{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:10:54Z","timestamp":1767665454315,"version":"3.40.5"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T00:00:00Z","timestamp":1666915200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1352465822000467_as1\"><jats:title>Background:<\/jats:title><jats:p>An earlier evaluation (Fox <jats:italic>et al<\/jats:italic>., 2014) highlighted reductions in risk behaviours and restrictive practices for women admitted to low secure dialectical behaviour therapy (DBT) unit. Since then, a value-based healthcare model has been adopted.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000467_as2\"><jats:title>Aims:<\/jats:title><jats:p>To explore changes in health, social and psychological functioning, risk, quality of life, and in incidents of violence and restrictive practices, over the initial 12-month period of admission to a specialist DBT service.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000467_as3\"><jats:title>Method:<\/jats:title><jats:p>Data were extracted from electronic clinical records for 41 women with emotionally unstable personality disorder admitted to a specialist integrated practice unit (IPU) providing a comprehensive DBT programme. Secondary analysis was conducted on an anonymous dataset of routinely collected outcome measures at baseline admission, and 6 and 12 months post-admission. ANOVAs and pairwise <jats:italic>post hoc<\/jats:italic> comparisons, and non-parametric equivalents, were conducted to examine changes in outcomes.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000467_as4\"><jats:title>Results:<\/jats:title><jats:p>Findings showed statistically significant improvements in mental health scores on the ReQOL (<jats:italic>p<\/jats:italic>&lt;.01), global, wellbeing, problems, functioning and risk scores on the COREOM (all <jats:italic>p<\/jats:italic>&lt;.01), and severe disturbance, emotional wellbeing, socioeconomic status, risk and need scores on the HoNOS-Secure (all <jats:italic>p<\/jats:italic>&lt;.05). Significant reductions in risk behaviours (<jats:italic>p<\/jats:italic>&lt;.01) and restrictive practices (<jats:italic>p<\/jats:italic>&lt;.01) were also apparent. The most substantiative improvements were largely demonstrated over a 12-month admission period.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000467_as5\"><jats:title>Conclusions:<\/jats:title><jats:p>Admission to the DBT IPU yielded significant improvements on outcomes pertaining to quality of life, psychological distress, and risk. Importantly, these are outcomes that aligned with patients\u2019 perceptions of recovery.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1352465822000467","type":"journal-article","created":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T07:08:39Z","timestamp":1666940919000},"page":"110-115","source":"Crossref","is-referenced-by-count":3,"title":["An evaluation of value-based outcomes for women admitted to a dialectical behaviour therapy integrated practice unit: a follow-up study"],"prefix":"10.1017","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1809-1919","authenticated-orcid":false,"given":"Elanor Lucy","family":"Webb","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Girardi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Fox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Wallang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,10,28]]},"reference":[{"key":"S1352465822000467_ref101","doi-asserted-by":"publisher","DOI":"10.12968\/bjnn.2011.7.6.691"},{"key":"S1352465822000467_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2016.1208307"},{"key":"S1352465822000467_ref3","unstructured":"Keetharuth, A. , Brazier, J. , Connell, J. , Carlton, J. , Taylor Buck, E. , Ricketts, T. , & Barkham, M. (2017). Development and validation of the Recovering Quality of Life (ReQoL) outcome measures. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Universities of Sheffield and York. EEPRU Research Report 050."},{"key":"S1352465822000467_ref102","first-page":"50","article-title":"The strategy that will fix health care","volume":"91","author":"Porter","year":"2013","journal-title":"Harvard Business Review"},{"key":"S1352465822000467_ref5","unstructured":"Sugarman, P. , & Walker, L. (2007). Health of the Nation Outcome Scales for Users of Secure and Forensic Services (HoNOS-Secure). Available at: https:\/\/www.rcpsych.ac.uk\/events\/in-house-training\/health-of-nation-outcome-scales"},{"key":"S1352465822000467_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/713680250"},{"key":"S1352465822000467_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465813001124"},{"key":"S1352465822000467_ref6","unstructured":"Tiffin, P. , Daniel, M. , & Carey, J. (2011). The ability of the HoNOS-secure version 2b to predict care-setting. Paper presented at International Association of Forensic Mental Health Services (June 2011), Barcelona, Spain."}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465822000467","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T05:49:27Z","timestamp":1682660967000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465822000467\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,28]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["S1352465822000467"],"URL":"https:\/\/doi.org\/10.1017\/s1352465822000467","relation":{},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"type":"print","value":"1352-4658"},{"type":"electronic","value":"1469-1833"}],"subject":[],"published":{"date-parts":[[2022,10,28]]}}}