Questions & Feedback

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The following questions were raised in the NHMRC BPD Clinical Practice Guidelines: 

Organising healthcare services to meet the needs of people with BPD

• What type of services maximise effectiveness and safety and minimise harm (taking into account long-term outcomes) for the delivery of specific treatments for people with BPD? (for example, day hospitals, inpatient, therapeutic communities, use of enhanced care programming, team-based or individual based care, partial hospitalisation)
  
  
• What is the role of inpatient (e.g. acute, forensic) care in the management of people with BPD?
  
  
• What is the role of specialist services (including community-based) in the medium and long term management of people with BPD?
  
  
• Is long-term inpatient care in the treatment of BPD effective?
  
  
• Are particular therapies suited for particular service settings?
  
  
• How should healthcare professionals from other healthcare settings care for people with BPD? (primary care, accident and emergency, crisis services, crisis houses, acute care).
  
  
• Which treatment pathways, care processes and clinical principles (case management, care coordination, care programme approach and so on) maximise the effectiveness of care and reduce harm?
  
  
• How can healthcare professionals involved in the care of people with BPD best be supported? (supervision, training, caseloads and so on) 

Supporting families and carers

• Do families (including children) and families/carers of people with BPD have specific care needs?
  
  
• If so, what specific interventions should be offered?
  
  
• Do family or carers, through their behaviour, styles of relating and relationships, influence clinical and social outcomes or wellbeing for people with BPD?
  
  
• If so, what interventions should be offered?

Comments, Thoughts, Suggestions and Feedback?

Please email your comments to bpd_national_strategy@bpdfoundation.org.au and also indicate whether you are happy to have your comments posted on the website.

Creating a National Model of Care for BPD
We invite comment and suggestions from our Australian BPD community. What are your priority, current gaps and needs in treatment? How do you think we can we best meet these?

Creating A National Tertiary Training Framework for BPD
We invite comment from registered and trainee Psychiatrists, Psychologists, Therapists as well as professional body's and relevant heads of tertiary institutions to comment on this. Is there sufficient focus on BPD in the current tertiary curriculum? What inclusions would be desirable?

Creating A National Framework for Family and Carers
How can we best support the needs of family members and carers? How important is it for families to be included in treatment? Would a 24 hour telephone helpline be beneficial? Can carers access sufficient evidence-based treatment, knowledge and skills to best support their loved ones?

Developing A Centre of BPD Excellence in Each Australian State
Is this a good idea? What are the pro's and con's of this idea? What would the ideal centre of excellence look like? What services would it offer? Would it be inpatient or outpatient? Would it cater for co-occuring disorders like substance abuse and eating disorders? Do holistic treatment approaches figure in this model?

Clinician Accreditation for treating BPD
Should this be instituted? Clinicians, carers and consumers - we invite your thoughts and experiences on this.

Australian BPD Research
What are the priority research areas and why? Is a National Centre of BPD Research the best solution or could the research sit under other mental health research organisations?

Hospital Emergency Departments, Police and Ambulance Services
We invite suggestions and comment on the services and care delivered by these front line agencies.

Please email your comments to bpd_national_strategy@bpdfoundation.org.au and also indicate whether you are happy to have your comments posted on the website.

Acknowledgements:

Thanks to Ms Julien McDonald, Ms Anne Reeve and Guy Ellies for their most helpful comments and feedback in the preparation of this document.

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