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‘Sharing the experience of working with Borderline Personality Disorder’
Dr A. Gopala Consultant PsychiatristMorag Wiseman Senior Social Worker/Mental Health
Officer . Alison Lynch Adult Protection Coordinator Police
Scotland
Content
• What's your experience? • Background – working group.• Social Work perspective • Alison Lynch- Police perspective• Dr Gopala- NHS view
What's your experience?
• How do services fit together?
Creating Order out of Chaos
Who we represent Multi Agency Borderline Personality
Disorder Work stream• NHS
• Local Authority • Voluntary organisations
• Police
Aim of working group:
• Ground breaking work to bring a Multi Agency approach to support clients with Borderline Personality Disorder (BPD)
• to promote and improve quality of life
Key Themes
• Key Themes from Workshop:• Awareness & Training, Multi-Agency training • Partnership Working• Support for Clients and Families/Lack of appropriate
services• Practices need changing – • Guidelines• Manage and tolerate risk• Sharing knowledge with Clients• Cohesive working needed
Sound familiar?
• Varying experiences re: diagnosis, availability of services
• Varying amount of knowledge• Resulting in lack of consistency in treatment
and services• Sense of frustration and isolation shared by
both service users and professionals
About me!
• Qualified as a Social Worker 2007 • Worked in Adult Mental Health 2007-2012 • Mental Health Officer ( MHO) 2011. • Currently Senior Social Worker in a community
team.
Social work
• Social Workers are trained in personality development however:
• No specific training in BPD. • Social Workers esp. newly qualified workers
reliant on advice from health colleagues regarding the management and impact of BPD.
Social work perspective
• Time spent trying to resolve crisis• Limited health professionals involved • Anxiety regarding risk management• Feeling isolated • Condition does not appear to fit neatly within
spectrum of protective legislation.
Case example
• Colleague provided case example
• Female, with a current diagnosis of BPD • Difficulties with self harming e.g. cutting,
refusing to eat, taking serious overdoses
What works?
• Client should have an awareness of who they are being referred to and why they are being referred.
• Having an understanding of the Clients needs. • Client centred approach/holistic assessment
Suggested ways of working
• → Focus on the person and help them to learn to see their own positives.
• →Help them develop multiple strategies. A strategy will eventually sink in and work, when she/he is ready for that change.
• →Focus on one behaviour to be addressed first, hopefully the behaviour that is the most damaging to them.
Summary
• There is room for improvement• A more consistent approach • Joined up working • More training