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Dialectical Behaviour Therapy Service
Care option Description Cost Unit Code
Outpatient
Location: Maudsley Hospital
Mode: Outpatient
“Before when I was upset or
stressed I used to cut myself.
Now I stop and think about
which of the coping skills
I have learnt that I can use
to help me calm down.”
Our service specialises in the assessment and treatment
of young people who have a history of self-harm and
symptoms associated with borderline personality disorder
such as impulsiveness, unstable relationships, anger,
difficulties controlling emotions and feelings of emptiness.
We provide assessment, treatment, consultation and
training. Treatment involves individual therapy and group
skills training for the young person. The young person’s
parents or carers also take part in group skills training.
Assessment
Pre-treatment
Treatment
A comprehensive assessment with the young person and their
parents or carers, to clarify diagnostic status, in particular whether
the young person meets criteria for emerging borderline personality
disorder. Self-harm behaviours and suitability for DBT are assessed.
An assessment report is sent to the young person, their parents
or carers and the referrer.
A series of up to six individual sessions with the young person to
orientate them to DBT, assess and strengthen motivation, clarify
and prioritise goals of treatment, and for the young person to
decide whether they wish to commit to DBT.
Consists of weekly individual work and group skills training for the
young person and group skills training for their parents or carers.
Skills training via telephone is also available. A psychiatric medication
review and follow-up are added as required. Duration of treatment
is up to one year.
£1,169 Per assessment 92321
£1,755 Per pretreatment
course
92311
£2,112 Per month 92312
Former patient
Criteria
Eligibility
• Up to 18 years old
• Male or female
• Recurrent self-harm including at least one episode of self-harm
in the past six months
• Presents symptoms associated with an emerging borderline
personality disorder
Exclusion
• Substance dependency (not misuse)
• Presence of another psychiatric disorder or problem requiring
more urgent assessment or treatment
• Previous exclusion from the dialectical behaviour therapy
(DBT) Service within the last three months
Consultation
Training
Consultation is available to clinicians and teams regarding self-harm,
risk management and difficulties related to elements of borderline
personality disorder. Consultation may be a one-off meeting with
the referring team or may require more extensive involvement.
This could include meeting with the young person and parents
or carers, examining available notes, chairing a meeting of professionals,
and treatment planning depending on the aims of the consultation.
A comprehensive report of the consultation, including recommendations
regarding case management, can also be provided.
We train by request on topics including assessment, the treatment
and management of self-harm, borderline personality disorder, risk,
mindfulness, emotion regulation, interpersonal effectiveness,
distress tolerance and DBT strategies. Price varies based on
individual requirements.
Variable Per consultation 92331
Variable
Per training
event
Interventions which may be provided
Outcomes
• Formulation and diagnosis
• DBT
• Decreased suicide rates in adolescents
• Reduced frequency of inpatient admissions
• Reduced self-harm and risk of suicide
• Decreased impulsivity
• Improved mood
• Increased mindfulness and distress tolerance skills
• Improved interpersonal skills and emotion regulation
• Improved quality of life
Referrals are accepted from: Contacts: Address:
Consultant psychiatrists
Mental health professionals
GP consortia
Consultant paediatricians
Dr Mima Simic, Consultant Child and
Adolescent Psychiatrist
Dr Katrina Hunt, Clinical Psychologist
Dr Lucy Taylor, Clinical Psychologist
Dialectical Behaviour
Therapy Service
Michael Rutter Centre
Maudsley Hospital
De Crespigny Park
Denmark Hill
London SE5 8AZ
Tel: 020 3228 3381 / 2749
Fax: 020 3228 5011
Email: dbtservicecamhs@slam.nhs.uk
46 47