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Selecting a Treatment Program for Borderline Personality Disorder

After being diagnosed with Borderline Personality Disorder, you may want to select a treatment program or facility to help you. If you do, there are many factors to consider in making your decision. When evaluating potential treatment programs or facilities, there are many questions you may want to ask, but you may not even know where to start. In this article you will find several suggested questions that will help you with this.

The greatest concern of every patient who has Borderline Personality Disorder and is looking for a treatment program or facility is the cost of treatment. All the suggested questions in this article will not help you if you are unable to afford treatment. Before anything else, call your insurance company or Medicaid/Medicare and ask if they will cover psychiatric treatment and where they suggest you go for help. You may not have a choice, but if you do, you will want to ask the following two questions:

1. How is treatment at your program/facility usually paid for?
2. What types of insurance plans do you accept in this program/facility, and what do they cover?

Along with considerations of the basic issues such as geographic location and payment, you will want to ensure that the treatment facility you are seeking help from has adequate accreditation, and that is staffed with the appropriately trained professionals. You will want professionals who have expertise in Borderline Personality Disorder and issues related to it. Generally, you should make sure first of all that the potential program/facility is accredited by the JCAHO (Joint Commission on Accreditation of Hospital Organizations), and/or that it is licensed by your state's Department of Health and/or Department of Mental Health.

You will want to know the answers to the following questions:

1. Where is the treatment program/facility located?
2. Is the treatment facility affiliated with any hospital (University or regular hospital, teaching hospital, etc.), or other institution (psychiatric facility)?
3. How many years has this program/facility been actively treating patients, and is it familiar with patients who have Borderline Personality Disorder?
4. Is the facility accredited by the Joint Commission (JCAHO) and licensed by your state?

Regarding criteria for admission to the treatment program/facility and its evaluation procedures, you may want to ask the following questions:

1. What are the criteria for admission to this treatment program/facility?
2. Is admission immediate, or do you have a waiting list?
3. Does this treatment program/facility require a referral from a family physician or previous health care provider?
4. How does this treatment program/facility evaluate and diagnose patients for Borderline Personality Disorder and/or other personality disorders?
5. Who will evaluate me for admission? (Ideally, you want your admission to be handled by a Board Certified psychiatrist.)

As far as your individual treatment is concerned, you may want to know the following:

1. Does this treatment facility see patients on an inpatient or outpatient basis, or both?
2. Which type of psychotherapy is used? (You are looking specifically for a program or facility that uses Dialectical Behavioral Therapy, or DBT)
3. What is the average length of stay for inpatients at your facility?
4. (If you have a co-morbid disorder) What kind of providers and services do you have for other disorders that commonly co-occur with Borderline Personality Disorder?
5. Do you offer a Borderline Personality Disorder Support Group, Group Therapy, and/or Family Therapy? Is my family allowed (and to what extent are they allowed) to be involved with my treatment at your program/facility?
6. Is there a routine medical staff to help patients in case of emergency?

One of the biggest concerns of patients with Borderline Personality Disorder who are considering a treatment program/facility is whether the facility has an After Care Program, which many of them do. Some questions you may want to ask about this are:

1. Do you offer after-care services or a long-term treatment program?
2. What does your program/facility offer by way of follow-up services upon discharge?
3. Does this program/facility have after-care services by way of partial hospitalization or return admission?
4. Do you have a Halfway House or supervised community residences?
5. Is there a therapist I can see for continued treatment after I leave the program/facility?

About the Author

David Oliver is the founder of BorderlineCentral.com a one stop source of information on how to cope and deal with borderline personality disorder.

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