AAPEL
BPD and hospitalization...
Introduction:
Connection between borderline personality and hospitalization. What a good question, we could say. I don't know if there is a lot a study, and I really don't know if the answers could be in some studies. You will find on the last part of this document our vision which we hope comprehensive and listening to the suffering
Meme page en Francais / Same page in french
Data, studies
What they say ?
Aapel view
.
Data, studies (statistics, prevalence, comorbidity, co-occurency)
* 15 to 20% of the individuals hospitalized in psychiatry (inpatients) have a borderline personality disorder (apa)

* Paris J. - The Department of Psychiatry at McGill University..., Montreal, Canada.
2OO4 J Personal Disord. - Is hospitalization useful for suicidal patients with borderline personality disorder?
This article examines the value of hospitalization for chronically suicidal patients with borderline personality disorder (BPD). One in 10 of these patients will eventually complete suicide. However, this outcome is not readily predictable. Hospitalization is of unproven value for suicide prevention and can often produce negative effects. Day treatment is an evidence-based alternative to full admission. Chronic suicidality can best be managed in an outpatient setting.

* Bateman A, Fonagy P. - Halliwick Day Unit, St. Ann's Hospital, London UK
2OO3 Am J Psychiatry. - Health service utilization costs for borderline personality disorder patients treated with psychoanalytically oriented partial hospitalization versus general psychiatric care.
Costs were compared for the 6 months before treatment, 18 months of treatment, and an 18-month follow-up period.
Conclusion: Specialist partial hospital treatment for borderline personality disorder is no more expensive than treatment as usual and shows considerable cost savings after treatment

* Bateman A, Fonagy P. - Halliwick Day Unit, St. Ann's Hospital.
1999 Am J Psychiatry 1999 - Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial.
This study compared the effectiveness of psychoanalytically oriented partial hospitalization with standard psychiatric care for patients with borderline personality disorder
CONCLUSIONS: Psychoanalytically oriented partial hospitalization is superior to standard psychiatric care for patients with borderline personality disorder. Replication is needed with larger groups, but these results suggest that partial hospitalization may offer an alternative to inpatient treatment.

* Morissette L, Parisien M. - Institut Philippe Pinel de Montreal.
1997 Sante Ment Que. - The hospital's contribution to the treatment of patients with borderline personality disorders
Borderline patients, because of their symptomatology are frequent users of health care services (mental and physical). A recent review of the literature shows that the authors of this article favor a treatment within the community that should be eclectic, on a long-term basis and with varied intensity. The hospital is part of the therapeutic tools available for the treatment of these patients and should serve to contain crisis, specify diagnosis and to prepare and reinforce a rapid return in their community. Exceptionally, a prolonged hospitalization (> 6 months) would be indicated especially for adolescents


Hospitalization and BPD, what they say
"Sometimes the crisis is so severe that short-term hospitalization is needed. Often it is only after a short-term hospitalization that the diagnosis of Borderline Personality Disorder can be accurately made" (Phillip W. Long, M.D. ,“Borderline Personality Disorder: Treatment”, www.mentalhealth.com 1997)

"Brief hospitalization may sometimes be necessary during acutely stressful episodes or if suicide or other self-destructive behavior threatens to erupt. Hospitalization may provide a a temporary removal from external stress." (Richard J. Corelli, M.D ,“Borderline Personality Disorders”, stanford university CA)

"When the patient is extremely suicidal, hospitalization is necessary, but most patients with BPD can do well with a structured outpatient program involving individual and group therapy and medication" (Glen O. Gabbard, M.D.,“Discusses Borderline Personality Disorder“,Baylor College of Medicine)

"Hospitalization may be required during periods of acute decompensation to prevent self-destructive behaviors and to stabilize the patient, although it has not been shown to prevent suicide in this population" (Kathi Stringer, “About Borderline Personality Disorder”, www.toddlertime.com)

"Indications for partial hospitalization include the following:

Indications for brief inpatient hospitalization include the following: Indications for extended inpatient hospitalization include the following:

Aapel view of hospitalization and Borderline Personality Disorder
Here is our feeling.

Hospitalization is a very very very sensitive question
First of all remember that the BPD people is primary a person. And each person is different. We can't say "it was good for him / her, so it will be good for you"

Please, remind too, that borderline peoples are NOT psychotic (psychotics event are transient and could be seen as "panic attack") (please read dissociation / multiple personnalities) (of course, they can also have a comorbid illness)

There are some "good" reasons to ... and some to don't

Some "good" reasons

Some "bad" reasons Our resume could be
Please read suicide and bpd
AAPEL - Back to BPD summary page

Warning:
All the information in this site is aimed at helping people understand a "rather particular" and puzzling kind of disease
But more especially, to support everyone affected by it, sick or not.  In any case, it is ESSENTIAL to see a therapist who specialises in this field they can confirm or give an alternative diagnosis
The name of what you’ve got doesn’t matter so much, getting the right treatment for the right patient does
 
 

last update  2008
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