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The Care Programme Approach and risk assessment of borderline personality disorder

Clinical validation of the CORE risk sub-scale

Regional Department of Psychotherapy, Clarement House, off Framlington Place, Newcastle upon Tyne NE2 4AA

AIMS AND METHODS

This paper describes the validation of self-report of risk by patients with borderline personality disorder (BPD) as compared with the judgement of experienced psychotherapists in regular contact with them. The aim was to validate the Clinical Outcomes in Routine Evaluation System (CORE) self-report in order to be able to use it to monitor risk change for patients with BPD in psychotherapy and general psychiatric settings.

RESULTS

There was significant separation correlation between CORE risk sub-scales for self-harm, suicide and risk to others and therapists' estimation of significant risk v. no significant risk.

CLINICAL IMPLICATIONS

Using the cut-offs described, we suggest that the CORE questionnaire risk sub-scales can be used to assess significant risk for patients with BPD in psychotherapy, and in psychiatric and community health teams. The sub-scales should also prove valuable in allocating Care Programme Approach status.

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				M. Barkham, N. Gilbert, J. Connell, C. Marshall, and E. Twigg Suitability and utility of the CORE-OM and CORE-A for assessing severity of presenting problems in psychological therapy services based in primary and secondary care settings The British Journal of Psychiatry, March 1, 2005; 186(3): 239 - 246. [Abstract] [Full Text] [PDF]

				C. Mace Implementing the care programme approach in psychotherapeutic settings Advan. Psychiatr. Treat., March 1, 2004; 10(2): 124 - 130. [Abstract] [Full Text] [PDF]