Organisational effectiveness and personality disorder

Jane Yeandle (Head of Division (Acting), Taunton and West Somerset Division, Somerset Partnership NHS Foundation Trust, Bridgwater, UK)
Liz Fawkes (Head of Service, Psychological Therapies & Personality Disorder Services, Somerset Partnership NHS Foundation Trust, Yeovil, UK)
Clare Carter (Senior Assistant Psychologist, Personality Disorder Service, Somerset Partnership NHS Foundation Trust, Yeovil, UK)
Chris Gordon (Clinical Manager, Personality Disorder Service, Somerset Partnership NHS Foundation Trust, Yeovil, UK)
Elizabeth Challis (Assistant Psychologist, Personality Disorder Service, Somerset Partnership NHS Foundation Trust, Yeovil, UK)

Mental Health Review Journal

ISSN: 1361-9322

Publication date: 8 June 2015

Abstract

Purpose

National treatment guidelines regarding Borderline Personality Disorder (BPD) (National Institute for Health and Clinical Excellence, 2009) make a number of recommendations relating to system and cultural treatment variables including: access to services, autonomy and choice, developing an optimistic and trusting relationship and managing endings and transitions. The purpose of this paper is to look at a model which could help organisational effectiveness across a range of service settings in relation to personality disorder.

Design/methodology/approach

Explanation of why the McKinsey 7S organisational model (Waterman et al., 1980) may be useful in assessing organisational effectiveness in relation to personality disorder.

Findings

Cultural and organisational factors across a range of levels need to be aligned to allow for effective service delivery. This is particularly important in working with this client group where strong emotional reactions and subsequent organisational splits are common.

Practical implications

The application of this tool within clinical leadership and service development would be particularly important for coherence within generalist (as opposed to specialist) settings.

Originality/value

To the authors’ knowledge this analysis is unique as a review of NHS culture across a range of settings and discussion of the implications for service delivery for patients with BPD.

Keywords

Citation

Jane Yeandle, Liz Fawkes, Clare Carter, Chris Gordon and Elizabeth Challis (2015) "Organisational effectiveness and personality disorder", Mental Health Review Journal, Vol. 20 No. 2, pp. 84-91

Download as .RIS

DOI

: https://doi.org/10.1108/MHRJ-04-2014-0012

Publisher

:

Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited

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