state-wide borderline personality disorder collaborative

Borderline Personality Disorder Collaborative Draft Implementation Plan June 2019 1

Type secondary title for document if required

State-wide

Borderline Personality

Disorder

Collaborative

Implementation Plan

June 2019


Version Control

Version Release Date

Change Author Approved

V1 27/05/19 First draft for consultation Judy O’Sullivan

Disclaimer No responsibility is accepted by Country Health SA Local Health Network for any errors or omissions contained within this publication. The information contained within the publication is for general use only. No liability will be accepted for any loss or damage arising from reliance upon any information in this publication.

TRADITIONAL LANDS OF THE KAURNA PEOPLE We acknowledge the Borderline Personality Disorder Collaborative (BPD Co) hub is located on the traditional lands of the Kaurna people and pay respect to their spiritual relationship with this country. BPD Co will provide care for Aboriginal people from other communities across Australia. The term Aboriginal is used respectfully throughout this document to refer both to Aboriginal and Torres Strait Islander people, although it is acknowledged that this encompasses a large number of diverse communities.


Table of Contents

1. Borderline personality disorder collaborative ............................................... 4

1.1. Hub and spoke model ............................................................................ 4

2. Implementation ........................................................................................... 4

2.1. A Staged Approach ................................................................................ 4

2.2. Assessment and Brief Intervention Clinics (ABiCs) ................................. 4

2.3. Short Term Group Program .................................................................... 5

2.4. Severe and Complex BPD Shared Care ................................................. 5

2.5. Diverse treatment ................................................................................... 5

2.6. Lived Experience .................................................................................... 5

2.7. Work with special populations ................................................................ 5

2.8. Training .................................................................................................. 5

2.9. Research ................................................................................................ 6

3. References.................................................................................................. 6


1. BORDERLINE PERSONALITY DISORDER COLLABORATIVE The Borderline Personality Disorder Collaborative (BPD Co) is being established as a state-wide hub and spoke model working in conjunction with all Local Health Networks in South Australia. The BPD Co model of care (Country Health SA, May, 2019) outlines a stepped care approach that seeks to respond opportunistically to help seeking and to match the level of intervention to consumers’ needs. This will include the establishment of the Assessment and Brief Intervention Clinics (ABiCs), a short term group program and shared care for people with severe and complex Borderline Personality Disorder (BPD). There will be a particular focus on work with young people with emerging BPD from the age of 12 years, parents of children in the early years, Aboriginal people and people with BPD in the criminal justice system. BPD Co will also provide a training program for its own staff, clinicians in the LHNs, and other providers working with people with BPD. BPD Co will have a research focus to ensure that all programs are evaluated and that the service is contributing to the literature on effective care for people with BPD. For more information on BPD Co services, please refer to the Model of Care.

1.1. Hub and spoke model

The hub and spoke model will support the development of evidence based treatment options for people with BPD close to where they live. BPD Co will employ clinicians who will provide direct services to people with BPD but also work collaboratively with LHN clinicians on the implementation of the stepped model of care. Some elements of the model will be entirely handed over to the LHNs once established, including the ABiC and the short term group program. Shared expectations underpinned by a structured approach to collaboration and adaptation to the local environment will be critical.

2. IMPLEMENTATION Implementation will be planned using the Exploration, Preparation, Implementation and Sustainment (EPIS) model (Aarons et al, 2011), an evidence informed approach developed for public health and welfare organisations. Structured implementation models address the common factors affecting translation of evidence based practice into real world settings, including ‘acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration and sustainability’ (Proctor et al, 2011, p 66). Systematic review found the EPIS model has been relatively widely used (Moullin et al 2019) compared to other conceptual approaches (Strifler et al, 2018) and is tailored to the context for implementation in government (Aarons et al, 2011). The EPIS framework will assist in understanding the unique implementation environments across LHNs and in tailoring strategies that embed the model of care elements into routine practice.

2.1. A Staged Approach

The BPD Co Model of Care outlines a whole of system program for the service and its partners across a three year period to June 2022. Given the scope of change required, implementation will take place in a staged fashion, with program elements being tested in selected locations, evaluated and then rolled out more broadly. This methodology makes the best use of BPD Co and LHN resources and promotes shared learning about ‘what works’ on the ground, which can then be used to improve scale up processes. This does, however, mean that not all elements of the stepped care model will be available in all locations immediately. This document forms part of a clear communication strategy outlining a realistic picture of what clinicians, consumers, carers and the community can expect from BPD Co in the first three years of operation.

The Implementation Outline in Appendix One provides an overview of the staged approach and should be read in conjunction with the remainder of this document. The sites listed for implementation of each of the stepped care interventions are proposed as an indication of resource availability from BPD Co and are subject to change as agreed between BPD Co and the local implementation sites.

All timeframes are indicative and may be subject to change given the service is working in partnership with multiple sites, external providers and stakeholders.

2.2. Assessment and Brief Intervention Clinics (ABiCs)

The ABiC is based on Project Air’s Gold Card intervention which has a publicly available, manualised format and is established evidence based practice within public mental health systems in Australia (Grenyer et al, 2018). The brief intervention is designed to increase the accessibility of therapeutic care for a broad audience of people presenting in crisis but not necessarily with a confirmed BPD diagnosis. It can be delivered by frontline mental health clinicians with a single day additional training. Given this profile, BPD Co will support implementation of the ABiCs with training, initial coordination, implementation planning and research input. LHNs will be responsible for the delivery of the intervention.


The ABiC will be trailed in a small number of self-identifying LHNs initially with a phased roll out to other areas as the initial sites become sustainable.

2.3. Short Term Group Program

Short term group programs of 10 – 12 weeks have been demonstrated to improve BPD symptoms (eg LaPorte et al, 2018, Paris, 2013) but there is no established manualised practice. The stepped care model proposes that the target audience for a short term group program would be people with a diagnosis of BPD, who required more assistance than can be provided through an ABiC. This target group is smaller than that of the ABiC, with a larger resource commitment and more complex clinician skill set required for delivery. It is proposed that BPD Co clinicians develop the group program materials and set up an on-the-job knowledge translation process for LHN clinicians. This would involve co-delivery of the first group program at BPD Co, moving to co-delivery in the LHN for the second program and then LHN clinicians running the third group independently, though with BPD Co supervision and support if required.

The short term group program will be developed in three locations initially, with LHNs expressing interest and committing clinicians to learn the program and implement within their own area. In subsequent years, the three group cycle will be repeated with different populations.

2.4. Severe and Complex BPD Shared Care

The target group for shared care is people that experience the most severe and complex distress with BPD and is predicated on the evidence based therapies for BPD, tailored to the individual. This program is anticipated to be provided for a very small number of people and will require a sophisticated skills set built over years of training and experience. This program will be offered as a service delivered or brokered by the BPD Co multidisciplinary team, where the LHN requests additional support not available in the local area.

This is an area of BPD Co’s model that will be available across South Australia from the commencement of the service.

2.5. Diverse treatment

As was stated within the Model of Care, there is uneven availability of the evidence based therapies for BPD, with many of the BPD focused clinicians specialising in Dialectical Behaviour Therapy and fewer having skills in Mentalisation Based Therapy (MBT), Schema Focused Therapy (SFT) and Transference Focused Psychotherapy. BPD Co will support its clinicians to develop a more diverse array of available skills, noting that consumers and carers have long advocated for choice in treatment.

BPD Co will also partner with other organisations with relevant expertise, particularly those with expertise in common co-occurring issues for BPD such as substance misuse, or populations known to have a higher incidence of BPD, such as people from gender and sexually diverse communities. BPD Co will work together with these partners to develop integrated practice, cross-pollinate skills and knowledge and co-facilitate or share training.

Where BPD Co clinicians have developed skills in diverse areas, they will support LHN clinicians through supervision, coaching and training as appropriate.

2.6. Lived Experience

The BPD Co Lived Experience Project officers will work initially to develop the availability of consumer and carer engagement and services within the BPD Co hub. While programs will be made available to anyone in the state, and videoconference will be used, it is recognised that logistical challenges will limit accessibility to some initiatives. As BPD Co programs become established and where scale up to other areas is possible through partnerships, training or technology, this will be facilitated.

2.7. Work with special populations

BPD Co will allocate a proportion of their staff to work with partners in each of these areas. For some areas, this will enable the development of a tailored version of the stepped care model for the target population (eg youth, early years). In other special populations, such as work with Aboriginal people where there is no established evidence based approach, BPD Co will co-design interventions informed by literature together with Aboriginal people and organisations.

2.8. Training


BPD Co will broker, develop and deliver a program of education designed to match the clinician need with the training level. The program will initially be delivered by a mix of external contractors, the BPD Co Training Coordinator and BPD Co staff. As appropriate, BPD Co staff will invite LHN clinicians with expertise in particular areas to contribute to the development or delivery of training. Consumers and carers will be involved in all levels of development and delivery of training.

2.9. Research

BPD Co will work in partnership with academic partners, LHNs and central information management experts to design a research program and evaluation and monitoring framework for BPD Co. Research will occur together with LHN clinicians, consumers, carers and where appropriate, service partners.

3. REFERENCES

Aarons, G., Hurlburt, A., & Horwitz, M. (2011). Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4-23.

Choi-Kain LW et al, 2016. Evidence based treatments for Borderline Personality Disorder: Implementation, integration and stepped care. Harvard Review of Psychiatry, 24 (5), 342-356

Country Health SA Local Health Network (2019) Borderline Personality Disorder Centre of Excellence Draft Model of Care CHSALHN February 2019. Available at www.sahealth.sa.gov.au/BPDService

Grenyer BFS, 2014 An integrative relational step-down model of care: The Project Air strategy for Personality Disorders. The Acparian: Issue 9: 8 - 13.

Grenyer BFS, 2018. Treatment of personality disorder using a whole of service stepped care approach: A cluster randomized controlled trial. Plos one, Nov, 1/13 – 12/13

Laporte, L., Paris, J., Bergevin, T., Fraser, R., & Cardin, J. F. (2018). Clinical outcomes of a stepped care program for borderline personality disorder. Personality and mental health. 12:252-264.

McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. American Journal of Psychiatry, 166(12), 1365-1374.

Menear, M., & Briand, C. (2014). Implementing a Continuum of Evidence-Based Psychsocial Interventions for People with Severe Mental Illness: Part 1—Review of Major Initiatives and Implementation Strategies. The Canadian Journal of Psychiatry, 59(4), 178-186.

Moullin, J., Dickson, K., Stadnick, N., Rabin, B., & Aarons, G. (2019). Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Implementation Science : IS, 14(1), 1.

Paris J, 2013. Stepped care: an alternative to routine extended treatment for patients with borderline personality disorder. Psychiatric services 64 (19) 1035-1037

Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., . . . Hensley, M. (2011). Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research Agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76.

Strifler, Cardoso, Mcgowan, Cogo, Nincic, Khan, . . . Straus. (2018). Scoping review identifies significant number of knowledge translation theories, models, and frameworks with limited use. Journal of Clinical Epidemiology, 100, 92-102.Canadian systematic review – cancer and other chronic disease

Appendix One – Implementation Plan Outline


Area 2019-20 Date 2020-21 2021-22 By June 2022

2.2 Assessment and Brief intervention Clinics (ABiC)

Phase One sites identified –(metro and country locations)

June 19 Identify Phase Two sites (metro and country, early years, young people)

June 20 Identify Phase Three sites (metro and country, young people)

June 21 Four session intervention available in all areas.

ABiC operational in all metropolitan and selected country LHNs

Identify ABiC data collection schedule & methodology

June 19 Local Implementation Group commences July 20 Local Implementation Group commences July 21

Local Implementation Group commences July 19 Train the Trainer LHN Coordinators Sept 20 Train the Trainer LHN Coordinators Sept 21

Support headspace roll out of ABiC

(TBD – possibly training, supervision, liaison for data collection)

Aug 19 ABiC site staff intervention training Oct 20 ABiC site staff intervention training Oct 21

Train the Trainer – LHN coordinators and all BPD Co staff

Sept 19 ED/referring staff training Jan 21 ED/referring staff training Dec 21

ABIC site staff intervention training Oct 19 Phase Two sites commence 4 session intervention Jan 21 Phase Three sites commence 4 session intervention Jan 22

Emergency Department (ED)/referring staff training Jan 20 Phase Two clinics operational June 21 Phase Three clinics operational June 22

ABiC ethics application process: Dec 19 Review Phase One sites June 21 Review Phase Two sites June 22

Phase One sites commence 4 session intervention Jan 20 Handover of ABiC intervention to LHN June 21 Handover of ABiC intervention to LHN June 22

ABIC data collection commence – PhD project Jan 20

Phase One clinics operational June 20

2.3 Short Term Group Develop common factors short term group program Sept 19

Identify Phase Two groups; metropolitan LHNs, Aboriginal people (partner with Aboriginal organisations/NGO) early years

June 20 ID Phase Three groups; country locations, people in criminal justice system (partner with DCS), young

June 21 Short term programs accessible in all LHNs

Identify Phase One groups; young people, country (videoconference trial), early years

June 19 Adapt or re-write short term group material for target population

Sept 20 Adapt or re-write short term group material for target population

Sept 21

Establish data collection methodology Sept 19 Run Group 1 Dec 20 Run Group 1 Dec 21

Ethics application (if relevant) Sept 19 Run Group 2 Apr 21 Run Group 2 Apr 22

Implement data collection Dec 19 Run Group 3 To June 21

Run Group 3 June 22

Run Group 1 (BPD Co +LHN clinicians at BPD Co) Dec 19 Evaluation June 21 Evaluation June 22

Run Group 2 (BPD Co +LHN clinicians at LHN) Apr 20 Run Phase One groups at BPD Co All year Alternate Phase One and Two groups at BPD Co All year

Run Group 3 (LHN clinicians only in LHN) June 20 Phase One groups run in implementing locations All year Phase One and Two groups run in implementing locations

Evaluation June 20



Area 2019-20 Date 2020-21 2021-22 By June 2022

2.4 Severe and Complex BPD

BPD Co staff allocated to LHN

Adult metro

Adult country

Youth metro

Youth country

Criminal justice focus

June 19

Shared care in LHN Ongoing Shared care in LHN

Ongoing All LHNs have access to shared care to support them in work with people with complex and severe BPD

Orientation – clinicians

Evidence base

Model of Care

Risk and safety planning

Mental State Examination

Trauma response skills

Severe and complex

Implementation

July19

Tranche Two BPD Co staff allocated

Adult country

Early years

Aboriginal focus

Sept 19

Orientation – Tranche Two BPD Co staff Oct 19

BPD Co training

Vicarious trauma

Cultural awareness

Mentoring & coaching

Competency based supervision

Dec 19

Shared care offered to LHNs July 19

2.5 Diverse treatment BPD Co skills audit

Sept 19

Diverse therapies training program

Supervision

Coaching/support

June 21 Diverse therapies offered by BPD Co

June 22 BPD Co can offer access to diverse therapies eg SFT, TFP, MBT

BPD Co offers a range of therapeutic skillsets and knowledge eg Drug and Alcohol, Eating Disorders, LGBTQA+

BPD co supports the development of diverse skillsets in LHNs

Identify areas for development among BPD Co Clinicians

Dec 19 Diverse therapies commence at BPD Co Dec 20

Diverse therapies supported by BPD Co clinicians

Supervision

Coaching/support

June 22

Diverse therapies training program June 20

Shared training commenced with partner organisations/individuals

June 20 Shared training with partner organisations/individuals

Ongoing

Develop partnerships with key organisations to connect with diverse treatment offerings ie DASSA, ACCSA, Shine SA, SEDS, OPMHS

June 20 Consultation/Liaison commences with partner organisations

Dec 20 Consultation/Liaison with partner organisations

Ongoing



Area 2019-20 Date 2020-21 2021-22 By June 2022

2.6 Lived Experience

1

Lived Experience (LE) staff commence June 19 Consumer group facilitation June 21 Consumer group facilitation June 22 Robust feedback and engagement mechanisms are embedded within all BPD Co functions

Carer and consumer groups are facilitated at the BPD Co

Identify consumer & carer feedback & engagement mechanisms

Sept 19 Consumer group evaluation June 21 Consumer group scale up plan developed Sept 21

Implement LE engagement framework Dec 19 Family Connections (or other) group co-facilitation Dec 20 Consumer group expand Dec 21

Family Connections feasibility investigation Sept 19 Review evidence base for carer groups Sept19 Carer group facilitation June 22

Family Connections group co-facilitation (pending outcome of feasibility investigation)

Dec 19 Adapt/write carer group program if required Dec 20 Carer group evaluation Dec 22

Review evidence base for consumer groups Sept 19 Develop data collection methodology for carer group Dec 20 LE engagement framework review and adjust Dec 21

Adapt/write consumer group program Dec 19 Commence new carer group Jan 21 BPD community engagement for health promotion, stigma reduction and awareness raising

June 22

Develop data collection methodology for consumer group

Dec20 Consumer group facilitation June 21 LE representatives co-facilitate clinician training June 22

Commence consumer group Jan 20 LE engagement framework review and adjust Dec 20 LE develop and conduct research June 22

BPD community engagement for health promotion, stigma reduction and awareness raising

June 20 BPD community engagement for health promotion, stigma reduction and awareness raising

June 21 BPD community engagement for health promotion, stigma reduction and awareness raising

June 22

LE representatives co-facilitate clinician training June 20 LE representatives co-facilitate clinician training June 21

LE representatives are engaged in developing and conducting research

June 20 LE representatives are engaged in developing and conducting research

June 21

2.7 Special populations - Aboriginal people

2

Establish relationships with Aboriginal partner organisations or individuals

June 20 Work with Aboriginal partners to develop culturally safe and acceptable treatment model

June 21 *Roll out short term group program for Aboriginal participants (eg country locations)

June 22 Culturally trained BPD Co clinicians, partnerships with ACCHOs

Aboriginal staff at BPD BPD Co have a diverse range of skills and evidence based therapeutic models? numbers, distribution

Establish cultural supervision/connection mechanisms for BPD Co Aboriginal staff

Dec 19 *Develop and run short term group program for Aboriginal participants

June 21 Aboriginal focus treatment model commences

June 21

Literature review of evidence base for effective care and treatment of Aboriginal people with BPD symptomology/complex trauma and grief

Apr 20 Develop evaluation data methodology June 21 Evaluation of Aboriginal focus treatment model June 22

Aboriginal assessment and engagement training for BPD Co staff

June 20 Aboriginal staff/research students qualitative project exploring experience and meaning of BPD diagnosis, care and treatment for Aboriginal people

June 21 Actions against BPD Co Reconciliation Action Plan June 22

Establishment of BPD Co Reconciliation Action Plan

June 20 Actions against BPD Co Reconciliation Action Plan June 21

1 Lived Experience program to be developed in further detail when Lived Experience Project Officers commence and in consultation with consumers and carers.

2 Program for work with Aboriginal populations to be further developed when Aboriginal staff commence and in consultation with Aboriginal people and organisations.



Area 2019-20 Date 2020-21 2021-22 By June 2022

2.7 Special populations - Young people

Establish relationships with key partners (eg CAMHS, DCP, Education, headspace, YMHS, youth clinicians in LHNs, Shine SA)

June 20

Implement ABiC for young people June 21

*Develop and run short term group program with LHN clinicians and partners

June 22 Development of services in all three steps of the BPD Co Model of Care *Develop and run short term group program with

LHN clinicians and partners June 20 Support country headspace roll out of ABiC June 21

*ABiC implementation for young people, Phase Three locations

June 22

*Support headspace roll out of ABiC June 20 *Short term group program run in implementing locations

June 21 *Shared training with partner organisations/individuals

Ongoing

Liaise with SALHN YMHS DBT-A trial

June 20 *Short term group alternated at BPD Co June 21 *Consultation/Liaison with partner organisations Ongoing

Support Mount Barker/Murray Bridge headspace DBT-A rollout (supervision)

June 20 *Shared training commenced with partner organisations/individuals

Dec 20 *Provide shared care to LHNs working with young people with emerging BPD in complex circumstances

June 20

*Diverse therapies training June 20 *Consultation/Liaison commences with partner organisations

Dec 20 *Diverse therapies offered by BPD Co for young people

June 22

*Diverse therapies training program

Supervision

Coaching/support

June 21

*Diverse therapies supported by BPD Co clinicians

Supervision

Coaching/support

June 22

*Diverse therapies commence at BPD Co Dec 20 Consolidate and handover ABiC in LHN June 22

2.7 Special populations - Early years

Establish relationships with key partners (eg CAMHS,CAFHS, DCP, perinatal services, AMIC, Education, DHS)

June 20

*ABiC implementation, Phase Two locations June 21 Consolidate & handover ABiC Phase Two locations June 22

Development of services in all three steps of the BPD Co Model of Care

*Develop and run short term group program June 20 * Short term group program runs in implementing locations

June 21 * Short term group program runs in implementing locations

June 22

*Provide shared care to LHNs working with parents in the early years with BPD

Dec 19 *Provide shared care to LHNs working with parents in the early years with BPD

June 21 *Provide shared care to LHNs working with parents in the early years with BPD

June 22

Clarify goals with clinicians in early years re rollout June 20 *Shared training commenced with partner organisations/individuals


Ongoing

Support HMH rollout of MI-DBT June 20 *Consultation/Liaison commences with partner organisations

Dec 20 *Consultation/Liaison with partner organisations Ongoing

Support CAFHS rollout of Lighthouse program June 20


Supervision

Coaching/support

June 21 *Diverse therapies offered by BPD Co for parents with BPD

June 22

*Diverse therapies training *Diverse therapies commence at BPD Co Dec 20


Supervision

Coaching/support

June 22



Area 2019-20 Date 2020-21 2021-22 By June 2022

2.7 Special populations - Criminal justice system

Develop relationships with key partners Dec 19 Implement identified mechanism to support improved coordination across mental health and correctional facilities for people with BPD

June 21 Consolidate and evaluate mechanism to support improved coordination across mental health and correctional facilities for people with BPD

June 22 People with BPD in the criminal justice system will have improved access to evidence based care for BPD, improved transitions of care when moving across mental health and correctional facilities for people with BPD and access to advocacy to ensure that BPD symptomology is not criminalised.

*Provide shared care to LHNs working with people in the criminal justice system with BPD

July 19 Deliver common factors training for DCS professional staff

June 21 Deliver training for Custodial Services Officers (CSOs) in consultation with DCS

June 22

Partner with Department of Correctional Services (DCS) and Forensic Mental Health Services to develop improved systems planning and coordination across mental health and correctional facilities for people with BPD

June 20 Adapt emergency services training for Custodial Services Officers (CSOs) in consultation with DCS

June 21 *Develop and run short term group program with DCS partners

June 22

Consult with relevant partners to develop system for providing advice to inform sentencing for BPD/treatment

June 20 *Provide shared care to LHNs & professional staff in the criminal justice system working with BPD

June 21 * Provide shared care to LHNs & professional staff in the criminal justice system working with BPD

June 22

Provide input into the development of treatment model for the crisis unit in Adelaide Women’s Prison

June 20 Provide advice to inform sentencing for BPD/treatment

June 21 Provide advice to inform sentencing for BPD/treatment

Ongoing

*Diverse therapies training June 20 *Shared training commenced with partner organisations/individuals


Ongoing

Develop common factors training for DCS professional staff

June 20 *Consultation/Liaison with partner organisations Dec 20 *Consultation/Liaison with partner organisations June 22


Supervision

Coaching/support

June 21 *Diverse therapies offered by BPD Co for parents with BPD

June 22

*Diverse therapies commence at BPD Co Dec 20


Supervision

Coaching/support

June 22

2.8 Training *Develop and deliver orientation program for BPD Co Staff

Sept 19 Develop range of common factors training packages for BPD Co

Exec/Clinical leaders

GPs

NGOs

Private Providers

Sept 20 Deliver common factors training program from BPD Co

June 22 BPD Co staff will be trained and supported to offer diverse therapies and skills.

BPD Co will establish a suite of resources to support roll out of training tailored to health, mental health and other clinicians.

BPD Co will commence some self-sustaining programs through resource recovery on expert training and support.

ABiC Training (external facilitation) Oct 19 Deliver common factors training program from BPD Co

June 21 Support BPD Co staff to facilitate common factors training in local areas

June 22

Training program finalised Dec 19 Support BPD Co staff to facilitate common factors training in local areas

June 21 Develop community of practice for BPD in South Australia

June 22

Develop Preferred Provider Panel of training experts

Dec 19 *ABiC Training (BPD Co facilitation) Oct 20 *ABiC Training (BPD Co facilitation) Oct 21

Liaise and plan MHT/ETLS training Apr20 Develop Lived Experience training program for BPD Co

June 21 Lived Experience training program for BPD Co June 22

Develop ED package 1 – 2 hours for each discipline Apr 20 ETLS/MHT training refresh x2 annually June 21 ETLS/MHT training refresh x2 annually June 22

Co-facilitate Emergency Triage and Liaison Service (ETLS)/Mental Health Triage (MHT) training

June 20 *Co-facilitate common factors training for DCS professional staff

June 21 *Co-facilitate DCS CSO training June 22

*Diverse therapies training June 20 *Diverse therapies training June 21 Continue expert seminar series June 22

*Develop common factors training for DCS professional staff

June 20 Establish and broker expert seminar series June 21



Area 2019-20 Date 2020-21 2021-22 By June 2022

2.9 Research Evaluation framework established June 19

ABiC review 12 months outcomes – analysis of outcomes (review quantitative data and process evaluation)

Jan 21 ABiC – PhD finalised June 22 BPD Co will have established a data set that outlines the number of people with BPD, the system wide impact of BPD and outcomes for people accessing care in any LHN. BPD Co will have established relationships with academic partners, including a completed PhD on the individual and system level outcomes of the ABiC.

Analysis of current BPD population in LHNs June 19 ABiC review of 12 month outcomes- report Dec 20 Develop application and selection process for PhD student projects

June 22

Research Plan developed July 19

Identification of electronic data collection mechanism

July 19 Frequent presenter analysis completed including analysis of 3 month pilot of care pathway

Sept 2020

Ongoing evaluation of frequent presenter pathway June 22

Project establishment review June 19 Evaluation report short term Phase One (adult and young people) groups

Sept 20 Provide evidence base review to assist in adaptation/amendment of common factors short term group program

Sept 21

Partner with University of South Australia for PhD study of ABiC trial

June 19 Evaluation report short term Phase One (early years) group

Dec 20 Review/adapt short term group program data collection for new cohort

Sept 21

Ethics application for short term group program (adult and young people)

July 19 Provide evidence base review to assist in adaptation/amendment of common factors short term group program

June 21 *Evaluation of short term Phase Two groups June 22

Frequent Presenter Analysis contracted Sept 19 Review/adapt short term group program data collection for new cohort

June 21 *Evaluation of Aboriginal focus treatment model June 22

Provide evidence base review to assist in development of common factors short term group program

Sept 19 *Evaluation of short term Phase Two groups June 21 Common factors training evaluation June 22

Ethics application short term group – early years Oct 19

*Develop evaluation methodology for Aboriginal focus treatment model

Focus groups

consultation

June 21 *Carer group evaluation June 22

*Evaluation of short term Phase One (adult and young people) groups

June 20 *Aboriginal staff/research students qualitative project - experience and meaning of BPD diagnosis, care and treatment

June 21 Annual activity/quality assurance report June 22

*Literature review of effective care and treatment of Aboriginal people with BPD symptomology/complex trauma and grief

Apr 20 *Consumer Group evaluation June 21

Annual activity/quality assurance report June 20 Annual activity/quality assurance report June 21

state-wide borderline personality disorder collaborative

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