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

Mithilesh Jha, Barbara Barrett, Chris Brewin, Geoff Bowker, Nick Harwood, Iram Jalil, Mike Crawford, Jaspreet Phull, Katherine Allen, Conor Duggan, Min Yang, Peter Tyrer*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)130-137
Number of pages8
JournalPersonality And Mental Health
Volume16
Issue number2
DOIs
Publication statusPublished - May 2022

Fingerprint

Dive into the research topics of 'Matching ICD-11 personality status to clinical management in a community team—The Boston (UK) Personality Project: Study protocol'. Together they form a unique fingerprint.

Cite this