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.

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Title: 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.
Authors: Gilbey, Dylan (AUTHOR), Brealey, Georgia (AUTHOR), Mateo‐Arriero, Irene (AUTHOR), Waters, Zoe (AUTHOR), Ansell, Megan (AUTHOR), Janse van Rensburg, Elmie (AUTHOR), De Gouveia Belinelo, Patricia (AUTHOR), Milroy, Helen (AUTHOR), Pace, Giulia (AUTHOR), Runions, Kevin (AUTHOR), Salmin, Ivan (AUTHOR), Woolard, Alix (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Nov2023, Vol. 30 Issue 6, p1303-1312. 10p.
Subjects: Hospitals, Hospital emergency services, Borderline personality disorder, Occupational therapy, Research funding, Mental health services, Psychotherapy, Self-mutilation, Children, Adolescence
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. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: 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.
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  Data: <searchLink fieldCode="AR" term="%22Gilbey%2C+Dylan%22">Gilbey, Dylan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brealey%2C+Georgia%22">Brealey, Georgia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mateo‐Arriero%2C+Irene%22">Mateo‐Arriero, Irene</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Waters%2C+Zoe%22">Waters, Zoe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ansell%2C+Megan%22">Ansell, Megan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Janse+van+Rensburg%2C+Elmie%22">Janse van Rensburg, Elmie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Gouveia+Belinelo%2C+Patricia%22">De Gouveia Belinelo, Patricia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Milroy%2C+Helen%22">Milroy, Helen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pace%2C+Giulia%22">Pace, Giulia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Runions%2C+Kevin%22">Runions, Kevin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salmin%2C+Ivan%22">Salmin, Ivan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woolard%2C+Alix%22">Woolard, Alix</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Nov2023, Vol. 30 Issue 6, p1303-1312. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+therapy%22">Occupational therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Self-mutilation%22">Self-mutilation</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/cpp.2854
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 1303
    Subjects:
      – SubjectFull: Hospitals
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Borderline personality disorder
        Type: general
      – SubjectFull: Occupational therapy
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Mental health services
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      – SubjectFull: Psychotherapy
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      – SubjectFull: Self-mutilation
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      – SubjectFull: Children
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      – SubjectFull: Adolescence
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              Text: Nov2023
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              Y: 2023
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