Quality standard

Quality statement 2: Psychological therapies – borderline personality disorder

Quality statement 2: Psychological therapies – borderline personality disorder

Quality statement

People with borderline personality disorder are offered psychological therapies and are involved in choosing the type, duration and intensity of therapy.

Rationale

The NICE guideline on borderline personality disorder recommends psychological therapies for managing and treating the disorder. Because of the variety of symptoms and the variation in needs, flexible approaches that are responsive to the needs of each person with personality disorder are important. Involving people with borderline personality disorder in decisions regarding their own care is key for their engagement with treatment.

Quality measures

The following measures can be used to assess the quality of care or service provision specified in the statement. They are examples of how the statement can be measured, and can be adapted and used flexibly.

Structure

a) Evidence of local arrangements to ensure that psychological therapies are available to people with borderline personality disorder.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example care protocols.

b) Evidence of local arrangements to ensure that people with borderline personality disorder are involved in choosing the type, duration and intensity of psychological therapies that they receive.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example care protocols.

Process

a) Proportion of people with borderline personality disorder who received psychological therapies.

Numerator – the number in the denominator who received psychological therapies.

Denominator – the number of people with borderline personality disorder.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records.

b) Proportion of people with borderline personality disorder who chose the type, duration and intensity of psychological therapy they received.

Numerator – the number in the denominator who chose the type, duration and intensity of psychological therapy they received.

Denominator – the number of people with borderline personality disorder who received psychological therapies.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records.

Outcome

Evidence from experience surveys and feedback that service users feel actively involved in shared decision‑making.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient surveys.

What the quality statement means for different audiences

Service providers (mental health trusts) offer people with borderline personality disorder psychological therapies that are defined by the service user in terms of type, duration and intensity.

Healthcare professionals offer people with borderline personality disorder psychological therapies that are defined by the service user in terms of type, duration and intensity.

Commissioners commission services that have sufficient resources to provide psychological therapies for people with borderline personality disorder that are defined by the service user in terms of type, duration and intensity.

People with borderline personality disorder are offered psychological therapies that help them manage their condition. They can choose the type, the length of the sessions, treatment and frequency of the therapy they receive.

Equality and diversity considerations

Adults within the prison population who present with symptoms of borderline personality disorder should have equitable access to services received by people in the community.

Specialist mental health services should ensure that culturally appropriate psychological interventions are provided to people from diverse ethnic and cultural backgrounds and that interventions address cultural and ethnic differences in beliefs regarding biological, social and family influences on mental states and functioning.