Psychosocial Intervention to Promote Treatment Adherence in CMCH

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Lack of adherence with treatment plays an important role in outcome of BPD, and is associated with substantial humanitarian and financial costs. It has been reported that 20-55% of individuals with BPD have major lapses in treatment adherence. Psychosocial interventions in BPD may improve treatment adherence, particularly when combined with pharmacotherapy. The purpose of this study is to examine how a psychosocial intervention based upon a collaborative treatment model affects treatment adherence attitudes and behaviors. This is a prospective, randomized, controlled study of effects on treatment adherence attitudes and behaviors associated with the addition of a standardized psychoeducational intervention (The Life Goals Program) to the medical management (Usual Care) of 166 adult outpatients with BPD who attend a CMHC. Unlike many mental health treatment systems tested in controlled trials, this intervention is efficient, practical, and based entirely within the confines of the CMHC. In addition to evaluating the primary outcome measures of treatment adherence attitudes and behaviors, the study will also evaluate the effects of adding the Life Goals Program to Usual Care on general health status, occurrence of adverse events during treatment, and in family functioning.