{"title":"Five Failures and Five Challenges for Prevention and Early Intervention for Personality Disorder.","authors":"Andrew M Chanen, Katie Nicol","doi":"10.1176/appi.focus.22020016","DOIUrl":null,"url":null,"abstract":"<p><p>Despite global consensus regarding the early detection of personality disorder, current approaches to early intervention have failed to deliver for the majority of young people. This only serves to reinforce the enduring effects of personality disorder on functioning, mental and physical health, resulting in a reduction of quality of life and life expectancy. Here, we describe five significant challenges facing prevention and early intervention for personality disorder: identification, access to treatment, research translation, innovation and functional recovery. These challenges highlight the need for early intervention to shift from niche programmes in specialist services for a select few young people to become established in mainstream primary care and specialist youth mental health services. Reprinted from <i>Curr Opin Psychol 2021; 37:134-138</i>, with permission from Elsevier. Copyright © 2021.</p>","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187394/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Focus (American Psychiatric Publishing)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1176/appi.focus.22020016","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/10/25 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Despite global consensus regarding the early detection of personality disorder, current approaches to early intervention have failed to deliver for the majority of young people. This only serves to reinforce the enduring effects of personality disorder on functioning, mental and physical health, resulting in a reduction of quality of life and life expectancy. Here, we describe five significant challenges facing prevention and early intervention for personality disorder: identification, access to treatment, research translation, innovation and functional recovery. These challenges highlight the need for early intervention to shift from niche programmes in specialist services for a select few young people to become established in mainstream primary care and specialist youth mental health services. Reprinted from Curr Opin Psychol 2021; 37:134-138, with permission from Elsevier. Copyright © 2021.
预防和早期干预人格障碍的五大失败和五大挑战。
尽管全球对早期发现人格障碍达成了共识,但目前的早期干预方法未能为大多数年轻人提供服务。这只会加剧人格障碍对功能、心理和身体健康的持久影响,导致生活质量和预期寿命下降。在这里,我们描述了人格障碍预防和早期干预面临的五个重大挑战:识别、获得治疗、研究转化、创新和功能恢复。这些挑战凸显了早期干预的必要性,即从为少数年轻人提供的专业服务的利基计划转变为主流初级保健和专业青年心理健康服务。转载自Curr Opin Psychol 2021;37:134-138,经爱思唯尔许可。版权所有©2021。
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