Safer care for patients with personality disorder
Date of publication: February 2018
This report examined the characteristics of patients with a diagnosis of personality disorder prior to suicide or homicide. We wanted to learn more about their treatment and pathways into care, and whether services were adhering to NICE guidelines. We also asked patients and staff about their experiences of services, and how they thought services might be improved.
Patients are not receiving care consistent with NICE guidelines
NICE guidelines recommend that:
- patients should be offered appropriate and timely psychological interventions;
- medication should only be prescribed short-term;
- admission to in-patient care should be avoided where possible.
An examination of personality disorder services is needed
We suggest a comprehensive examination of services for personality disorder is needed, taking into account the key recommendations from our report.
Working with patients to reduce stigma
This emphasises the importance of safe prescribing in mental health services and primary care.
Patient involvement in staff training, advocacy and peer support