title: Comparing Effectiveness of Treatments for Borderline Personality Disorder in Communal Mental Health Care: The Oulu BPD Study.
abstract: The implementation of effective psychotherapies in community mental health care is challenging. This study aimed to create a well-structured and easily applicable treatment model for patients with severe borderline personality disorder (BPD). We integrated a schema therapy based psycho-educational group into an available individual therapy. Two groups were formed: (1) community treatment by experts (CTBE) patients (n = 24) receiving new treatment and (2) treatment as usual (TAU) patients (n = 47). Changes in symptoms were measured by Borderline Personality Disorder Severity Index-IV interview and quality of life by the 15D health-related quality of life questionnaire. After 1 year the CTBE patients showed a significant reduction in a wider range of BPD symptoms and better quality of life than TAU patients. The results of this study are encouraging. A well-structured treatment model was successfully implemented into community mental health care with improved patient adherence to treatment and superior treatment outcomes compared to TAU patients.
authors.affiliation: Social and Health Services, Mental Health Services, P.O. Box 13, 90015, Oulu City, Finland. virpi.leppanen@ouka.fi.
authors.forename: V
authors.initials: V
authors.lastname: Leppänen
authors.affiliation: Department of Psychiatry, Oulu University Hospital, P.O. Box 26, 90029, Oulu City, Finland. helina.hakko@oulu.fi.
authors.forename: H
authors.initials: H
authors.lastname: Hakko
authors.affiliation: Health Economics, Department of Public Health, University of Helsinki, P.O. Box 41, 00014, Helsinki, Finland. harri.sintonen@helsinki.fi.
authors.forename: H
authors.initials: H
authors.lastname: Sintonen
authors.affiliation: Institute of Clinical Medicine, Department of Psychiatry, Central Finland Health Care District, Jyväskylä Central Hospital, University of Eastern Finland, Matarankatu 6 B, 40100, Jyväskylä, Finland. sari.lindeman@uef.fi.
authors.forename: S
authors.initials: S
authors.lastname: Lindeman
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003155:Community Mental Health Centers; D003156:Community Mental Health Services / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005387:Finland; D006801:Humans; D057194:Intention to Treat Analysis; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group / Q000379:methods; D011788:Quality of Life; D016896:Treatment Outcome; D055815:Young Adult
keywords: Borderline personality disorder; Cognitive therapy; General mental health services; Randomized trial
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