Effect of 3 forms of early intervention for young people with borderline personality disorder
JAMA Dec 18, 2021
Chanen AM, Betts JK, Jackson H, et al. - Researchers evaluated the effectiveness of 3 early interventions of differing complexity for young people with borderline personality disorder (BPD).
In this single-blinded randomized clinical trial, 139 youth with BPD were randomized.
The included interventions were
(1) The Helping Young People Early (HYPE) dedicated BPD service model for young people, combined with weekly cognitive analytic therapy (CAT);
(2) HYPE combined with a weekly befriending psychotherapy control condition; and
(3) a general youth mental health service (YMHS) model, combined with befriending.
Researchers randomized the participants both to 1 treatment arm (in a 1:1:1 ratio) and to a clinician.
Outcomes suggest that youth-oriented clinical case management and psychiatric care, but not the availability of specialist psychotherapy, are important for effective early intervention.
Greater treatment attendance and completion was recorded in correlation with implementation of a dedicated early intervention BPD service model (HYPE), with or without individual psychotherapy, making it more likely to meet service user, family, and community expectations of care.
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