Comparing three forms of early intervention for youth with borderline personality disorder (the MOBY study)

Poster C30, Wednesday, October 10, 11:30 am - 1:00 pm, Essex Ballroom

Andrew Chanen1,2,3, Henry Jackson4, Sue Cotton1,2, John Gleeson5, Christopher Davey1,2,3, Jennifer Betts1,2, Katherine Thompson1,2, Holly Andrewes1, Louise McCutcheon1,3; 1Orygen, the National Centre of Excellence in Youth Mental Health, 2Centre for Youth Mental Health, The University of Melbourne, 3Orygen Youth Health, Melbourne Health, 4Melbourne School of Psychological Sciences, The University of Melbourne, 5School of Psychology, Faculty of Health Sciences, Australian Catholic University

Background: The primary aim of this trial is to evaluate the effectiveness of three forms of early intervention for borderline personality disorder (BPD) in terms of adaptive functioning. Each treatment is defined by combining either a specialised or a general service delivery model with either an individual psychotherapy or a control psychotherapy condition. Methods: Help-seeking 15-25 year-olds with BPD were randomised to one of three treatments: (1) the specialised Helping Young People Early (HYPE) early intervention model plus up to 16 sessions of individual cognitive analytic therapy (CAT); (2) HYPE plus up to 16 sessions of a control psychotherapy ('befriending'); (3) general youth mental health (YMH) care plus up to 16 sessions of befriending. At the 12-month primary endpoint, the primary outcome is adaptive functioning (measures of social adjustment and interpersonal problems). Results: 139 participants were randomised (HYPE+CAT n=46; HYPE+befriending n=46; YMH+befriending n=47). Data analysis is currently underway and will be completed by July 2018. Discussion: The results of this trial will help to clarify the comparative effectiveness of a specialised early intervention service model over and above general youth mental health care, along with the contribution of individual cognitive analytic therapy over and above specialised general clinical care in early intervention for borderline personality disorder. Consequently, the findings will also inform the level of training and competency required for effective delivery of early intervention services. Trial registration: ACTRN12610000100099 on 1 February 2010.

Topic Area: Psychosocial Interventions

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