suïcidaal gedrag, zelfmanagement

Interventions

A Collaborative Care Program consisting of several interventions, including: 1. Organization of care and contracting

2. Forming of a Collaborative Care team

3. Problem Solving Treatment

4. Early Warning and early intervention

5. Life Orientation

6. Psycho-education. The collaborative Care is executed by a collaborative care manager (nurse) who has the central control function in maintaining the coordination and continuity of care. The design

2. Problem solving intervention in six session, given by the nurse

3. Life orientation in which elements of the Solution Focused Treatment are used to discover and expand positive experiences and powers to get a more positively oriented life orientation

4. Psycho-education, issued in the workbook and taken care of by the nurse. An evaluation will be held every three months by the Collaborative Care team.

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients with a DSM-IV diagnosis for Borderline Personality Disorder or Personality Disorder Not Otherwise Specified; 2. Patients with a score > 15 on the Borderline Personality Disorder Severity Index; 3. Patients received care/treatment for more than 2 years; 4. Patients aged between 18-65.

Exclusion criteria

Exclusion criteria: 1. Patients who participate in a structured psychotherapeutic program at the moment of the study; 2. Patients with insufficient command of the Dutch language for completing questionnaires; 3. Patients without informed consent statement.

Design outcomes

Primary

Measure	Time frame
1. Quality of life: Manchester Short Appraisal (MANSA); 2. Borderline Personality Disorder Severity Index (BPDSI).	—

Secondary

Measure	Time frame
1. Destructive behaviours: BPDSI, Beck Scale for Suicide Ideation (BSSI), CAGE questions- adapted to include drugs (CAGE-AID), Suicide Behavior Attitude Questionnaire (SBAQ), Attitudes Towards Deliberate Self-Harm Questionnaire (ADSHQ); 2. Health care use: Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (Tic-P); 3. Psychosocial symptoms: Brief Symptom Inventory (BSI); 4. Patient satisfaction: Consumer Quality- index (CQ-index); 5. Quality of the therapeutic relationship: Scale to Asses Therapeutic Relationships in Community Mental Health Care (STAR); 6. Mastery: Pearlin’s Mastery Scale (PMS).	—

Measure

Time frame

1. Destructive behaviours: BPDSI, Beck Scale for Suicide Ideation (BSSI), CAGE questions- adapted to include drugs (CAGE-AID), Suicide Behavior Attitude Questionnaire (SBAQ), Attitudes Towards Deliberate Self-Harm Questionnaire (ADSHQ); 2. Health care use: Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (Tic-P); 3. Psychosocial symptoms: Brief Symptom Inventory (BSI); 4. Patient satisfaction: Consumer Quality- index (CQ-index); 5. Quality of the therapeutic relationship: Scale to Asses Therapeutic Relationships in Community Mental Health Care (STAR); 6. Mastery: Pearlin’s Mastery Scale (PMS).

—

Contacts

Public ContactB. Stringer

Research Department A.J. Ernststraat 1187

b.stringer@ggzingeest.nl+31 (0)20 7884578

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)