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Br J Psychiatry Suppl. 2003 Jan;44:S24-7.

Therapeutic community treatment of personality disorder: service use and mortality over 3 years' follow-up.

Author information

1
East Midlands Centre for Forensic Mental Health, Leciester, UK. drsteffand@aol.com

Abstract

BACKGROUND:

A number of studies have demonstrated reductions in the utilisation of psychiatric services, especially acute in-patient admissions, following therapeutic community treatment of personality disorder. These studies have, however, been of limited duration (1 year) and follow-up has not always been complete.

AIMS:

To identify hospital admissions before and after therapeutic community treatment of personality disorder.

METHOD:

A naturalistic clinical cohort of patients admitted between January 1993 and December 1995 was followed up for 3 years. All subjects were traced to their current consultant psychiatrist, general practitioner or death.

RESULTS:

All patients were traced at 3-year follow-up. The significant reduction in in-patient admissions seen in the first year was maintained over 3 years. Those with the poorest outcomes, suicide, accidental death or prolonged admission were all in the quartile with the shortest admissions (under 42 days) to the therapeutic community.

CONCLUSIONS:

Previously reported reductions in psychiatric admissions following therapeutic community treatment of personality disorder are maintained over 3 years.

PMID:
12509305
[Indexed for MEDLINE]
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