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Quick reference guide


Issue date: January 2009

Borderline personality disorder
Treatment and management




NICE clinical guideline 78
Developed by the National Collaborating Centre for Mental Health

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Borderline personality disorder




About this booklet
This is a quick reference guide that summarises the recommendations NICE has made to the NHS in
`Borderline personality disorder: treatment and management' (NICE clinical guideline 78).

Who should read this booklet?
This quick reference guide is for healthcare professionals and others involved in…

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Borderline personality disorder Contents




Contents
Key priorities for implementation 4

Person-centred care 6

Principles for working with people with borderline 7
personality disorder

Recognising and managing borderline personality 10
disorder in primary care

Assessment and management by community 11
mental health services

Inpatient services 17

Organising and planning services 18…

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Borderline personality disorder Key priorities for implementation




Key priorities for implementation

Access to services
People with borderline personality disorder should not be excluded from any health or social care
service because of their diagnosis or because they have self-harmed.

Autonomy and choice
Work in partnership with people with borderline personality…

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Borderline personality disorder Key priorities for implementation




Care planning in community mental health teams
Teams working with people with borderline personality disorder should develop comprehensive
multidisciplinary care plans in collaboration with the service user (and their family or carers, where
agreed with the person). The care plan should:
­ identify…

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Borderline personality disorder Key priorities for implementation




Key priorities for implementation continued

The role of specialist personality disorder services within trusts
Mental health trusts should develop multidisciplinary specialist teams and/or services for people
with personality disorders. These teams should have specific expertise in the diagnosis and
management of borderline personality…

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Principles for working with people
Borderline personality disorder with borderline personality disorder




Principles for working with people with borderline
personality disorder
Access to services
People with borderline personality disorder should not be excluded from any health or social care
service because of their diagnosis or because they have self-harmed.


Young…

Page 8

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Principles for working with people
Borderline personality disorder with borderline personality disorder




Autonomy and choice
Work in partnership with people with borderline personality disorder to develop their autonomy
and promote choice by:
­ ensuring they remain actively involved in finding solutions to their problems, including
during crises
­ encouraging them…

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Principles for working with people
Borderline personality disorder with borderline personality disorder




Managing endings and supporting transitions
Anticipate that withdrawal and ending of treatments or services, and transition from one service to
another, may evoke strong emotions and reactions in people with borderline personality disorder.
Ensure that:
­ such changes…

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Recognising and managing borderline
Borderline personality disorder personality disorder in primary care




Recognising and managing borderline personality
disorder in primary care
Recognition
If a person presents in primary care who has repeatedly self-harmed or shown persistent risk-taking
behaviour or marked emotional instability, consider referring them to community mental health
services…

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