At present there is no local published pathway for personality disorders due to the complexity surrounding diagnosis. This guidance covers what services are available, the different levels of severity and what actions can be taken earlier on in the pathway to aid the patients' well-being and reduce unnecessary referrals when other routes may be more effective. This pathway will also act as an education and advice tool for managing patients with a personality disorder.
Please click the relevant flowchart box to be taken directly to textual information.
Please see the "Urgent Care: general" section on G-care for SWAST's guidance on Requesting Ambulance Transport (999 or Urgent)
Other conditions which may have similar symptoms to personality disorders or enhance personality disorder symptoms include:
Comorbidity is high amongst personality disorder patients. Regardless of the comorbidities that may exist, the personality disorder should be addressed and treated separately
Provide advice/refer/signpost patients to any of the following self-management services:
Consider referral to or signpost patient to Gloucestershire's Community Drug & Alcohol Recovery Service
The 2gether Contact Centre may be contacted for advice at any stage:
Tel: 0800 151 499
Address: Tri Service Centre, Waterwells Police HQ, Waterwells Drive, Gloucester, GL2 2BP.
The Gloucestershire Council Social Care Helpdesk may also be contacted for support:
Tel: 01452 426868
Consider contact with and/or referral to Mental Health Services following presentation with Red Flags or if the patient is at risk of harming themselves or others around them.
Consider referral to Mental Health Intermediate Care Team (MH ICT) for further advice/assessment/support and local services.
Contact details and referral advice for 2gether's Contact Centre, Crisis Resolution and Home Treatment Teams and other mental health services that accept direct referral are available here.
The 2gether Contact Centre is staffed by call handlers and senior mental health practitioners who offer referral advice, screen referrals and arrange assessment appiontments. They accept referrals from GPs and health professionals in consultation with GPs. They do not accept self-referrals.
Tel: 0800 015 1499
Opening hours: 9-am-5pm, Mon-Fri (except Bank Holidays)
For out of hours emergency referrals please ring the Crisis Teams on 0800 169 0389.
Avilable for patients with:
Routine response to referral is 28 days.
IAPT therapists do not work directly with personality disorder patients although can work with presenting comorbid conditions such as anxiety and depression. The nursing arm of the service works with some cluster 8 patients if stable and manageable within the primary care service.If unsure please contact Primary Mental Health Nurse.
Let's Talk is an NHS service provided by 2gether NHS Foundation Trust. Accredited therapists offer evidence based psychological treatment, support and resources to assist in the management of anxiety disorders and depression. The service will offer treatments to people aged 18+ who are a resident in Gloucestershire and who are struggling with a common mental health problem.
Please see National & NICE Guidance section for Ongoing Primary Care Management
Please see the Patient & Carer Information & Leaflets section.
Please see the National and NICE Guidance section
There are no significant variations to the national standards in this Pathway.
Please see Clinician Education section
|Peter Carter||Commissioning Manager||Gloucestershire Clinical Commissioning Group|
|Dr Iain Jarvis||GP||Gloucestershire Clinical Commissioning Group|
|Sally Gardner||Operations Manager||2gether NHS Foundation Trust|
|Marieanne Bubb McGhee||Inpatient Service Manager||2gether NHS Foundation Trust|
|Alex Burrage||IAPT Clinical Lead||Let's Talk- MH ICT, 2gether NHS Foundation Trust|
|Caroline Andrews||Lead Nurse Adult||2gether NHS Foundation Trust|
|Karen Williams||Clinical Director||2gether NHS Foundation Trust|
|Jon Haynes||Clinical Director||2gether NHS Foundation Trust|
|Gill Yardley||Head of Psychological Therapies||2gether NHS Foundation Trust|
At present there is no local published pathway for personality disorders due to the complexity surrounding diagnosis. This guidance covers what services are currently available, the differing levels of severity and what actions can be taken earlier on in the pathway to aid the patients well-being and reduce unnecessary referrals when other routes may be more effective. This pathway will also act as an education and advice tool for managing patients with a personality disorder.