Evaluating Adapted Structured Clinical Management for People With a Diagnosis of Personality Disorder

Camden and Islington NHS Foundation Trust in London has a Personality Disorder Service (PDS) which offers a number of evidence-based interventions to people with a diagnosis of Personality Disorder. One team in the PDS, the Community Team, offers an adapted form of Structured Clinical Management (SCM; Bateman and Kravitz, 2013). As these adaptations are novel, this study aims to formally explore the effectiveness of this intervention, through a sample of clients under the team, with outcomes (proxy measures of distress such as inpatient admissions) pre- and post- intervention.

Study Overview

• Status: Completed
• Conditions: Personality Disorders
• Intervention / Treatment: Other: Adapted Structured Clinical Management

• Study Type: Observational
• Enrollment (Actual): 27

Contacts and Locations

Study Locations

• United Kingdom
  • London, United Kingdom, N19 5NX
    • Camden and Islington Personality Disorder Service

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Adults with a diagnosis of Personality Disorder, under the care of Camden and Islington PDS.

Description

Inclusion Criteria:

• Allocated to a care coordinator at the PDS for greater than one year (a reasonable time period for therapeutic rapport to form and the effect of the intervention to manifest).

Exclusion Criteria:

• No existing notes for one year prior to allocation.
• No primary diagnosis of Personality Disorder.

Study Plan

How is the study designed?

Design Details

• Observational Models: Ecologic or Community
• Time Perspectives: Retrospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Clients under PDS Community Team; 27 adult clients under PDS Community Team	Other: Adapted Structured Clinical Management; Adapted form of a previous Evidence Based Treatment- adapted to local context, in light of input from service-users and commissioners.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Proxy measures of client distress	Inpatient admissions, safeguarding concerns, crisis centre contacts, crisis house admissions, criminal justice contacts.	One year pre-referral and one year post-allocation

Collaborators and Investigators

• Sponsor: Camden and Islington NHS Trust
• Investigators: Principal Investigator: Andrew White, Camden and Islington NHS Trust

Study record dates

Study Major Dates

• Study Start (Actual): December 19, 2019
• Primary Completion (Actual): June 1, 2020
• Study Completion (Actual): August 31, 2020

Study Registration Dates

• First Submitted: December 19, 2019
• First Submitted That Met QC Criteria: December 19, 2019
• First Posted (Actual): December 23, 2019

Study Record Updates

• Last Update Posted (Actual): January 28, 2021
• Last Update Submitted That Met QC Criteria: January 26, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Personality Disorders
• Other Study ID Numbers: 262702

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No