TY  - JOUR
PY  - 2015//
TI  - Mentalization-based intervention to recurrent acute presentations and self-harm in a community mental health service setting
JO  - Australasian psychiatry
A1  - Bosanac, Peter
A1  - Hamilton, Bridget
A1  - Beatson, Josephine
A1  - Trett, Robert
A1  - Rao, Sathya
A1  - Mancuso, Sam
A1  - Castle, David
SP  - 277
EP  - 281
VL  - 23
IS  - 3
N2  - OBJECTIVES: A proof-of-concept study over an 18-month period to determine whether a mentalization-based intervention (MBI) in a metropolitan community mental health service, when added to a recovery-based model of care, would be of clinical benefit to borderline personality disorder (BPD) consumers with a history of recurrent, deliberate self-harm. The feasibility of implementing the intervention, and factors that could improve its implementation, will be evaluated. <br><br>METHODS: Three-monthly focus groups with participating community mental health service case managers (N = 8) assessed the implementation and the impact of an MBI added to a recovery model of care and the way the clinicians worked with consumers with BPD and recurrent, deliberate self-harm in this context. <br><br>RESULTS: Qualitative analysis revealed compatibility of the MBI with a recovery-based case management approach for the above group of consumers, albeit with operational barriers. <br><br>CONCLUSIONS: MBI with consumers with BPD appears to be compatible with recovery-focused psychiatric case management and was accepted by consumers. The case managers perceived that no harm was rendered in terms of deliberate self-harm and acute service utilization. The MBI led to a sense of improved therapeutic alliance in case managers working with consumers.<p />  <p>Language: en</p>
LA  - en
SN  - 1039-8562
UR  - http://dx.doi.org/10.1177/1039856215586148
ID  - ref1
ER  -