{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T03:33:24Z","timestamp":1777088004142,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T00:00:00Z","timestamp":1681948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Individuals with borderline personality disorder (BPD) are at a substantial risk of harm to themselves and others, experience high levels of functional impairment and typically are high users of tertiary healthcare to address their mental health concerns. As indicators for BPD typically emerge in adolescence, a day therapy service in Bentley, Western Australia, Touchstone Child and Adolescent Mental Health Service (CAMHS), was developed as an intensive intervention for adolescents with indicators for BPD and its associated symptomology. Touchstone utilizes mentalization\u2010based therapy (MBT) in a therapeutic community setting, where the current study sought to document the anecdotal outcomes using the data provided at Touchstone, to enable a greater understanding of this treatment approach for adolescents with indicators for BPD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Forty\u2010six participants attended the Touchstone programme between 2015 and 2020. The programme involved 6\u00a0months of MBT (group and individual), occupational therapy, education and creative therapies. Measures of self\u2010injury, mood and emergency department presentations were collected pre\u2010 and post\u2010programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results indicate that participants show a reduction in non\u2010suicidal acts and thoughts, as well as a reduction in negative moods and feelings from pre\u2010Touchstone to post\u2010Touchstone. There is also a decrease in participant presentation to tertiary emergency departments for mental health concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The current study shows evidence for the efficacy of Touchstone as an MBT therapeutic community intervention to reduce symptoms of emerging BPD and effectively reduce presentations to emergency departments for mental health presentations, alleviating pressure on tertiary hospitals and reducing economic impact of adolescents within this demographic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2854","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T18:51:56Z","timestamp":1682016716000},"page":"1303-1312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The effectiveness of a day hospital mentalization\u2010based therapy programme for adolescents with borderline personality traits: Findings from Touchstone\u2014Child and Adolescent Mental Health Service"],"prefix":"10.1002","volume":"30","author":[{"given":"Dylan","family":"Gilbey","sequence":"first","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2871-2355","authenticated-orcid":false,"given":"Georgia","family":"Brealey","sequence":"additional","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6831-1775","authenticated-orcid":false,"given":"Irene","family":"Mateo\u2010Arriero","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoe","family":"Waters","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Ansell","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmie","family":"Janse van Rensburg","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4387-7238","authenticated-orcid":false,"given":"Patricia","family":"De Gouveia Belinelo","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Milroy","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Pace","sequence":"additional","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Runions","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Salmin","sequence":"additional","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alix","family":"Woolard","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Nedlands Western Australia Australia"},{"name":"The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_3_1","first-page":"237","article-title":"The development of a questionnaire for use in epidemiological studies of depression in children and adolescents","volume":"5","author":"Angold A.","year":"1995","journal-title":"International Journal of Methods in Psychiatric Research"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.18.1.36.32772"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2010.tb00255.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2010.tb00255.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13152"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.18.3.226.35445"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000161"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.06.008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/2051-6673-1-14"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00754179808414803"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2020_34_498"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2174\/157340008783743820"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-020-01144-5"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-198811000-00011"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.4287"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0015616"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856214566830"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0005-7894(96)80023-2"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.171.3.274"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-020-00224-w"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0036505"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-015-0751-z"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v69n0404"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2158-8"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1987.10478551"},{"key":"e_1_2_11_28_1","unstructured":"International Classification of Diseases (ICD). (2019).World Health Organization (WHO). Retrieved April 12 2023 fromhttps:\/\/www.who.int\/standards\/classifications\/classification-of-diseases"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-020-01551-2"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3677"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjp.12212"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2013.15.2\/mplarrivee"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61422-5"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2008.02.004"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-015-0056-5"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-020-00138-2"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.163.1.20"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764012450992"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039480500320025"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2012.09.018"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32203-7"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170400354X"},{"key":"e_1_2_11_43_1","article-title":"Psychological therapies for people with borderline personality disorder","volume":"5","author":"Storeb\u00f8 O. J.","year":"2020","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1610"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2018_32_330"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2010.24.4.412"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/07421656.2013.757513"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.12.001"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715000318"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743719878975"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1216"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.2854","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T07:00:49Z","timestamp":1715929249000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.2854"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,20]]},"references-count":50,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/cpp.2854"],"URL":"https:\/\/doi.org\/10.1002\/cpp.2854","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,20]]},"assertion":[{"value":"2022-09-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}