Personality Disorder services and defining criteria

A Brown made this Rhyddid Gwybodaeth request to Worcestershire Mental Health Partnership NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

Roedd y cais yn rhannol lwyddiannus.

Dear shire Mental Health Partnership NHS Trust,

I would like to ask the following questions

In relation to services provided by the Trust

1. Do the Trust presently provide services to clients whoseprimary or only diagnosis is Personality Disorder ? and does it have a policy as regards personality disorder, or any policy that refers to this condition ?

2. Are these services including access to specialist treatment ? or General Support ? and what is the baseline of need for your community based services ?

3. If in the case of support would this be provided by
Community Mental Health Teams ?

4. Does the Trust consider that Personality Disorder compromises a 'severe and enduring mental illness" and if not why not ? ?

5. Would the presence of a co existing mental health condition along with Personality Disorder mean that it is
more likely to qaulify for Trust Services ?

6. How many cases are on the Trusts Community Mental Health Team caseload at any one time ? and can you provide a statistical breakdown for a period of time of the
psychiatric diagnosis ascribed to that patient population

7. Does the Trust agree that persons whose mental health problems are severe and enduring (even though not suicidal) ought to receive support from community mental health teams ?

8. In cases of Personality Disorder on what clinical criteria would the Trust use in deciding whether to offer services ? Is this part of a generic policy including other mental health conditions ?

9. In the event that a breakdown of trust occurs between
the Trust and its patient how is that resolved in the interests of the patient's access to services ? What contingency exists to guide such a situation ?

Thank you

Mr. Brown

MHP FOIRequest,

1 Atodiad

Dear Mr. Brown

REF: Freedom of Information Request - 221010/PDis

I acknowledge receipt of your Freedom of Information request which was
received on 22^nd October 2010.

Your FOI request for shire Mental Health Partnership NHS Trust
has been logged and we will be responding to you in due course with the
information you require.

Yours sincerely,

[1]cid:image001.gif@01CA15B3.0A5B3800

Zaffer Iqbal

Governance Information Lead

References

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Dear MHP FOIRequest,

I have noted that the response is not yet forthcoming and I would we pleased if you can attend to this delay as a matter of urgency. I note that other requests by other enquirers have been dealt with more expeditiously and I have not received any interim notification advising me of any reason for delay

Yours sincerely,

A Brown

MHP FOIRequest,

1 Atodiad

Dear Mr. Brown

REF: Freedom of Information Request - 221010/PDis

The Trust received a Freedom of Information Act 2000 request from you
dated 22^nd October 2010 regarding Personality Disorder. Below are the
answers to your questions:

1. Do the Trust presently provide services to clients whose primary or
only diagnosis is Personality Disorder? And does it have a policy as
regards personality disorder, or any policy that refers to this
condition? The Trust does offer services with Personality Disorder with
the locally provided DBT Therapy.

2. Are these services including access to specialist treatment? Or
General Support? And what is the baseline of need for your community based
services? All policies and procedures are published on the Trust Internet
Site: http://www.worcsmhp.nhs.uk/policies-and-...

3. If in the case of support would this be provided by Community
Mental Health Teams? Provided by local DBT therapy

4. Does the Trust consider that Personality Disorder compromises a
'severe and enduring mental illness" and if not why not? Unable to answer
this question

5. Would the presence of a co existing mental health condition along
with Personality Disorder mean that it is more likely to qualify for Trust
Services? No

1. How many cases are on the Trusts Community Mental Health Team
caseload at any one time? And can you provide a statistical breakdown for
a period of time of the psychiatric diagnosis ascribed to that patient
population - There are a total of 8,400 cases on the caseloads but we are
unable to provide the correct number for clients with Personality Disorder
as this information not recorded.

2. Does the Trust agree that persons whose mental health problems are
severe and enduring (even though not suicidal) ought to receive support
from community mental health teams? Yes

3. In cases of Personality Disorder on what clinical criteria would
the Trust use in deciding whether to offer services? Is this part of a
generic policy including other mental health conditions? All Trust
policies are published on the Internet and Trust works according to the
NICE Guidelines for Personality Disorder.
http://www.worcsmhp.nhs.uk/policies-and-...

4. In the event that a breakdown of trust occurs between the Trust and
its patient how is that resolved in the interests of the patient's access
to services? What contingency exists to guide such a situation? The Trust
has a complaints procedure and also the PALS service

If you have any queries about this letter, please contact me. Please
remember to quote the reference number above in any future communications.

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision,
you should write to the Chief Executive, shire Mental Health
Partnership NHS Trust, Isaac Maddox House, Shrub Hill Road, , WR4
9RW

If you are not content with the outcome of the complaint or review you may
apply directly to the Information Commissioner for a decision. Generally,
the ICO cannot make a decision unless you have exhausted the complaints
procedure provided by the Trust. The Information Commissioner can be
contacted at: The Information Commissioner's Office, Wycliffe House, Water
Lane, Wilmslow, Cheshire SK9 5AF.

Yours sincerely,

[1]cid:image001.gif@01CA15B3.0A5B3800

Zaffer Iqbal

References

Visible links

MHP FOIRequest,

1 Atodiad

Andrew Brown

[personal info removed]

Dear Mr. Brown

REF: Freedom of Information Request - 221010/PDis

The Trust received a Freedom of Information Act 2000 request from you
dated 26^th November 2010 regarding Personality Disorder. Below are the
answers to your questions:

1. Do the Trust presently provide services to clients whose primary or
only diagnosis is Personality Disorder? And does it have a policy as
regards personality disorder, or any policy that refers to this condition?

Response: Yes, the Trust does provide a service to individuals with a
diagnosed personality disorder. There is not, however, a specific Trust
policy relating to personality disorder. General clinical
policies/protocols would relate to service users with personality disorder
as with any other diagnosis. All Trust policies are published on the Trust
website (http://www.worcsmhp.nhs.uk/policies-and-...)

2. Are these services including access to specialist treatment? Or
General Support? And what is the baseline of need for your community based
services?

Response: Services include both specialist treatment in the form of
Dialectic Behavioural Therapy (DBT) and general support.

1. If in the case of support would this be provided by Community
Mental Health Teams?

Response: Support could be provided by Community Mental Health Teams but
equally it may be provided by other parts of statutory services or non
statutory / voluntary services or a combination of all of these services.

2. Does the Trust consider that Personality Disorder comprises a
'severe and enduring mental illness" and if not why not?

Response: As with other mental health issues it will be the assessed needs
and risks, and not on a diagnostic formulation, that will determine
whether an individual patient has a severe and enduring illness.

3. Would the presence of a co existing mental health condition along
with Personality Disorder mean that it is more likely to qualify for Trust
Services?

Response: It is not possible to give a "yes" or "no" answer to this
question. This would depend on the assessed risks and needs that any co
existing mental illness, as well as the assessed risk and needs associated
with the diagnosis of personality disorder.

4. How many cases are on the Trusts Community Mental Health Team
caseload at any one time? and can you provide a statistical breakdown for
a period of time of the psychiatric diagnosis ascribed to that patient
population

Response: The number of cases on the CMHTs caseload will vary from day to
day as service users are admitted or discharged from case loads. As at
22^nd November 2010 the figure for caseloads in the Trust is 8,400. It is
not possible to provide the statistical breakdown re diagnosis as this
information is not collated. The Trust only collects data around
individuals who are allocated to a "cluster" (the Yorkshire Pathways)
which does not differentiate diagnosis.

5. Does the Trust agree that persons whose mental health problems are
severe and enduring (even though not suicidal) ought to receive support
from community mental health teams?

Response: That would depend, not on any diagnosis, but on the assessed
needs and risks and as to how those needs and risks may be addressed. This
may be through means other than support by the CMHTs.

6. In cases of Personality Disorder on what clinical criteria would
the Trust use in deciding whether to offer services? Is this part of a
generic policy including other mental health conditions?

Response: The criterion used by the Trust is not based on diagnosis but on
the assessed needs and risks associated with each individual service user.
The decision to offer a service through the CMHT is made at a
Multi-Disciplinary Team meeting.

7. In the event that a breakdown of trust occurs between the Trust and
its patient how is that resolved in the interests of the patient's access
to services? What contingency exists to guide such a situation?

Response: In such cases the Trust's Patient Advice and Liaison (PALS)
office would be able to provide advice to patients as to how such issues
may be resolved. Pals are able to:

. Offer independent, timely, confidential help and advice

. Provide information on NHS services

. Help sort out problems quickly on your behalf

. Listen to your concerns, suggestions and queries

. Advise and support patients, their families and carers

. Advise you on how to make a formal complaint

. Confirm accuracy of events, timings, records, staff roles and
responsibilities

. Act as a go-between

. Ask for clarification from a health professional on your behalf

. Discuss expectations of what is reasonable

. Help you with information about other non-NHS services like
housing, voluntary services etc. They may not be able to solve these
problems but they can steer you in the right direction or contact agencies
on your behalf

. Liaise with and meet with key staff groups about aspects of care
and treatment.

Further PALS could also provide advice as to how patients could escalate
their concerns if they feel that they have not been satisfactorily
addressed.

The Trust has procedures to deal with requests from patients to change
their consultant psychiatrist and this arrangement could be used in
relation to breakdowns in trust between an individual patient and teams.

If you have any queries about this letter, please contact me. Please
remember to quote the reference number above in any future communications.

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision,
you should write to the Chief Executive, shire Mental Health
Partnership NHS Trust, Isaac Maddox House, Shrub Hill Road, , WR4
9RW

If you are not content with the outcome of the complaint or review you may
apply directly to the Information Commissioner for a decision. Generally,
the ICO cannot make a decision unless you have exhausted the complaints
procedure provided by the Trust. The Information Commissioner can be
contacted at: The Information Commissioner's Office, Wycliffe House, Water
Lane, Wilmslow, Cheshire SK9 5AF.

Yours sincerely,

[1]cid:image001.gif@01CA15B3.0A5B3800

Zaffer Iqbal

References

Visible links