{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:53:24Z","timestamp":1791604404752,"version":"4.3.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012737","name":"Department of Health, Victorian State Government","doi-asserted-by":"publisher","award":["HHSD\/19\/35280"],"award-info":[{"award-number":["HHSD\/19\/35280"]}],"id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"\n Background<\/jats:title>\n Mental health clinicians often hold negative perceptions of people living with personality disorder, particularly borderline personality disorder (BPD), contributing to stigma and reduced access to effective care. The Personality Disorder Initiative (PDI) was a Victorian government-funded program to improve workforce capacity through sustained training and clinical supervision.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To evaluate the impact of the PDI on clinician attitudes and self-perceived competence when working with people diagnosed with personality disorders, particularly BPD.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A statewide pre-post survey was conducted in July 2020 (pre-implementation) and March 2023 (post-implementation). Public mental health clinicians across Victoria were invited to report their attitudes (optimism, enthusiasm, confidence, willingness) and competence (knowledge, skills, experience) using a five-point Likert scale. Independent samples t-tests were used to assess change pre- and post-implementation.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Clinicians estimated that, on average, 41% of their caseload comprised individuals with a confirmed personality disorder diagnosis. Attitudes and competence scores improved; statistically significant improvements were observed in all domains (p < .01) apart from experience.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Sustained, embedded training delivered through the PDI significantly improved clinician-reported attitudes and competencies when working with people with personality disorders. This model demonstrates a scalable approach to enhancing the mental health workforce\u2019s capacity in complex care settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10398562261431625","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T04:16:00Z","timestamp":1773807360000},"page":"428-431","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Changing attitudes and enhancing competency: personality disorder initiative"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1043-1555","authenticated-orcid":false,"given":"Parvaneh","family":"Heidari","sequence":"first","affiliation":[{"name":"Spectrum Personality Disorder and Complex Trauma Service"},{"name":"Personality Disorder & Complex Trauma Research and Innovation Centre"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3342-5868","authenticated-orcid":false,"given":"Jillian H.","family":"Broadbear","sequence":"additional","affiliation":[{"name":"Spectrum Personality Disorder and Complex Trauma Service"},{"name":"Personality Disorder & Complex Trauma Research and Innovation Centre"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Huppert","sequence":"additional","affiliation":[{"name":"Victoria Government"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9364-8831","authenticated-orcid":false,"given":"Sathya","family":"Rao","sequence":"additional","affiliation":[{"name":"Spectrum Personality Disorder and Complex Trauma Service"},{"name":"Personality Disorder & Complex Trauma Research and Innovation Centre"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-020-00136-4"},{"key":"e_1_3_7_3_2","first-page":"1","article-title":"Mental health professionals\u2019 attitudes towards patients with borderline personality disorder: the role of disgust","volume":"5","author":"Papathanasiou C","year":"2022","unstructured":"Papathanasiou C, Stylianidis S. Mental health professionals\u2019 attitudes towards patients with borderline personality disorder: the role of disgust. International Journal of Psychiatry Research 2022; 5: 1\u201313. https:\/\/doi.org\/10.1192\/j.eurpsy.2022.947","journal-title":"International Journal of Psychiatry Research"},{"key":"e_1_3_7_4_2","first-page":"1","article-title":"Stigma perpetuation at the interface of mental health care: a review to compare patient and clinician perspectives of stigma and borderline personality disorder","volume":"34","author":"Ring D","year":"2019","unstructured":"Ring D, Lawn S. Stigma perpetuation at the interface of mental health care: a review to compare patient and clinician perspectives of stigma and borderline personality disorder. J Ment Health 2019; 34: 1\u201321. https:\/\/doi.org\/10.1080\/09638237.2019.1581337","journal-title":"J Ment Health"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1646"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1429"},{"key":"e_1_3_7_7_2","unstructured":"Spectrum Personality Disorder and Complex Trauma Service. National borderline personality disorder (BPD) training and professional development strategy BPD core competency training participant handbook 2022. Spectrum Personality Disorder and Complex Trauma Service."},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2004.01409.x"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/00050067.2025.2550383"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajpy.12068"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261431625","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562261431625","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261431625","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:41:19Z","timestamp":1791603679000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562261431625"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/10398562261431625"],"URL":"https:\/\/doi.org\/10.1177\/10398562261431625","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]}}}