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'Referral advice' recommendation details

Borderline personality disorder (BPD)

Guidance ID NICE 'referral advice' recommendation 'Referral advice' category
CG78 When a person with a mild learning disability presents with symptoms and behaviour that suggest borderline personality disorder, assessment and diagnosis should take place in consultation with a specialist in learning disabilities services. When a person with a mild learning disability has a diagnosis of borderline personality disorder, they should have access to the same services as other people with borderline personality disorder. When care planning for people with a mild learning disability and borderline personality disorder, follow the Care Programme Approach [CPA]. Consider consulting a specialist in learning disabilities services when developing care plans and strategies for managing behaviour that challenges. People with a moderate or severe learning disability should not normally be diagnosed with borderline personality disorder. If they show behaviour and symptoms that suggest borderline personality disorder, refer for assessment and treatment by a specialist in learning disabilities services. Time frame not specified
CG78 If a person presents in primary care who has repeatedly self-harmed or shown persistent risk-taking behaviour or marked emotional instability, consider referring them to community mental health services for assessment for borderline personality disorder. If the person is younger than 18 years, refer them to child and adolescent mental health services (CAMHS) for assessment. Consider referring a person with diagnosed or suspected borderline personality disorder who is in crisis to a community mental health service when: - their levels of distress and/or the risk to self or others are increasing - their levels of distress and/or the risk to self or others have not subsided despite attempts to reduce anxiety and improve coping skills - they request further help from specialist services. Time frame not specified
CG78 Refer people with borderline personality disorder who also have major psychosis, dependence on alcohol or Class A drugs, or a severe eating disorder to an appropriate service. The care coordinator should keep in contact with people being treated for the comorbid condition so that they can continue with treatment for borderline personality disorder when appropriate. Time frame not specified
CG78 Before considering admission to an acute psychiatric inpatient unit for a person with borderline personality disorder, first refer them to a crisis resolution and home treatment team or other locally available alternative to admission. Time frame not specified

This page was last updated: 22 August 2012

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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.

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.