The high prevalence of patients with borderline personality combined with their specific comorbid conditions increase the likelihood of encountering them in various institutional settings. With aging, they become at higher risk of medical complications. To maximize therapeutic efficacy, treatment infrastructures should be prepared to respond to such needs. Some pejorative labels commonly used by clinicians can help identify challenges inherent to serving that population and approaches can be adjusted accordingly. Encouraging self-awareness of emotional responses, self-regulation and validation at the staff level will help model beneficial skills among the patients themselves. From a case scenario to illustrate the challenges, this chapter will address three contributing sets of factors (patient, clinician, and situation) in difficult encounters. Three corresponding levels of strategies are illustrated, from screening and education to supervision groups and team approach to resource management.
|Original language||English (US)|
|Title of host publication||Borderline Personality Disorder in Older Adults: Emphasis on Care in Institutional Settings|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||8|
|State||Published - Apr 1 2015|
ASJC Scopus subject areas