Spectrum is a state-wide specialist service for personality disorder and complex trauma based in Melbourne. Referrals to and treatment within this service include the full range of mild to severe personality disorder, offering a unique window into varying outcomes for people living with personality disorder. Services offered within Spectrum include full programs of DBT, MBT and ACT as well as a “complex care service” which accepts referrals for the most severe and complex presentations involving a person diagnosed with personality disorder. The complex care service offers both primary, common-factors based psychotherapy as well as a consultation service supporting hospital-based case management services across Victoria and Australia.
This presentation will review and analyse clinical outcome data for consumers engaged with Spectrum services during 2022. Data will include consumer self-report measures, clinician impressions and clinical data. The clinical data will include rates of hospital admission and other important indicators of consumer well-being. These data suggest that while the overall prognosis is positive for people engaged with Spectrum services, a significant number of people who do not improve and/or disengage from treatment. This presentation will focus on identifying possible consumer sub-groups that may have a less favourable prognosis and identify areas for further investigation.