The Dilemma of People Experiencing Borderline Personality Disorder (BPD) on Assertive Community Treatment (ACT) Teams—A Scoping Literature Review: Can ACT help people with BPD?
Publication: Canadian Journal of Community Mental Health
3 May 2024
Abstract
People with borderline personality disorder (BPD) are typically excluded from assertive community treatment (ACT) teams, the intensive model that typically serves people with serious psychotic and mood disorders. Nevertheless, many people with BPD are on ACT teams for clinical comorbidity or other reasons. Suitability and ability of ACT to provide their care is understudied. Our scoping literature review shows a limited body of research, with strong but mixed opinions on this dilemma, but notable incorporation of training and skills (e.g., dialectical behavioral therapy) into ACT may improve care for this population whose presence on ACT teams is a clinical reality.
Résumé
Les personnes atteintes d’un trouble de personnalité limite (TPL) sont souvent exclues du suivi intensif dans le milieu (SIM), le programme généralement offert aux personnes atteintes de troubles psychotiques et de l’humeur graves. Néanmoins, de nombreuses personnes atteintes de TPL font partie d’équipes SIM pour une comorbidité clinique ou d’autres raisons. L’aptitude et la capacité du SIM à leur fournir des soins sont sous-étudiées. Notre revue de la portée de la littérature fait d’une part état d’un nombre limité de recherches avec des opinions fortes, mais mitigées sur ce dilemme, et d’autre part constate que l’intégration notable de la formation et des compétences (p. ex. la thérapie comportementale dialectique) dans le SIM peut améliorer les soins pour cette population dont la présence dans les équipes SIM est une réalité clinique.
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Canadian Journal of Community Mental Health
Volume 43 • Number 1 • March 2024
Pages: 37 - 54
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Version of record online: 3 May 2024
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Josiah Osagie, Yvonne Bergmans, Aly Kassam, Michaela Beder, Madeleine Ritts, Juveria Zaheer, Kate Wren, Melissa Button, Nicole Kirwan, Matthew Levy, and Samuel Law. 2024. The Dilemma of People Experiencing Borderline Personality Disorder (BPD) on Assertive Community Treatment (ACT) Teams—A Scoping Literature Review: Can ACT help people with BPD?. Canadian Journal of Community Mental Health.
43(1): 37-54. https://doi.org/10.7870/cjcmh-2024-003
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