The Gwylfa Therapy Service (GTS). An evaluation. What is the GTS?. Specialist Service for people with a Personality Disorder. Based in St. Cadoc’s Hospital, Caerleon. Service started end of February 2005 Provided by Gwent Health Care Trust.
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Specialist Service for people with a Personality Disorder.
Based in St. Cadoc’s Hospital, Caerleon.
Service started end of February 2005
Provided by Gwent Health Care Trust.
GCHT serves a population of approx. 600,000 in South East Wales.
*(Clients use a 0-5 rating scale of severity/intensity).
1. A post treatment score on any given measure must fall within 2 standard deviations of a functional population norm for the measure.
2. A post treatment score on any given measure must fall beyond 2 standard deviations of a non-functional population for the measure.
3. Ideally both of the above. Because overlap of SD’s can occur use equation – on next slide.
When SD’s are large – advised to use 1 SD.
(SD of f’nal pop x M of dysf’nal pop) +
(SD of dysf’nal pop x M of f’nal pop)
SD of f’nal pop + SD of dysf’nal pop
Part 1b - Comparison of those who discontinue therapy with those who continue.
* All non significant
Continuers therapy January 2005
4 patients admitted
16 total admissions
151 bed days
Total cost = £39,197
6 patients admitted
17 total admissions
379 bed days
Total cost = £122,444Service use over the 9 months
Consultation service evaluation.
Nursing staff attitudes towards personality disorder.
88 nurses who had not volunteered for PD awareness training.
29 nurses who had volunteered.
645 nurses in high security setting.
76 nurses who volunteered to work on DSPD unit.
166 non volunteer nurses on DSPD unit.
55 prison officers working on a DSPD unit.
(Carr-Walker, Bowers, Callaghan Nijman & Paton, 2004)
Attitude Towards Personality Disorder Questionnaire (APDQ; Bowers et al. 2000).
37 item measure with 5 scales: enjoyment, security, acceptance, purpose, enthusiasm.
But not enthusiasm.
Delphi survey of patients views of services they have had contact with.