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The HYPE Clinic: An Early Intervention Service for Borderline Personality Disorder

Chanen, Andrew M. MBBS, MPM, FRANZCP*; Mccutcheon, Louise K. DPSYCH*; Germano, Dominic MPSYCH; Nistico, Helen MPSYCH; Jackson, Henry J. PhD; Mcgorry, Patrick D. MD, PhD, FRANZCP*

Journal of Psychiatric Practice®: May 2009 - Volume 15 - Issue 3 - p 163-172
doi: 10.1097/01.pra.0000351876.51098.f0

Borderline personality disorder (BPD) emerges during adolescence and young adulthood and has profound effects throughout this vulnerable developmental phase and beyond. Hitherto, clinical interventions for BPD have focused on individuals with established and/or chronic forms of the disorder. However, over the past 15 years, a body of evidence has developed supporting the reliability, validity, and clinical importance of the diagnosis of BPD in adolescence, underscoring the need for prevention and early intervention for BPD. This paper describes the work of the Helping Young People Early (HYPE) Clinic in Melbourne, Australia. HYPE is a novel indicated prevention and early intervention service for BPD in youth (15 to 25 y of age). It uses an integrated, team-based intervention model comprising time-limited cognitive analytic therapy as developed by Ryle, case management, and general psychiatric care. The HYPE intervention is supported by effectiveness data.

*ORYGEN Youth Health Research Centre, The University of Melbourne, and ORYGEN Youth Health Clinical Program, Northwestern Mental Health, Melbourne

Youth Health Clinical Program, Northwestern Mental Health

ORYGEN Youth Health Research Centre and School of Behavioural Science, The University of Melbourne, Australia

Please send correspondence and reprint requests to: Dr Andrew M. Chanen, MBBS, MPM, FRANZCP, ORYGEN Youth Health Research Centre, Locked Bag 10, Parkville, Victoria, Australia 3052 (e-mail:

Acknowledgment. We gratefully acknowledge the invaluable contribution made by the young people and their families who have attended the HYPE Clinic and by our colleagues at ORYGEN Youth Health. The authors would also like to acknowledge the generous support of Anthony Ryle, Ian Kerr, Eva Burns-Lundgren, Jackie Withers, Dawn Bennett and the Association of Cognitive Analytic Therapy for their training and support. The clinical research program described in this paper has received support from grants 97-0230 and 98-0198 from the Victorian Health Promotion Foundation and grant 990748 from the National Health and Medical Research Council. The ORYGEN Youth Health Research Centre receives funding from an unrestricted grant from the Colonial Foundation, Melbourne, Australia. We would also like to thank John Gleeson, Carol Hulbert, Helen Mildred and Denise Charman for their assistance during the development of the clinic, Jane Edwards for comments on an earlier draft of this paper, and Emma McDougall, Carrie Stanford, Cassie Redlich and Christina Phassouliotis for assistance with audit data collection.

© 2009 Lippincott Williams & Wilkins, Inc.