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Brief Admission Skåne (BAS), an intervention for indivi- duals with symptoms of borderline personality disorder, recurrent self-harm, at high risk for suicide. : Brief admission Skåne: Evaluation of fidelity to the method and individual-therapist experiences

Liljedahl, Sophie LU and Daukantaité, Daiva LU (2016) In 4th International Congress on Borderline Personality Disorder and Allied Disorders p.19-19
Abstract
Objectives: To measure treatment fidelity and to evaluate patient and clinician experiences with Brief Admission Skåne (BAS) over the pilot phase and first five months of the intervention phase of a randomized controlled trial (RCT) testing BAS. The purpose of the RCT is to determine whether BAS can reduce the frequency of acute psychiatric admissions for individuals with borderline personality disorder, pervasive self-harm and suicidality. Secondary aims of the RCT are to reduce self-harm (including suicide attempts), increase emotion regulation, and increase life quality. BAS is modelled upon a promising method of Brief Admission implemented in the Netherlands.
Methods: Inter-rater reliability between two of the treatment developers... (More)
Objectives: To measure treatment fidelity and to evaluate patient and clinician experiences with Brief Admission Skåne (BAS) over the pilot phase and first five months of the intervention phase of a randomized controlled trial (RCT) testing BAS. The purpose of the RCT is to determine whether BAS can reduce the frequency of acute psychiatric admissions for individuals with borderline personality disorder, pervasive self-harm and suicidality. Secondary aims of the RCT are to reduce self-harm (including suicide attempts), increase emotion regulation, and increase life quality. BAS is modelled upon a promising method of Brief Admission implemented in the Netherlands.
Methods: Inter-rater reliability between two of the treatment developers rating fidelity are presented alongside preliminary qualitative and quantitative data relating to how patients and their care providers experienced BAS.

Results
A total of N=24, individuals were included in the pilot phase of the study. Patient-clinician concordance regarding positive experiences was uniformly high. The majority of participants (83.3%) endorsed the highest possible rating for overall satisfaction with their experience of BAS. This was concordant with clinician’s evaluation of the care providing experience, with 50.0% reporting they were mostly satisfied and 50.0% reporting that they were completely satisfied. Patient-clinician reports are detailed through qualitative findings. Inter-rater reliability between for fidelity will be reported based upon the intervention phase of the study.
Conclusion: The Dutch approach to brief admission has been exported to South Sweden and is currently being systematically evaluated through RCT. To determine adherence to the Dutch approach, fidelity and implementation are carefully considered, with data presented from the first phases of the trial.
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4th International Congress on Borderline Personality Disorder and Allied Disorders
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20 pages
language
English
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yes
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ba1a663a-6a86-4864-99da-a3d4e6652fd1
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2017-06-02 15:45:58
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2017-06-07 10:32:26
@inproceedings{ba1a663a-6a86-4864-99da-a3d4e6652fd1,
  abstract     = {Objectives: To measure treatment fidelity and to evaluate patient and clinician experiences with Brief Admission Skåne (BAS) over the pilot phase and first five months of the intervention phase of a randomized controlled trial (RCT) testing BAS. The purpose of the RCT is to determine whether BAS can reduce the frequency of acute psychiatric admissions for individuals with borderline personality disorder, pervasive self-harm and suicidality. Secondary aims of the RCT are to reduce self-harm (including suicide attempts), increase emotion regulation, and increase life quality. BAS is modelled upon a promising method of Brief Admission implemented in the Netherlands. <br/>Methods: Inter-rater reliability between two of the treatment developers rating fidelity are presented alongside preliminary qualitative and quantitative data relating to how patients and their care providers experienced BAS. <br/><br/>Results<br/>A total of N=24, individuals were included in the pilot phase of the study. Patient-clinician concordance regarding positive experiences was uniformly high. The majority of participants (83.3%) endorsed the highest possible rating for overall satisfaction with their experience of BAS. This was concordant with clinician’s evaluation of the care providing experience, with 50.0% reporting they were mostly satisfied and 50.0% reporting that they were completely satisfied. Patient-clinician reports are detailed through qualitative findings. Inter-rater reliability between for fidelity will be reported based upon the intervention phase of the study. <br/>Conclusion: The Dutch approach to brief admission has been exported to South Sweden and is currently being systematically evaluated through RCT. To determine adherence to the Dutch approach, fidelity and implementation are carefully considered, with data presented from the first phases of the trial. <br/>},
  author       = {Liljedahl, Sophie and Daukantaité, Daiva},
  booktitle    = {4th  International Congress on Borderline Personality Disorder and Allied Disorders},
  language     = {eng},
  month        = {09},
  pages        = {19--19},
  title        = {Brief Admission Skåne (BAS), an intervention for indivi- duals with symptoms of borderline personality disorder, recurrent self-harm, at high risk for suicide. : Brief admission Skåne: Evaluation of fidelity to the method and individual-therapist experiences },
  year         = {2016},
}