The effectiveness of a day hospital mentalization-based therapy programme for adolescents with borderline personality traits: Findings from Touchstone—Child and Adolescent Mental Health Service

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-04-20 DOI:10.1002/cpp.2854

Dylan Gilbey, Georgia Brealey, Irene Mateo-Arriero, Zoe Waters, Megan Ansell, Elmie Janse van Rensburg, Patricia De Gouveia Belinelo, Helen Milroy, Giulia Pace, Kevin Runions, Ivan Salmin, Alix Woolard

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Abstract

Background

Individuals with borderline personality disorder (BPD) are at a substantial risk of harm to themselves and others, experience high levels of functional impairment and typically are high users of tertiary healthcare to address their mental health concerns. As indicators for BPD typically emerge in adolescence, a day therapy service in Bentley, Western Australia, Touchstone Child and Adolescent Mental Health Service (CAMHS), was developed as an intensive intervention for adolescents with indicators for BPD and its associated symptomology. Touchstone utilizes mentalization-based therapy (MBT) in a therapeutic community setting, where the current study sought to document the anecdotal outcomes using the data provided at Touchstone, to enable a greater understanding of this treatment approach for adolescents with indicators for BPD.

Method

Forty-six participants attended the Touchstone programme between 2015 and 2020. The programme involved 6 months of MBT (group and individual), occupational therapy, education and creative therapies. Measures of self-injury, mood and emergency department presentations were collected pre- and post-programme.

Results

Results indicate that participants show a reduction in non-suicidal acts and thoughts, as well as a reduction in negative moods and feelings from pre-Touchstone to post-Touchstone. There is also a decrease in participant presentation to tertiary emergency departments for mental health concerns.

Conclusions

The current study shows evidence for the efficacy of Touchstone as an MBT therapeutic community intervention to reduce symptoms of emerging BPD and effectively reduce presentations to emergency departments for mental health presentations, alleviating pressure on tertiary hospitals and reducing economic impact of adolescents within this demographic.

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针对具有边缘型人格特征的青少年的日间医院精神治疗方案的有效性：来自 Touchstone 儿童和青少年心理健康服务机构的研究结果。

背景：边缘型人格障碍（BPD）患者对自己和他人造成伤害的风险很大，功能受损程度很高，而且通常是三级医疗保健服务的高用户，以解决他们的心理健康问题。由于 BPD 的症状通常出现在青少年时期，因此，西澳大利亚本特利的一项日间治疗服务--"触摸石儿童和青少年心理健康服务"（CAMHS）--应运而生，作为对出现 BPD 症状及其相关症状的青少年的强化干预措施。在治疗社区环境中，"触摸石 "采用了基于心智化的疗法（MBT），本研究试图利用 "触摸石 "提供的数据记录轶事结果，以便更好地了解这种针对有 BPD 指征的青少年的治疗方法：46 名参与者在 2015 年至 2020 年期间参加了 "触摸石 "计划。该计划包括为期 6 个月的 MBT（小组和个人）、职业疗法、教育和创意疗法。计划前后收集了自我伤害、情绪和急诊就诊情况的测量数据：结果表明，从 "触摸石 "计划前到计划后，参与者的非自杀行为和想法有所减少，负面情绪和感受也有所减少。此外，因心理健康问题而前往三级急诊室就诊的人数也有所减少：当前的研究表明，"触摸石 "作为一种 MBT 治疗社区干预措施，能够有效减少新出现的 BPD 症状，并有效减少因精神健康问题到急诊科就诊的人数，从而减轻三级医院的压力，并减少青少年对这一人群的经济影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.