Personality Disorder
Working Group
The Dumfries and
Galloway Experience
Dr Jackie Stirling – Clinical Psychologist
Dr Esther Mackenzie – Specialist Trainee in
Psychiatry
Introduction
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Who are we?
How we came about?
Where have we been?
And where are we going?
Who are we?
Who are we?
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Multidisciplinary group
Nursing staff
 Psychologists
 Psychiatrists
 Voluntary sector
 Service users
 OTs
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Everyone welcome
Meet every 4-6 weeks
How did we come about?
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Set up in 2005 after the establishment of the
Scottish Personality Disorder Network
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Aim of the group was to develop a care pathway
to ensure that clients with a diagnosis of
personality disorder get the best available
treatment with existing resources.
Where we’ve been?
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2006
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Audit by Allyson Turnbull
“Snapshot” of the number of people with PD using the
service
 Results – 309 people, 1 in 4 of the total client population
 Many seen by more than one branch of the service, in
extreme cases by up to five.
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Where we’ve been?
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2007
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Mapping pathways through the service
Dr Gavin Talbot-Smith
 Case note examination of “high service users”
 Aim to build “maps” of pathways through mental health
services
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Where we’ve been?
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2007
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ICP
2008
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Best Practice Guidelines
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Guideline is designed to gel with but be separate from the
ICP and is about improving the local service
Where we’ve been?
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2009
Local intranet
 Internet
 Education package – training needs survey
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Where we are going?
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2010
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Education package
Half day session
 Aim to produce a modular package which can be adapted
to different peoples needs
 Easily delivered by different members of the working
group
 1st module - basic education
 Aim to pilot in May
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Where we’re going?
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ICP
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Awaiting completion of the generic ICP
Summary
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Multidisciplinary group
Well established
Have done research into local needs
Produced local best practice guideline
Continue to be involved in the ICP
About to pilot education package
Any questions?
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jstirling@nhs.net
esthermackenzie@nhs.net