Within four years, 49.4% had achieved remission, and within six years, 68.6% had achieved remission. By the end of the study, 73.5% of participants were found to be in remission. Moreover, of those who achieved recovery from symptoms, only 5.9% experienced recurrences. A later study found that ten years from baseline (during a hospitalization), 86% of patients had sustained a stable recovery from symptoms.Patient personality can play an important role during the therapeutic process, leading to better clinical outcomes. Recent research has shown that BPD patients undergoing dialectical behavior therapy (DBT) exhibit better clinical outcomes correlated with higher levels of the trait of agreeableness in the patient, compared to patients either low in agreeableness or not being treated with DBT. This association was mediated through the strength of a working alliance between patient and therapist; that is, more agreeable patients developed stronger working alliances with their therapists, which in turn, led to better clinical outcomes.In addition to recovering from distressing symptoms, people with BPD also achieve high levels of psychosocial functioning. A longitudinal study tracking the social and work abilities of participants with BPD found that six years after diagnosis, 56% of participants had good function in work and social environments, compared to 26% of participants when they were first diagnosed. Vocational achievement was generally more limited, even compared to those with other personality disorders.
Significance
Kerala state depends on migrant workers for the various jobs needed. The dependence on Migrant labourers in Kerala is found mainly in the field of construction. The city of Kollam and other places like Punalur, Paravur in Kollam district, Perumbavoor, Thrissur etc. are slowly becoming overwhelmed with a number of migrants from North India. The migrant labours in places like Kollam have started scoring top marks in literacy equivalent examination. So an institute for developing the unskilled domestic labours as well as migrant labourers has become an essential need in Kerala. The main aim behind this institute is to train masons to upgrade their skills and get a certification from the Britain-based organisation City and Guilds.The flagship project of KASE is the Centre of Excellence in Construction and Infrastructure by the name Indian Institute of Infrastructure and Construction (IIIC). Established in a 9-acre state-of the-art campus at Chavara, Kollam District, Kerala, the objectives of IIIC are broadly to:

Establish a world class Skill Centre, as centre of excellence, for imparting international quality skill sets to the personnel in construction industry of all cadres, right from the labourers to the top managerial personnel under three major categories viz., technician, supervisory and managerial categories. Maximize the reach of the Skill Centre in terms of capacity intake as well as sub sectors covered and the area of reach.