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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Borderline personality disorder (BPD)
Description:   The summary of the published clinical guideline on Borderline personality disorder (BPD) . It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Vollm, B.A.et al (2012) Prescribing of psychotropic medication for personality disordered patients in secure forensic settings. Journal of Forensic Psychiatry and Psychology. 23 (2) (pp 200-216), 2012. Date of Publication: April 2012.

Description: This study aimed to gauge consultants? views on NICE guidelines for prescribing psychotropic medication for patients with personality disorders and to measure actual prescribing of 161 patients within Nottinghamshire NHS Trust. From 14/20 returned questionnaires, most consultants (12; 85.7%) reported that their prescribing had not changed since the guidelines were published; and 65.4% of patients prescribed psychotropic medication received at least one specifically for a personality disorder.

Doubts about or mixed impact in practice Local

Haw, C. et al (2011) Medication for borderline personality disorder: a survey at a secure hospital. International Journal of Psychiatry in Clinical Practice. 15(4):280-5, 2011 Nov.

Description: This survey of consultant psychiatrists and associative specialists of patients with Borderline Personality Disorder (BPD) at St Andrew?s Healthcare, a secure psychiatric hospital in Northampton, sought to establish the nature and frequency of medication prescribed for inpatients with BPD. The interviews, carried out between November 2010 and February 2011, revealed that 63 of 79 patients (80%) were receiving one or more drug for the symptoms of BPD and 48% were receiving two or more drugs.

Doubts about or mixed impact in practice Local

Horton, A. et al (2012) Borderline personality disorder: Pharmacotherapy and psychological interventions in inpatient services after introduction of the nice guideline in the UK. European Psychiatry. Conference Publication: (var.pagings). 27 , 2012.

Description: The authors aimed to assess the use of medication for patients with Borderline Personality Disorder (BPD) and access to psychological therapies. Case notes of 47 patients with a diagnosis of BPD, discharged from four acute inpatient wards in Sheffield over 12 months, were studied using a questionnaire. Of 68 discharges involving 47 patients, 78% were prescribed drug treatment specifically for BPD. Of the 47 patients, only 17% received a structured psychological intervention.

Doubts about or mixed impact in practice Local

Royal College of Psychiatrists / Prescribing Observatory for Mental Health (POMH-UK) (2012) Prescribing for people with borderline personality disorder (PD)

Description: This guidance on prescribing for Borderline Personality Disorder (PD) from the Royal College of Psychiatrists was produced following an audit on prescribing for PD conducted in 2012. The audit included over 2,500 patients and found that just over half of patients with PD alone were prescribed at least one antipsychotic and the vast majority of these prescriptions were of at least 6 month duration. Results also found that Z-hypnotics were prescribed in a fifth of patients with PD alone.

Doubts about or mixed impact in practice National

Gintalaite-Bieliauskiene, K. et al (2013) Management of borderline personality disorder: Compliance with nice CG 78 in the female psychiatric intensive care unit (PICU), elizabeth casson house, Bristol, Uk European Psychiatry. Volume 28, Supplement 1, 2013 - Abstracts of the 21st European Congress of Psychiatry

Description: This audit measured compliance to guidelines on Borderline Personality Disorder in the female psychiatric intensive care unit at Elizabeth Casson House, Bristol. Findings from a retrospective review of the records of 46 patients admitted from 2007 to 2010 include that 76% of patients were provided with the copy of the multi-disciplinary care plan at the time of admission and that in 80% of admissions discharge planning was discussed with the patient and documented.

Doubts about or mixed impact in practice Local

This page was last updated: 01 January 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.