Five failures and five challenges for prevention and early intervention for personality disorder
Abstract
Despite global consensus regarding the early detection of personality disorder, current approaches to early intervention have failed to deliver for the majority of young people. This only serves to reinforce the enduring effects of personality disorder on functioning, mental and physical health, resulting in a reduction of quality of life and life expectancy. Here, we describe five significant challenges facing prevention and early intervention for personality disorder: identification, access to treatment, research translation, innovation and functional recovery. These challenges highlight the need for early intervention to shift from niche programmes in specialist services for a select few young people to become established in mainstream primary care and specialist youth mental health services.
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Strong evidence supports early identification and intervention for young people with borderline symptoms.
“This is concerning as there is strong evidence supporting early identification and intervention for young people with borderline symptoms. 7”
From Acceptability and feasibility of a short-term group therapy for people with borderline personality disorder symptoms (2024) · cites this paper as [7]
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- Authors
- Chanen, A. M., & Nicol, K.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Chanen, Andrew M.
- ORCID
- Chanen, Andrew M.
- Venue
- Current Opinion in Psychology
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 37
- Pages
- 134-138
- ISSN
- 2352-250X (ISSN-L)
- OpenAlex
- W3122076297
- Cited by
- 43
- References
- 65
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 9 · 2023: 8 · 2022: 8 · 2021: 3
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- personality disorders, early intervention, prevention, early detection, youth, treatment access, research translation, functional recovery, primary care, child and adolescent mental health services, quality of life, life expectancy
- MeSH terms
- Adolescent, Humans, Personality Disorders, Quality of Life, Early Diagnosis
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