Psychotherapy of Borderline Personality Disorder: Can the Supply Meet the Demand? A German Nationwide Survey in DBT Inpatient and Day Clinic Treatment Facilities.
The present study aimed to assess (1) the amount of inpatient and day clinic DBT treatment places for patients with borderline personality disorder and (2) the relationship between supply and demand in a given study region. Survey of inpatient and day clinic facilities in the German DBT network. 42 inpatient units and day clinics responded, representing 75 % of the DBT network members contacted. These institutions offer 527 DBT treatment places and treat about 2310 patients per year. The mean waiting period prior to treatment was 14.3 weeks. 700 DBT inpatient or day clinic places exist in Germany in 2011. 3000 patients receive DBT inpatient or day clinic treatment per year. This approximates a ratio of 820 borderline patients for one existing DBT inpatient or day clinic place in Germany. The long waiting time reflects the great demand for this treatment and could be interpreted as an imbalance between supply and demand.
Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Charité Campus Mitte, Berlin, Germany. christoph.richter@vivantes.de.|Department of Psychiatry and Psychotherapy, Vivantes GmbH, Wenckebach-Hospital, Berlin, Germany. christoph.richter@vivantes.de.
Christoph
C
Richter
Department of Psychiatry and Psychotherapy, Vivantes GmbH, Wenckebach-Hospital, Berlin, Germany.
Bruno
B
Steinacher
Clinical Psychology and Psychotherapy, Freie Universität, Berlin, Germany.
Anna
A
zum Eschenhoff
Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Charité Campus Mitte, Berlin, Germany.
Felix
F
Bermpohl
D001883:Borderline Personality Disorder / Q000628:therapy*; D003155:Community Mental Health Centers / Q000706:statistics & numerical data*; D005858:Germany; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D020380:Needs Assessment; D011613:Psychotherapy / Q000706:statistics & numerical data*; D013995:Time; D014850:Waiting Lists
Borderline personality disorder; DBT; Day hospital; Inpatient hospital; Mental health care; Psychotherapy