Abstract
Gold Card SA is a four-session structured psychological intervention offered soon after an acute crisis presentation to people with symptoms characteristic of borderline personality disorder. This study describes individual and system-level outcomes from a large-scale health-care improvement initiative to implement Gold Card SA across South Australia. An uncontrolled pre–post study design was utilized examining service user (n = 332) patient-reported outcome measures and hospital service utilization records (6 months before and after Gold Card SA). Mixed-effects negative binomial regression analysis revealed a significant decrease in rates of service utilization across emergency department presentations (63%), mental health–related inpatient admissions (65%), and bed days (82%). Linear mixed-effect regression indicated large reductions in borderline symptoms and nonspecific psychological distress, and small to moderate improvements in psychosocial functioning. People presenting with or experiencing borderline personality disorder symptoms may benefit from a brief crisis intervention embedded within a stepped care model.
Original language | English |
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Pages (from-to) | 87-108 |
Number of pages | 22 |
Journal | Journal of Personality Disorders |
Volume | 38 |
Issue number | 1 |
DOIs | |
Publication status | Published or Issued - Feb 2024 |
Keywords
- borderline personality disorder
- brief intervention
- crisis
- service utilization
- stepped care
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health