1. Personality Disorder Working Group The Dumfries and Galloway Experience Dr Jackie Stirling – Clinical Psychologist Dr Esther Mackenzie – Specialist Trainee in Psychiatry

2. Introduction Who are we? Who are we? How we came about? How we came about? Where have we been? Where have we been? And where are we going? And where are we going?

3. Who are we?

4. Multidisciplinary group Multidisciplinary group Nursing staff Nursing staff Psychologists Psychologists Psychiatrists Psychiatrists Voluntary sector Voluntary sector Service users Service users OTs OTs Everyone welcome Everyone welcome Meet every 4-6 weeks Meet every 4-6 weeks

5. How did we come about? Set up in 2005 after the establishment of the Scottish Personality Disorder Network Set up in 2005 after the establishment of the Scottish Personality Disorder Network Aim of the group was to develop a care pathway to ensure that clients with a diagnosis of personality disorder get the best available treatment with existing resources. Aim of the group was to develop a care pathway to ensure that clients with a diagnosis of personality disorder get the best available treatment with existing resources.

6. Where we’ve been? 2006 2006 Audit by Allyson Turnbull Audit by Allyson Turnbull “Snapshot” of the number of people with PD using the service “Snapshot” of the number of people with PD using the service Results – 309 people, 1 in 4 of the total client population Results – 309 people, 1 in 4 of the total client population Many seen by more than one branch of the service, in extreme cases by up to five. Many seen by more than one branch of the service, in extreme cases by up to five.

7. Where we’ve been? 2007 2007 Mapping pathways through the service Mapping pathways through the service Dr Gavin Talbot-Smith Dr Gavin Talbot-Smith Case note examination of “high service users” Case note examination of “high service users” Aim to build “maps” of pathways through mental health services Aim to build “maps” of pathways through mental health services

8. Where we’ve been? 2007 2007 ICP ICP 2008 2008 Best Practice Guidelines Best Practice Guidelines Guideline is designed to gel with but be separate from the ICP and is about improving the local service Guideline is designed to gel with but be separate from the ICP and is about improving the local service

9. Where we’ve been? 2009 2009 Local intranet Local intranet Internet Internet Education package – training needs survey Education package – training needs survey

10. Where we are going? 2010 2010 Education package Education package Half day session Half day session Aim to produce a modular package which can be adapted to different peoples needs Aim to produce a modular package which can be adapted to different peoples needs Easily delivered by different members of the working group Easily delivered by different members of the working group 1 st module - basic education 1 st module - basic education Aim to pilot in May Aim to pilot in May

11. Where we’re going? ICP ICP Awaiting completion of the generic ICP Awaiting completion of the generic ICP

12. Summary Multidisciplinary group Multidisciplinary group Well established Well established Have done research into local needs Have done research into local needs Produced local best practice guideline Produced local best practice guideline Continue to be involved in the ICP Continue to be involved in the ICP About to pilot education package About to pilot education package

13. Any questions? jstirling@nhs.net jstirling@nhs.net jstirling@nhs.net esthermackenzie@nhs.net esthermackenzie@nhs.net esthermackenzie@nhs.net