Comparing Effectiveness of Treatments for Borderline Personality Disorder in Communal Mental Health Care: The Oulu BPD Study

Community Ment Health J. 2016 Feb;52(2):216-27. doi: 10.1007/s10597-015-9866-4. Epub 2015 Apr 1.


The implementation of effective psychotherapies in community mental health care is challenging. This study aimed to create a well-structured and easily applicable treatment model for patients with severe borderline personality disorder (BPD). We integrated a schema therapy based psycho-educational group into an available individual therapy. Two groups were formed: (1) community treatment by experts (CTBE) patients (n = 24) receiving new treatment and (2) treatment as usual (TAU) patients (n = 47). Changes in symptoms were measured by Borderline Personality Disorder Severity Index-IV interview and quality of life by the 15D health-related quality of life questionnaire. After 1 year the CTBE patients showed a significant reduction in a wider range of BPD symptoms and better quality of life than TAU patients. The results of this study are encouraging. A well-structured treatment model was successfully implemented into community mental health care with improved patient adherence to treatment and superior treatment outcomes compared to TAU patients.

Keywords: Borderline personality disorder; Cognitive therapy; General mental health services; Randomized trial.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Borderline Personality Disorder / psychology
  • Borderline Personality Disorder / therapy*
  • Cognitive Behavioral Therapy / methods*
  • Community Mental Health Centers
  • Community Mental Health Services / methods*
  • Community Mental Health Services / statistics & numerical data
  • Female
  • Finland
  • Humans
  • Intention to Treat Analysis
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Psychotherapy, Group / methods
  • Quality of Life
  • Treatment Outcome
  • Young Adult