Personality disorder co-morbidity in primary care 'Improving Access to Psychological Therapy' services: A qualitative study exploring professionals' perspectives of working with this patient group.

Lamph, Gary; Baker, John; Dickinson, Tommy; Lovell, Karina

Abstract

A high prevalence of people present to ‘Improving Access to Psychological Therapies’ (IAPT) in England with common mental health disorders and co-morbid personality disorder. This group have suboptimal treatment outcomes in IAPT. Whilst new short-term treatment approaches are advocated, no solutions or guidance have been provided. This qualitative study explored IAPT health-care professional (N = 28) perspectives of working with people who present to IAPT with co-morbid personality disorder. Individual semi-structured interviews were digitally recorded, transcribed verbatim and analysed using a framework analysis approach. Results identified a lack of skills and confidence in working with this patient group, restrictive service constraints and a treatment gap between the interface of primary and secondary services. Insight into acceptable adaptions to practice are identified that have transferable utility to a wider international audience who can identify people outside of specialist mental health services with common mental health disorders and co-morbid personality disorder traits. © 2019 John Wiley & Sons, Ltd.

Citation

Lamph, G., Baker, J., Dickinson, T., & Lovell, K. (2019). Personality disorder co-morbidity in primary care 'Improving Access to Psychological Therapy' services: A qualitative study exploring professionals' perspectives of working with this patient group. Personality and Mental Health, 13(3), 168-179. https://doi.org/10.1002/pmh.1454

• Journal Article Type: Article
• Acceptance Date: Apr 22, 2019
• Online Publication Date: Jun 24, 2019
• Publication Date: 2019-08
• Deposit Date: Mar 1, 2024
• Journal: Personality and mental health
• Print ISSN: 1932-8621
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 13
• Issue: 3
• Pages: 168-179
• DOI: https://doi.org/10.1002/pmh.1454
• PMID: 31237109