Issues and challenges for the clinical professional
Ensuring sustainable eﬀective treatment programmes requires a workforce with a thorough understanding of people with personality disorder and the responses that they experience in relation to them. Providing robust treatment for people with personality disorder requires clinicians not only to develop particular skills and draw on speciﬁc personal qualities (see Chapter 2) but also to have access to good systems for support and supervision (NICE, 2009a). Without this, staﬀ may experience burnout and exhaustion (NIHME, 2003b, p. 43). This is reﬂected in the diﬃculties experienced by many personality disorder services in recruiting and retaining staﬀ. To work eﬀectively, staﬀ must feel safe and purposefully occupied. Workforce development needs to move beyond selection and training and include provision for support and well-being if those working with these patients are to avoid being subjected to chronic exposure to potential risks. A healthy workforce is characterised by staﬀ who are competent, autonomous, understand the diﬀerence they can make to their workplace, have personal values and beliefs that are congruent with the roles they undertake and have increased resilience to risk.