Authors
Sathya Rao, Rita Brown, Cathryn Pilcher, Marianne Weddell, Jillian H Broadbear
Published in
Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists. Pages 10398562261496091. Oct 29, 2026. Epub Oct 29, 2026.
Abstract
ObjectiveTo define a comprehensive model of care that improves accessibility of treatments across primary, private and public mental health care sectors for people with borderline personality disorder (BPD) in Australia.MethodsThis Model describes a staged/tiered approach utilising brief, short- and long-term psychological treatments in individual or group therapy settings. These treatments utilise generalist (common factors) and specialist approaches, enhancing the capacity of healthcare providers to offer care, thereby improving access to appropriate evidence-based psychological treatments.FindingsPeople experiencing milder symptoms of BPD may benefit from brief treatments employing a generalist psychotherapy approach. People with moderate to severe BPD may benefit from generalist/specialist approaches within the private and public sectors. People experiencing complex and high-risk BPD may require longer-term specialist psychotherapy and multidisciplinary care. Treatment type and duration should be tailored to the person's presentation and needs, with clear pathways for escalation of care when required.ConclusionsThis model of care proposes that psychological treatment be delivered at a level and within a timeframe appropriate to each person's needs and proximal to where they live. A Core Competency Framework, based on evidence-based common factors psychological treatment, can facilitate delivery of these services in a holistic, equitable, and streamlined manner.
PMID:
42952358
Bibliographic data and abstract were imported from PubMed on 29 Oct 2026.
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