Borderline Personality Disorder

In reply to the Hon. K.L. VINCENT (10 February 2015).

The Hon. I.K. HUNTER (Minister for Sustainability, Environment and Conservation, Minister for Water and the River Murray, Minister for Climate Change): The Minister for Health has received this advice:

1. The reference to the United Kingdom document within the Social Impact Bond expression of interest (E.O.I) came directly from the 2014 Statewide Mental Health Clinical Network report 'Borderline Personality Disorder: an overview of current Borderline Personality Disorder Services in the public sector across SA and a proposed way forward' (p.12).

This was not apparent in the E.O.I. document, which listed the source of the originally published UK document (but did not refer to its subsequent citation in the 2014 SA Health document). The 2012 National Health and Medical Research Council's Clinical Practice Guideline for the Management of Borderline Personality Disorder also considered the findings of the 2009 United Kingdom document when formulating their recommendations.

2. Further to the release of the Borderline Personality Disorder report in 2014, SA Health has commenced work to develop a coordinated stepped system of care for people with Borderline Personality Disorder in SA. The BPD Service Improvement Project is being progressed which will have input from an Expert Clinical Reference Group (comprising consumers, carers and clinicians). Statewide implementation under the auspices of BDP Steering Committee will commence from April 2015. BPD was one of several areas mentioned in the Social Impact Bond EOI process.

In the BPD area, should an EOI for a Social Impact Bond be successful this will complement and build on the work of SA Health resulting in increased capacity across the broader community to respond to the needs of BPD consumers and their families.

3. The Government will continue to work with and engage relevant stakeholders including those with BPD and their family carers as the Social Impact Bonds process progresses.