{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T22:34:25Z","timestamp":1793140465715,"version":"4.5.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This paper describes a case of borderline personality disorder (BPD) receiving National Disability Insurance Scheme (NDIS) services and managed by an Area Mental Health Services (AMHS). It aims to explore the challenges encountered and identify useful principles of shared management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mental health guidelines for BPD highlight the importance of using an explicit and integrated theoretical approach and adequate clinician training. NDIS has a strong consumer-led focus, putting individuals in charge of their own care including choosing their providers and how workers address their needs. Disability support workers are not required to have any mental health training and are not provided with supervision. Initially an escalating cycle of affective instability, crisis, reduced self-agency and increasing NDIS support was observed. The support workers were placed in a vulnerable position. Integrated care required the intervention of a state-wide service.<\/jats:p>\n                    <jats:p>The provision of psychosocial support under the NDIS, especially for those with BPD, is in a process of development and an argument for more specific and specialised NDIS services can easily be made. Currently, at the very least, mental health clinicians need to consider whether more support is always better when considering the role of the NDIS in individuals with BPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251355156","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T11:19:59Z","timestamp":1751368799000},"page":"658-661","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Managing borderline personality disorder within the NDIS: challenges and opportunities"],"prefix":"10.1177","volume":"33","author":[{"given":"Cale","family":"Johnstone","sequence":"first","affiliation":[{"name":"Waratah Community Mental Health Clinic, Royal Melbourne Hospital - Inner West Area Mental Health Service, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Bernard","sequence":"additional","affiliation":[{"name":"Waratah Community Mental Health Clinic, Royal Melbourne Hospital - Inner West Area Mental Health Service, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3879-9471","authenticated-orcid":false,"given":"Alex","family":"Holmes","sequence":"additional","affiliation":[{"name":"Waratah Community Mental Health Clinic, Royal Melbourne Hospital - Inner West Area Mental Health Service, Melbourne, VIC, Australia"},{"name":"University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414530007"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-16-2244-1"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-16-2244-1_9"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajs4.245"},{"key":"e_1_3_4_6_2","unstructured":"NDIS. Psychosocial disability recovery-oriented framework. 2021."},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_3_4_8_2","volume-title":"Borderline conditions and pathological narcissism","author":"Kernberg O","year":"1975","unstructured":"Kernberg O. Borderline conditions and pathological narcissism. New York: J. Aronson, 1975."},{"key":"e_1_3_4_9_2","volume-title":"Borderline personality disorder: recognition and management","author":"National Institute for Health and Clinical Excellence","year":"2009","unstructured":"National Institute for Health and Clinical Excellence. Borderline personality disorder: recognition and management. The British Psychological Society and The Royal College of Psychiatrists, 2009."},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867416661039"},{"key":"e_1_3_4_11_2","volume-title":"Borderline personality disorder: a clinical guide","author":"Gunderson JG","year":"2008","unstructured":"Gunderson JG, Links PS. Borderline personality disorder: a clinical guide. American Psychiatric Publishing, 2008."},{"key":"e_1_3_4_12_2","volume-title":"DBT skills training manual","author":"Linehan M","year":"2015","unstructured":"Linehan M. DBT skills training manual. 2nd ed. New York: Guilford Press, 2015.","edition":"2"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/4643566"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajs4.364"},{"key":"e_1_3_4_15_2","volume-title":"Law and regulation","author":"Australia W","year":"2024","unstructured":"Australia W. Law and regulation. Canberra: Commonwealth of Australia, 2024. Available from: https:\/\/www.safeworkaustralia.gov.au\/law-and-regulation"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-011-0352-1"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562251355156","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562251355156","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562251355156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:53:24Z","timestamp":1777377204000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562251355156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/10398562251355156"],"URL":"https:\/\/doi.org\/10.1177\/10398562251355156","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}