ABSTRACT
Borderline personality disorder (BPD) is a common condition with a prevalence of between 0.2 and 1.8% of the general population (1). Patients at the severe end of the spectrum display marked functional impairment showing high unemployment, failed interpersonal relationships, impulsively chaotic behavior, and criminal activity. Many are major utilizers of psychiatric and welfare services, especially those who have a history of parasuicide (2); almost 10% commit suicide (3). Those at the less severe end of the range may function well in specific circumstances, form constructive relationships, maintain employment, but remain vulnerable to mood changes, inconsistency, and impulsivity. This heterogeneity of pathology has led to the development of a number of different treatment alternatives ranging from supportive psychotherapy in outpatients to long-term inpatient treatment. An intermediate option of partial hospital/day treatment has been neglected.
