Dale Oliver, Sethi Faisil, Stanton Clive, Evans Sacha, Barnicot Kirsten, Sedgwick Rosemary, Goldsack Steve, Doran Monica, Shoolbred Lucinda, Samele Chiara, Urquia Norman, Haigh Rex, Moran Paul
West London Mental Health Trust, London, UK.
South London and Maudsley NHS Foundation Trust, London, UK.
BJPsych Bull. 2017 Oct;41(5):247-253. doi: 10.1192/pb.bp.116.055251.
We aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations. In England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and engagement in education, research and training. However, a wider multidisciplinary team and a greater number of biopsychosocial interventions were available through generic services. There has been a substantial increase in service provision for people affected by personality disorder, but continued variability in the availability of services is apparent and it remains unclear whether quality of care has improved.
我们旨在通过对英国国家医疗服务体系（NHS）的精神健康信托机构和独立组织进行调查，评估为英格兰受人格障碍影响的人群提供的服务的可及性和性质。在英格兰，84%的机构报告称至少有一项专门的人格障碍服务。与2002年的一项调查相比，这一数字增长了五倍。然而，只有55%的机构报告称患者在各地能够平等获得这些专门服务。专门服务通常具有较高的服务使用率和护理人员参与度，并且在教育、研究和培训方面也有参与。然而，通过一般服务可以获得更广泛的多学科团队以及更多的生物心理社会干预措施。为受人格障碍影响的人群提供的服务有了大幅增加，但服务可及性方面持续存在差异是显而易见的，而且护理质量是否有所改善仍不明确。
