Evidence map›Paper›PMID 27691382›Full record

ArticlePsychiatric services (Washington, D.C.)2017

Qualitative Analysis of Resources and Barriers Related to Treatment of Borderline Personality Disorder in the United States.

Matthew C Lohman, Karen L Whiteman, Frank E Yeomans, Sheila A Cherico, Winifred R Christ

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Matthew C LohmanDr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Karen L WhitemanDr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Frank E YeomansDr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Sheila A ChericoDr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.
Winifred R ChristDr. Lohman and Dr. Whiteman are with the Dartmouth Centers for Health and Aging, Lebanon, New Hampshire (e-mail: matthew.c.lohman@dartmouth.edu ). Dr. Yeomans is with the Department of Psychiatry, Weill Medical College of Cornell University, New York. Ms. Cherico is with the Borderline Personality Disorder Resource Center, New York Presbyterian Hospital, White Plains, New York. Dr. Christ is with the Westchester Psychiatric Group, Tarrytown, New York.

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectiveResources and treatment for individuals with borderline personality disorder (BPD) are limited and often difficult to obtain. This article aimed to identify key resources for and barriers to obtaining supportive and treatment services for BPD from the perspective of individuals seeking information or services related to BPD ("BPD care seekers").

methodsData came from transcripts of resource requests to the Borderline Personality Disorder Resource Center from January 2008 to December 2015 (N=6,253). Basic statistics, including the type of service requested, demographic information for the BPD care seeker, and national distribution of requests, were generated for all eligible transcripts. Qualitative analysis of a random subset of 500 transcripts was used to identify themes, challenges, and common experiences reported by BPD care seekers.

resultsThe greatest number of requests for primary services or resources among the random subset of transcripts was for outpatient services (51%), informational materials (13%), and day programs (9%). Family services, crisis intervention, and mental health literacy were identified as areas where available resources did not meet current demand and that could be improved or expanded. Factors identified as potential barriers to finding and obtaining appropriate treatment for BPD included stigmatization and marginalization within mental health care systems, financial concerns, and comorbidity with psychiatric or medical disorders.

conclusionsBPD care seekers face numerous barriers to obtaining appropriate care. Expanded services and resources to connect individuals with treatment are needed to meet the current demands and preferences of those seeking care.

Indexed as

Borderline Personality DisorderCaregiversFamilyHealth Services AccessibilityHumansMental Health ServicesPatient Acceptance of Health CareQualitative ResearchUnited StatesBorderline personality disorderCommunity mental health servicestreatment resources

Identifiers

PMID27691382
PMCPMC5288272

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.