Hutsebaut Joost, Willemsen Ellen, Bachrach Nathan, Van Rien
Viersprong Institute for Studies on Personality Disorders, Halsteren, The Netherlands.
Centre of Expertise on Personality Disorders, Utrecht, The Netherlands.
Borderline Personal Disord Emot Dysregul. 2020 Aug 10;7:16. doi: 10.1186/s40479-020-00133-7. eCollection 2020.
Evidence-based treatment for patients suffering from personality disorders (PDs) is only available to a limited extend in the Netherlands. Consequently, most patients receive non-manualized, unspecialized care. This manuscript describes the background, rationale and design of the Guideline-Informed Treatment for Personality Disorders (GIT-PD) initiative. GIT-PD aims to provide a simple, principle-driven, 'common-factors' framework for the treatment of PDs. The GIT-PD framework integrates scientific knowledge, professional expertise and patient experience to design a good-enough practice, based on common factors. It offers a basic framework including general principles, a structured clinical pathway, a basic professional stance, interventions focused on common factors, and team and organizational strategies, based on common features of evidence-based treatments and generic competences of professionals. The GIT-PD initiative has had a large impact on the organization of treatment for PDs in the Netherlands. For countries with an interest in improving their health care system for PDs, it could serve as a template that requires only limited resources.
在荷兰，针对人格障碍（PDs）患者的循证治疗仅在有限程度上可用。因此，大多数患者接受的是非规范化、非专业化的护理。本手稿描述了人格障碍循证指南治疗（GIT-PD）倡议的背景、基本原理和设计。GIT-PD旨在为PDs的治疗提供一个简单的、基于原则的“共同因素”框架。GIT-PD框架整合科学知识、专业技能和患者体验，以基于共同因素设计一种足够好的治疗方法。它提供了一个基本框架，包括一般原则、结构化临床路径、基本专业立场、关注共同因素的干预措施，以及基于循证治疗的共同特征和专业人员的通用能力的团队和组织策略。GIT-PD倡议对荷兰PDs治疗的组织产生了重大影响。对于有兴趣改善其PDs医疗保健系统的国家来说，它可以作为一个仅需有限资源的模板。
