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Community Ment Health J. 2016 Feb;52(2):216-27. doi: 10.1007/s10597-015-9866-4. Epub 2015 Apr 1.

Comparing Effectiveness of Treatments for Borderline Personality Disorder in Communal Mental Health Care: The Oulu BPD Study.

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Social and Health Services, Mental Health Services, P.O. Box 13, 90015, Oulu City, Finland.
Department of Psychiatry, Oulu University Hospital, P.O. Box 26, 90029, Oulu City, Finland.
Health Economics, Department of Public Health, University of Helsinki, P.O. Box 41, 00014, Helsinki, Finland.
Institute of Clinical Medicine, Department of Psychiatry, Central Finland Health Care District, Jyväskylä Central Hospital, University of Eastern Finland, Matarankatu 6 B, 40100, Jyväskylä, Finland.


The implementation of effective psychotherapies in community mental health care is challenging. This study aimed to create a well-structured and easily applicable treatment model for patients with severe borderline personality disorder (BPD). We integrated a schema therapy based psycho-educational group into an available individual therapy. Two groups were formed: (1) community treatment by experts (CTBE) patients (n = 24) receiving new treatment and (2) treatment as usual (TAU) patients (n = 47). Changes in symptoms were measured by Borderline Personality Disorder Severity Index-IV interview and quality of life by the 15D health-related quality of life questionnaire. After 1 year the CTBE patients showed a significant reduction in a wider range of BPD symptoms and better quality of life than TAU patients. The results of this study are encouraging. A well-structured treatment model was successfully implemented into community mental health care with improved patient adherence to treatment and superior treatment outcomes compared to TAU patients.


Borderline personality disorder; Cognitive therapy; General mental health services; Randomized trial

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