Recovery and Borderline Personality Disorder: A Description of the Innovative Open Borders Program

Mortimer-Jones, Sheila; Morrison, Paul; Munib, Ahmed; Paolucci, Francesco; Neale, Sonia; Bostwick, Amanda; Hungerford, Catherine

doi:10.1080/01612840.2016.1191565

Cited by 10 publications

(11 citation statements)

References 43 publications

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“…The innovative Open Borders programme, which has previously been described (Mortimer‐Jones et al . ), is a move away from the medical model, as it is based in a nursing‐led residential facility with no medical staff on site. This public, state‐wide, mental health facility is available to all mental health clients regardless of diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Staff and client perspectives of the Open Borders programme for people with borderline personality disorder

Mortimer-Jones

Morrison

Munib

et al. 2019

Int J Mental Health Nurs

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In recent years, there has been a move away from the medical model of care for people with borderline personality disorder, as hospital admission comes with a number of risks and potential adverse consequences. Although long-term outpatient-based therapy is successful, this may not be an option for those whose condition is in need of stabilisation. Brief admission for crisis intervention has been successful and is now widely used; however, research that examines both the staff and clients' perceptions of a dedicated programme is lacking. Open Borders is a residential recovery-oriented programme that provides brief admission, respite, and phone coaching for people with borderline personality disorder who are heavy users of the public mental health system. In this paper, the authors report the perspectives of clients and staff of the Open Borders programme obtained through semi-structured interviews. Thematic analysis of client and staff perspectives identified four common themes: 'Benefits of the programme', 'Enhanced client outcomes', 'Impact of the physical environment', and 'Ways of enhancing service delivery'. In addition, analysis of the staff perspectives included the theme 'Emotional impact on staff'. Benefits of the programme included the small supportive team approach, flexibility of the staff to spend time with the clients to tailor care, and the relaxed, welcoming environment. Enhanced client outcomes included a reduction in self-harming and hospitalization and an increase in self-efficacy. These results support the move away from the medical model and the empowerment of clients to self-manage their symptoms while fostering hope and self-determination.

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Section: Introductionmentioning

confidence: 99%

Staff and client perspectives of the Open Borders programme for people with borderline personality disorder

Mortimer-Jones

Morrison

Munib

et al. 2019

Int J Mental Health Nurs

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“…Selvskading og selvmordsforsøk bør møtes uten fordømmelse og med en åpen holdning preget av klarhet, tydelighet og empati Man har de senere årene også hatt oppmerksomhet rettet mot å definere hvilken plass kortvarige frivillige døgninnleggelser kan ha i krisesituasjoner (10,11). Kriseopphold kan vaere en del av en strukturert behandlingsplan hvor pasientene er med på planleggingsprosessen.…”

Section: Hva Skal VI Gjøre?unclassified

Pasienter med emosjonelt ustabil personlighetsforstyrrelse trenger tilpasset akuttbehandling

Ekeberg¹,

Kvarstein²,

Urnes³

et al. 2019

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Pasienter med emosjonelt ustabil personlighetsforstyrrelse trenger tilpasset akuttbehandling | Tidsskrift for Den norske legeforening Pasienter med emosjonelt ustabil personlighetsforstyrrelse trenger tilpasset akuttbehandling KRONIKK ØIVIND EKEBERG Øivind Ekeberg er spesialrådgiver ved Klinikk psykisk helse og avhengighet, Oslo universitetssykehus, og professor emeritus ved Avdeling for medisinsk atferdsvitenskap, Institutt for medisinske basalfag, Universitetet i Oslo. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. ELFRIDA HARTVEIT KVARSTEIN Elfrida Hartveit Kvarstein er ph.d., spesialist i psykiatri, førsteamanuensis ved Institutt for klinisk medisin, Universitetet i Oslo, og seksjonsoverlege ved Seksjon for personlighetspsykiatri og spesialpoliklinikker, Klinikk psykisk helse og avhengighet, Oslo universitetssykehus. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. ØYVIND URNES Øyvind Urnes er spesialist i psykiatri og tidligere leder for Nasjonal kompetansetjeneste for personlighetspsykiatri ved Oslo universitetssykehus. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. INGEBORG ULLTVEIT-MOE EIKENAES Ingeborg Ulltveit-Moe Eikenaes er ph.d., spesialist i psykiatri og leder av Nasjonal kompetansetjeneste for personlighetspsykiatri ved Oslo universitetssykehus. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.

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“…Self-referral was recommended by service providers and service users in a Delphi study of the use of community-based services by adults with a personality disorder (Crawford et al, 2008). Mortimer-Jones et al (2016) also emphasizes the importance of self-referral and short-term admission to a residential facility in their report on their crisis intervention program, “Open Borders.” The aims of the Open Borders program are to break the cycle of hospital admission, reduce rates of self-harm, and support the complex recovery journey of consumers with a diagnosis of BPD.…”

Section: Discussionmentioning

confidence: 99%

“…Voluntary brief admission (BA) to a mental health facility has proved very helpful for patients with a BPD in crisis (Berrino et al, 2011; Castillo, Ramon, & Morant, 2013; Mortimer-Jones et al, 2016), and BA is now widely used.…”

Section: Introductionmentioning

confidence: 99%

Components of Brief Admission as a Crisis Intervention for Patients With a Borderline Personality Disorder: Results of a Delphi Study

Helleman

Goossens

Achterberg

et al. 2017

J Am Psychiatr Nurses Assoc

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BACKGROUND: Brief admission (BA) is a widely used intervention for patients with a borderline personality disorder but it has not yet clearly defined and still lacks clear operational standards. To fully develop this intervention, the relevant components need to be identified and clearly documented. OBJECTIVE: To obtain consensus on the components of BA as a crisis intervention for patients with a borderline personality disorder. DESIGN: Modified Delphi study. RESULTS: Consensus of 100% was reached for the components: "BA plan must be developed together with the patient"; "The BA intervention should be mentioned in the care plan for the patient"; "Not all behavior on the part of the patient has to be accepted during a BA"; and "The BA can only be offered together with treatment by a community care professional." CONCLUSION: Consensus on the components of BA was reached for 82 of the 90 components. This indicates a substantial degree of agreement on what BA should entail.

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Recovery and Borderline Personality Disorder: A Description of the Innovative Open Borders Program

Cited by 10 publications

References 43 publications

Staff and client perspectives of the Open Borders programme for people with borderline personality disorder

Staff and client perspectives of the Open Borders programme for people with borderline personality disorder

Pasienter med emosjonelt ustabil personlighetsforstyrrelse trenger tilpasset akuttbehandling

Components of Brief Admission as a Crisis Intervention for Patients With a Borderline Personality Disorder: Results of a Delphi Study

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