Balmer, A, Sambrook, L, Roks, H, Ashley-Mudie, P, Tait, J, Bu, C, McIntyre, JC, Shetty, A, Nathan, R and Saini, P (2023) Perspectives of service users and carers with lived experience of a diagnosis of personality disorder: A qualitative study. Journal of Psychiatric and Mental Health Nursing. pp. 1-11. ISSN 1351-0126

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Abstract

Introduction There is limited understanding of the experience of people with complex mental health (CMH) needs, including those with a diagnosis of personality disorder (PD) and carers of those individuals. Little is known about carers of those in inpatient forensic settings, yet it has been identified that they may have additional needs when compared to general carers. Research highlights that community carer support services were perceived as inadequate and out-of-area placements were described as putting an added strain on ability to support loved ones. Understanding PD within a population of people with CMH needs and how a diagnosis described as PD impacts on care and treatment experience is vital to providing high-quality care. Aim To evaluate the care experience of service users and carers with lived experience of a diagnosis of PD and out-of-area placements. Method Semi-structured interviews were conducted with six service users and four carers to explore the experiences and perspectives of people with a diagnosis of PD. Interviews were audio recorded and thematically analysed. Results Four interrelated themes were developed; Influence of a diagnosis of PD on Staff, Early and Appropriate Intervention, Recognition of the Individual and Training and Knowledge of people with a diagnosis of PD. Discussion Anti-stigma interventions for staff, research on care provision and structural changes to services including more evidence-based therapy for individuals with a diagnosis of PD may help reduce disparate treatment and improve prognosis for recovery. Implications for Practice This paper informs services of ways to improve care provision from the perspective of carers and service users. A more holistic and less medicalised approach to the treatment of problems associated with diagnoses of PD should be adopted, and PD training for all healthcare practitioners to improve patient outcomes.

Item Type:	Article
Uncontrolled Keywords:	11 Medical and Health Sciences; 17 Psychology and Cognitive Sciences; Nursing
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Divisions:	Psychology (from Sep 2019)
Publisher:	Wiley
SWORD Depositor:	A Symplectic
Date Deposited:	24 Jul 2023 09:26
Last Modified:	08 Aug 2023 12:15
DOI or ID number:	10.1111/jpm.12959
URI:	https://researchonline.ljmu.ac.uk/id/eprint/20482

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