![]() ![]() Regarding treatment planning, consumers want to be involved in their treatment decisions, although they are often excluded from participating in decision making. Consumers describe the importance of mental health professionals discussing diagnoses with consumers and carers, and providing hope and information regarding diagnosis. Įxperiences of mental health services have been studied from the perspectives of consumers with various mental illnesses and their carers. Considering the perspectives of consumers and carers is recommended to improve mental health services, and is supported by government and mental health professionals. In addition, carers supporting consumers with personality disorder often experience high levels of stress, grief, and mental health problems, and they can experience difficulties accessing appropriate services for themselves and the consumers they support. However, consumers with personality disorder often are not offered or are unable to access evidence-based therapies and thus have negative experiences when receiving mental health services. Effective treatments for personality disorder exist, including dialectical behavior therapy (DBT) and psychodynamic therapies. In mental health and primary care settings, borderline personality disorder (BPD) is the most common personality disorder. Approximately 7.8% of the population has a personality disorder, and people with personality disorders represent about 20% of emergency department and 25% of inpatient mental health admissions. Personality disorders are severe mental disorders characterized by disturbances in affect, identity, and relationships. In line with these findings, we recommend guidelines for health professionals who work with consumers with personality disorder. This research contributes to the concern that consumers with personality disorder and their carers experience stigma and low quality care within mental health services. The desire to be recognized and supported by mental health professionals was discussed by carers. Involvement in the assessment, diagnosis, and intervention process was important to carers. Carers described the importance of assessing for personality disorder and intervening early. ![]() Broadening the scope of psychotherapies including creative, animal-assisted, and physical therapies was recommended by consumers. Consumers identified the importance of psychological treatment, having a strong therapeutic relationship with a mental health professional, and the benefit of long term psychotherapy with the same professional. Consumers and carers also had perspectives which were unique to their group. Limited accessibility and quality of services, and offering peer support to consumers were also described by consumers and carers. Both groups discussed experiencing positive and negative treatment from mental health professionals, and suggested that professionals should be trained to understand personality disorder. Consumers and carers described the importance of creating a safe environment for consumers when they present to the emergency department. Resultsīoth consumers and carers ( N = 15) discussed the value of providing appropriate information to consumers when they are diagnosed with personality disorder. Reflexive thematic analysis was used to analyze the data. This qualitative study used separate focus groups to compare the unique perspectives of consumer and carers, and to investigate how to improve services for individuals with personality disorders. ![]() Despite effective treatments for personality disorders being developed, consumers and carers often report negative experiences of mental health services, including challenges accessing these treatments. ![]()
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