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Published Online: 25 October 2022

Five Failures and Five Challenges for Prevention and Early Intervention for Personality Disorder

Abstract

Despite global consensus regarding the early detection of personality disorder, current approaches to early intervention have failed to deliver for the majority of young people. This only serves to reinforce the enduring effects of personality disorder on functioning, mental and physical health, resulting in a reduction of quality of life and life expectancy. Here, we describe five significant challenges facing prevention and early intervention for personality disorder: identification, access to treatment, research translation, innovation and functional recovery. These challenges highlight the need for early intervention to shift from niche programmes in specialist services for a select few young people to become established in mainstream primary care and specialist youth mental health services.
Reprinted from Curr Opin Psychol 2021; 37:134–138, with permission from Elsevier. Copyright © 2021

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Published in print: Fall 2022
Published online: 25 October 2022

Keywords

  1. Personality disorder
  2. Prevention
  3. Early intervention
  4. Clinical staging
  5. Adolescence
  6. Psychiatry

Authors

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Andrew M. Chanen [email protected]
Orygen, Melbourne, Australia, and Centre for Youth Mental Health, The University of Melbourne, Australia
Katie Nicol
Orygen, Melbourne, Australia, and Centre for Youth Mental Health, The University of Melbourne, Australia

Notes

Corresponding author: Chanen, Andrew M. ([email protected]).

Competing Interests

Conflict of interest statement: Nothing declared.

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