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Hospital data included the number of visits to the emergency department (ED), the number of inpatient admissions to hospital and length of stay of the admissions. Participants included 76 adolescents aged 13\u201317\u2009years old, who presented with borderline personality disorder (BPD) traits. The Touchstone treatment programme is a time\u2010limited intensive programme that utilises MBT in the context of a therapeutic community. Hospital data for the participants were collected and analysed from three time points; 6\u2009months prior to attending the programme, during the 6\u2010month programme (active treatment) and 6\u2009months after the programme. Results found a statistically significant decrease in hospital utilisation from pre to post programme, with a decline in ED visits, inpatient admissions and admission length of stay. This study presents promising preliminary evidence for the effectiveness of an intensive MBT programme as an intervention for adolescents with BPD features and has significant implications for the public health system in terms of providing effective community\u2010based treatment for this difficult to treat population as well as reducing pressure on tertiary care.<\/jats:p>","DOI":"10.1002\/pmh.1579","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T07:07:13Z","timestamp":1679641633000},"page":"300-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The impact of a combined mentalisation\u2010based therapy and therapeutic community programme for adolescents with borderline personality disorder traits on service utilisation in Western Australia"],"prefix":"10.1002","volume":"17","author":[{"given":"Jemima","family":"Robinson Lake","sequence":"first","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Bear","sequence":"additional","affiliation":[{"name":"Child and Adolescent Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley 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":"Ivan","family":"Salmin","sequence":"additional","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Brealey","sequence":"additional","affiliation":[{"name":"Touchstone, Child and Adolescent Mental Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","unstructured":"Australian Institute of Health and Welfare. 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