Evan A. Iliakis|Anne Sonley|Gabrielle S. Ilagan|Lois W. Choi?Kain
Treatment of Borderline Personality Disorder: Is Supply Adequate to Meet Public Health Needs?
McLean Hospital|McLean Hospital|McLean Hospital|McLean Hospital
objectives study aimed assess supply demand treatment borderline personality disorder bpd inform current standards care training context available resources worldwide methods total supply mental health professionals mental health professionals certified specialist evidencebased treatments bpd estimated 22 countries using data publicly available sources training programs bpd prevalence treatmentseeking rates drawn largescale national epidemiological studies ratios treatmentseeking patients available providers computed assess whether current systems able meet demand training certification requirements summarized results ratio treatmentseeking patients bpd mental health professionals irrespective professionals interest training treating bpd ranged approximately 41 australia netherlands norway 1921 singapore ratio treatmentseeking patients clinicians certified providing evidencebased care ranged 491 norway 1482151 mexico certification requirements differed treatment country conclusions shortages providers available treat bpd providers certified specialist treatments bpd exist 22 countries studied wellresourced countries training clinicians provide generalist abbreviated treatments bpd addition specialist treatments could help address current implementation gap resourceefficient alternatives must considered countries insufficient staff implement even generalist treatments consideration realistic allocation care may shape future guidelines standards bpd treatments beyond intensive evidencebased psychotherapies