Treatment and care should take into account people's needs and preferences. People with borderline personality disorder should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals. If someone does not have the capacity to make decisions, healthcare professionals should follow the Department of Health's advice on consent and the code of practice that accompanies the Mental Capacity Act. In Wales, healthcare professionals should follow advice on consent from the Welsh Government.
If the patient is under 16, healthcare professionals should follow the guidelines in the Department of Health's 'Seeking consent: working with children'. If the person is 16 or 17 years old, full access should be provided to the treatment and care pathway described in this guideline, but within child and adolescent mental health services (CAMHS).
Good communication between healthcare professionals and people with borderline personality disorder is essential. It should be supported by written information tailored to the person's needs, addressing the evidence supporting this guideline. Treatment and care, and the information that people are given about it, should be culturally appropriate, and should refer to local provision of support and help within voluntary agencies, including those specifically for young people. The information should also be accessible to people with additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English.
If the service user agrees, carers (who may include family and friends) should have the opportunity to be involved in decisions about treatment and care. Families and carers should also be given the information and support they need.
Care of young people in transition between paediatric and adult services should be planned and managed according to the best practice guidance described in 'Transition: getting it right for young people'.