A Model of Care for Personality Disorder in Primary Health Networks (PHNs)
Overview
SANE Australia conducted workshops with three Primary Health Networks to develop a stepped care model for personality disorder treatment. The report presents findings from consumers, carers, clinicians, and PHN staff, proposing service design principles, barriers/enablers, and commissioning suggestions to better meet the needs of people living with personality disorder.
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Key insights
Key Insights:
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6.5% of Australians live with personality disorder - highly stigmatized condition
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Four design principles: inclusive, collaborative, flexible/adaptable, continuity of care
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Major barriers: stigma, lack training, service gaps, cost, geographic access
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Training/education for health professionals identified as urgent priority across workshops
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Stepped care model spans well population to severe illness presentations
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DBT programs most frequently suggested service investment by workshop participants
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Co-design with lived experience essential for effective service planning/commissioning
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Culture change needed - shift from "attention seeking" to compassionate care