1777 – Is management of borderline personality disorder in female psychiatric intensive care unit (PICU) appropriate?

  • Bennett L
  • Dixon R
  • Gintalaite-Bieliauskiene K
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Abstract

Introduction: There are above 170 PICUs in the UK, most of them being gender mix or male only. There is no specific data available about management of patients diagnosed with Borderline Personality Disorder (BPD) in PICUs. Objective: Review of sociodemographic, clinical, outcome characteristics, care pathways and financial implications when managing BPD population in Female PICU. Aims: To measure rates of compliance with NICE guidelines using such criteria as: comprehensive care plan provided on admission to PICU and at discharge from PICU; patient being involved in discussion about discharge plans; specialist assessment / treatment started before admission to Female PICU was continued during the admission; referral for psychological therapies was considered/made during stay in Female PICU; prescribing practice by referring and admitting teams; availability of specialist Personality Disorders (PD) services locally. Methods: Retrospective cross sectional review of patient records. Results: 76% of patients are admitted to Female PICU with a comprehensive multi-disciplinary care plan. 80% of patients transition from ECH was discussed carefully with the patient beforehand. Specialist assessment/treatment started before admission to ECH was continued during the admission 100%. Most of the patients would receive treatment by various psychotropic meds prior and during the admission. Referrals to psychological therapies were considered for 19% of patients. There is a lack of specialist PD services. Conclusions: BPD is the most costly population in comparison with other patient groups in Female PICU which requires multidisciplinary team input, specialist services involvement, better adherence to NICE guidelines, support and training for MDT. Copyright &y& Elsevier]; Copyright of European Psychiatry is the property of Elsevier Science Publishing Company, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Bennett, L., Dixon, R., & Gintalaite-Bieliauskiene, K. (2013). 1777 – Is management of borderline personality disorder in female psychiatric intensive care unit (PICU) appropriate? European Psychiatry, 28, 1. https://doi.org/10.1016/s0924-9338(13)76753-1

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