Matching ICD-11 personality status to clinical management in a community team—The Boston (UK) Personality Project: Study protocol

TY - JOUR

T1 - Matching ICD-11 personality status to clinical management in a community team—The Boston (UK) Personality Project

T2 - Study protocol

AU - Jha, Mithilesh

AU - Barrett, Barbara

AU - Brewin, Chris

AU - Bowker, Geoff

AU - Harwood, Nick

AU - Jalil, Iram

AU - Crawford, Mike

AU - Phull, Jaspreet

AU - Allen, Katherine

AU - Duggan, Conor

AU - Yang, Min

AU - Tyrer, Peter

N1 - Funding Information: We acknowledge the help of Ruth Vickers and Mary O'Sullivan in setting the groundwork for the study. Initial funding for the study has been provided by the charity, NIDUS-UK. Publisher Copyright: © 2022 John Wiley & Sons, Ltd.

PY - 2022/5

Y1 - 2022/5

N2 - Epidemiological studies show 30% to 50% of all patients in community mental health teams have personality disorders. These are normally comorbid with other psychiatric disorders, often as Galenic syndromes, and are seldom identified. In the Boston (UK) Personality Project all patients under a community health service in Boston in Lincolnshire will be asked to agree to have their personality status assessed using scales recording the new ICD-11 classification, together with clinical ratings, social function and satisfaction. A control group of 100 patients from an adjacent service of similar demographics (Spalding) will also have similar ratings but no personality assessments. Changes in clinical status, social function and service satisfaction will be made after 6 and 12 months in both groups. The patients in the Boston group will be offered matched interventions using a stepped care approach for both the severity of disorder and its domain structure. These interventions will include shorter versions of existing psychological treatments, environmental therapies including nidotherapy, adaptive and acceptance models, drug reduction and social prescribing. Full costs of psychiatric care will be measured in both groups. The main hypothesis is that greater awareness of personality function will lead to better clinical outcomes and satisfaction.

AB - Epidemiological studies show 30% to 50% of all patients in community mental health teams have personality disorders. These are normally comorbid with other psychiatric disorders, often as Galenic syndromes, and are seldom identified. In the Boston (UK) Personality Project all patients under a community health service in Boston in Lincolnshire will be asked to agree to have their personality status assessed using scales recording the new ICD-11 classification, together with clinical ratings, social function and satisfaction. A control group of 100 patients from an adjacent service of similar demographics (Spalding) will also have similar ratings but no personality assessments. Changes in clinical status, social function and service satisfaction will be made after 6 and 12 months in both groups. The patients in the Boston group will be offered matched interventions using a stepped care approach for both the severity of disorder and its domain structure. These interventions will include shorter versions of existing psychological treatments, environmental therapies including nidotherapy, adaptive and acceptance models, drug reduction and social prescribing. Full costs of psychiatric care will be measured in both groups. The main hypothesis is that greater awareness of personality function will lead to better clinical outcomes and satisfaction.

UR - http://www.scopus.com/inward/record.url?scp=85128791115&partnerID=8YFLogxK

U2 - 10.1002/pmh.1544

DO - 10.1002/pmh.1544

M3 - Article

AN - SCOPUS:85128791115

SN - 1932-8621

VL - 16

SP - 130

EP - 137

JO - Personality And Mental Health

JF - Personality And Mental Health

IS - 2

ER -