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Master Thesis

La prise en charge des patients souffrant de trouble de la personnalité borderline : une évaluation des pratiques professionnelles à l’établissement public de santé mentale de Caen

Abstract : Borderline personality disorder (BPD) is a common and severe disorder characterised by instability in affect regulation, impulse control, interpersonal relationships and self-image. It leads to major mortality and psychosocial disability. The latest treatment guidelines focus on psychotherapy rather than hospitalisation and pharmacotherapy, with a dimensional approach, allowing management according to the most disabling symptoms. In order to assess whether our practices follow international recommendations, an evaluation of professional practices was conducted from 01/09/18 to 01/09/19, using a comparative approach to a reference framework based on a review of the literature and a synthesis of international recommendations. This epidemiological single-centre study (EPSM of Caen), in routine psychiatric care, used medical record data, collected retrospectively via a computerised search by the medical information department and systematic reading of the medical files included 44 inpatients (108 hospital stays). The results of the study underline the importance of spreading knowledge in order to imprint clinical practices that are too far away from the recommendations, in particular the absence of care and crisis plan, insufficient use of psychotherapy, psychoeducation and therapeutic mediation, too much and inappropriate use of pharmacotherapy, too frequent hospitalisations, insufficient communication between care providers, and insufficient involvement of the family and social support. The care for patients with BPD in this country must be designed and harmonised to favor access to suitable care.
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https://dumas.ccsd.cnrs.fr/dumas-03337884
Contributor : Ufr Santé Unicaen Connect in order to contact the contributor
Submitted on : Wednesday, September 8, 2021 - 11:51:40 AM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM

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  • HAL Id : dumas-03337884, version 1

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Elvire Simonet. La prise en charge des patients souffrant de trouble de la personnalité borderline : une évaluation des pratiques professionnelles à l’établissement public de santé mentale de Caen. Médecine humaine et pathologie. 2021. ⟨dumas-03337884⟩

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