Personality Disorder Day and Crisis Service
The combined personality disorder day and crisis service provide a physical base for service users to form an attachment. These are based on therapeutic community principles, with service users heavily involved in running them through combined service user/staff meetings each Friday. The need for safe boundaries is ensured by the use of an acceptable behaviour procedure and democratic community meetings to help members reflect if rules are infringed. This helps maximise the promotion of autonomy and responsibility for service users. The PD day and crisis service are currently operational daily until 10.00pm each week night and will soon open at weekends.
The day service is specifically designed for those with a personality disorder and looks to address common issues that those with this diagnosis may experience. This may include a lack of motivation, difficulty engaging in a structured and balanced routine, problems with social interaction, having trouble developing positive relationships, and the ineffective regulation of emotions. The service consists of a structured weekly programme of therapeutic activities that aim to promote health, wellbeing and recovery. This has been developed and managed alongside service users in order to ensure the provision of a service that involves those central to it. Activities and groups on offer focus on providing a balance of occupations that enable skill development and encourage independence in relation to managing distress, engaging in positive roles and a balanced lifestyle, and forming healthy relationships with others. Examples of interventions include creative therapies, wellbeing groups, informal social groups, community based groups and sensory strategies.
Through engaging in activity, service users can develop a sense of identity, understand themselves and their abilities, develop interests and a sense of purpose, and learn new skills and coping strategies to deal effectively with everyday life. The ultimate aim of the service is to provide an environment where service users feel safe and supported, so that they feel able to overcome challenges that may await them on the road to recovery.
The crisis service offers one to one support to those experiencing any form of emotional or mental health crisis, and who are looking for a space where they can talk openly in a supportive and therapeutic environment. The service offers one to one drop in support, appointments, and telephone support and is run by trained mental health practitioners and support workers.The longer term plan for the crisis service is to provide four to five crisis beds, offering respite for days up to three weeks. Between the services we aim to offer a compassionate and understanding environment that promotes recovery and personal development.
Referral is open to those service users currently using the PD hub (ie. under the PD case management team or receiving one of the therapies for PD [MBT and DBT], including the Rotunda) with additional capacity for a small number of regular external referrals from CMHTs.