Qualitative Analysis of Resources and Barriers Related to Treatment of Borderline Personality Disorder in the United States.
Resources and treatment for individuals with borderline personality disorder (BPD) are limited and often difficult to obtain. This article aimed to identify key resources for and barriers to obtaining supportive and treatment services for BPD from the perspective of individuals seeking information or services related to BPD ("BPD care seekers").



Data came from transcripts of resource requests to the Borderline Personality Disorder Resource Center from January 2008 to December 2015 (N=6,253). Basic statistics, including the type of service requested, demographic information for the BPD care seeker, and national distribution of requests, were generated for all eligible transcripts. Qualitative analysis of a random subset of 500 transcripts was used to identify themes, challenges, and common experiences reported by BPD care seekers.



The greatest number of requests for primary services or resources among the random subset of transcripts was for outpatient services (51%), informational materials (13%), and day programs (9%). Family services, crisis intervention, and mental health literacy were identified as areas where available resources did not meet current demand and that could be improved or expanded. Factors identified as potential barriers to finding and obtaining appropriate treatment for BPD included stigmatization and marginalization within mental health care systems, financial concerns, and comorbidity with psychiatric or medical disorders.



BPD care seekers face numerous barriers to obtaining appropriate care. Expanded services and resources to connect individuals with treatment are needed to meet the current demands and preferences of those seeking care.
Dr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Matthew C
MC
Lohman
Dr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Karen L
KL
Whiteman
Dr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Frank E
FE
Yeomans
Dr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Sheila A
SA
Cherico
Dr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Winifred R
WR
Christ
D001883:Borderline Personality Disorder / Q000628:therapy*; D017028:Caregivers; D005190:Family; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D036301:Qualitative Research; D014481:United States
Borderline personality disorder; Community mental health services; treatment resources
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