Quality standard
Quality statement 6: Education and employment goals
Quality statement 6: Education and employment goals
Quality statement
People with borderline or antisocial personality disorder have their long‑term goals for education and employment identified in their care plan.
Rationale
The symptoms of borderline and antisocial personality disorders can often be improved with a range of interventions yet people still find it difficult to live well in the community. Health and social care practitioners develop comprehensive multidisciplinary care plans in collaboration with service users, which identify short‑term aims such as social care and housing support. However, these care plans should also look at long‑term goals for education and employment.
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
Evidence of local arrangements to ensure that people with borderline or antisocial personality disorder have their long‑term goals for education and employment identified in their care plan.
Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example care planning templates.
Process
Proportion of people with borderline or antisocial personality disorder who have their long‑term goals for education and employment identified in their care plan.
Numerator – number in the denominator who have their long‑term goals for education and employment identified in their care plan.
Denominator – number of people with borderline or antisocial personality disorder.
Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records.
Outcome
Proportion of people in contact with secondary mental health services who are able and fit to work and are in paid employment.
Data source: Adult Social Care Outcomes Framework.
What the quality statement means for different audiences
Service providers (mental health trusts, primary care services, social services, care homes, probation and prison services) ensure that systems are in place for people with borderline or antisocial personality disorder to have their long‑term goals for education and employment identified in their care plan.
Health and social care practitioners ensure that people with borderline or antisocial personality disorder have their long‑term goals for education and employment identified in their care plan.
Commissioners commission services that ensure that people with borderline or antisocial personality disorder have their long‑term goals for education and employment identified in their care plan.
People with borderline or antisocial personality disorder have a care plan that sets out their goals for education and employment.
Source guidance
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Antisocial personality disorder: prevention and management. NICE guideline CG77 (2009, updated 2013), recommendation 1.3.1.1
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Borderline personality disorder: recognition and management. NICE guideline CG78 (2009), recommendations 1.3.1.2 and 1.3.2.1
Equality and diversity considerations
Services should work in partnership with local stakeholders, including those representing minority ethnic groups, to enable people with borderline or antisocial personality disorder to stay in work or education or access new employment, volunteering and educational opportunities.
Some people may be unable to work or may be unsuccessful in finding employment. In these cases, other occupational or education activities should be considered, including pre‑vocational training.