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A Service Evaluation of a 1-Year Dialectical Behaviour Therapy Programme for Women with Borderline Personality Disorder in a Low Secure Unit

Published online by Cambridge University Press:  13 February 2014

Emily Fox ,
Kirsten Krawczyk ,
Jessica Staniford  and
Geoffrey L. Dickens
Emily Fox*
Affiliation:
St Andrew's Healthcare, Northampton, UK
Kirsten Krawczyk
Affiliation:
St Andrew's Healthcare, Northampton, UK
Jessica Staniford
Affiliation:
St Andrew's Healthcare, Northampton, UK
Geoffrey L. Dickens
Affiliation:
St Andrew's Academic Centre, King's College London, Northampton, UK
*
Reprint requests to Emily Fox, St Andrew's Healthcare, Women's Service Psychology, Billing Road, Northampton NN1 5DG, UK. E-mail: efox@standrew.co.uk
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Abstract

Background: Previous studies about the effectiveness of Dialectical Behaviour Therapy for the treatment of Borderline Personality Disorder have had promising results. However, no previous studies have examined its effectiveness when delivered in low secure inpatient services for women. Aims: To evaluate clinical outcomes during and after a 1-year period of admission within a low secure unit for women offering a Dialectical Behaviour Therapy programme. Method: A naturalistic, within subjects study of clinical data collected as part of routine practice was conducted. Participants were18 consecutively admitted women who met the diagnostic criteria for Borderline Personality Disorder and had completed at least 1 year of treatment. Measures covered: risk behaviours; self-reported symptoms of Borderline Personality Disorder, and current mood and symptom experience; staff reports of clinical problems, needs and social functioning. Scores were compared between admission and at 6 months and 1 year. Results: There was a statistically significant improvement on all 13 measures over the year's treatment. Most improvement was demonstrated between admission and 6 months. Conclusions: Engagement in1-year's treatment was associated with significant reduction in risk behaviours and both staff-rated and self-rated outcome measures. Some significant questions remain about which elements of the programme are most effective but the results are encouraging.

Keywords

Borderline Personality Disorderdialectical behaviour therapylow securewomen's serviceservice evaluation
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 6 , November 2015 , pp. 676 - 691
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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