Structured Clinical Management (SCM) for Personality Disorder An Implementation Guide

Stuart Mitchell, Consultant Clinical Psychologist & Trust Lead for Personality Disorder, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle-upon-Tyne, UK,Mark Sampson, Consultant Clinical Psychologist, Professional Lead for Psychology and Psychological Therapies, Lead Clinician in
Personality Disorder Mersey Care, St Helens, UK,Anthony Bateman, Visiting Professor, University College London, UK; Honorary Professor University of Copenhagen, Denmark

Stuart Mitchell is an HCPC registered Consultant Clinical Psychologist and Trust Lead for Personality Disorder in the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust. He is a trained Clinical Psychologist, Psychoanalytic Psychotherapist, EMDR, MBT and DBT therapist. He is an MBT skills
trainer and accredited supervisor. He has, with his colleagues, developed and leads the Personality Difficulties and Complex Trauma Pathway and Strategic Clinical Network in his Trust, and supports a Trust-wide Personality Disorder Service. This team won Team of the Year in his Trust in 2018 and a
National HSJ Award in 2018 for patient safety. He provides training, supervision and consultation to his Trust and around the UK on complex trauma, personality disorder and adapted care pathways. He is involved in national developments of practice guidelines for dissociation and complex trauma.


Mark Sampson is Lead Psychologist and Lead Clinician in Personality Disorder and Psychology Lead for NWBH Foundation Trust. For the past 16 years he has specialized in working with people that meet the diagnosis of a personality disorder. He has been involved in Local and National policy development
for personality disorder. National work includes working for NICE as a guideline development group member on the borderline personality disorder guideline 2006 to 2009. He has been chair/lead for the development and implementation of Northwest Borough's Personality Disorder Pathway and Greater
Manchester Clinical Lead for their BPD strategy. The NWBH personality disorder pathway has had Local and National recognition and the service won a Positive Practice Award in 2019. He co-edited 'Personality Disorder and Community Mental Health Teams' (2006). He was a member of the NHS England
Clinical Reference Group for Tier 4 personality disorder - representing Cheshire and Merseyside.

Anthony Bateman developed mentalization based treatment with Peter Fonagy for borderline personality disorder and studied its effectiveness in research trials. An expert member of National Institute for Clinical Excellence (NICE) development group for treatment guidelines for Borderline Personality
Disorder in UK and was Chair of the National Guideline Development Group for Eating Disorders. His NHS clinical services are recognised by the Department of Health as a national demonstration site for the treatment of personality disorder. He was President of the European Society for the Study of
Personality Disorders (ESSPD) from 2012-2015. He received a senior scientist award from British and Irish group for the Study of Personality Disorder in 2012 and in 2015 the annual award for “Achievement in the Field of Severe Personality Disorders” from the BPDRC USA. He has authored 14 books and
has over 150 peer reviewed research articles on personality disorder and the use of psychotherapy.

1. SCM Theoretical foundations and overview, Anthony Bateman
2. Assessment, diagnosis and formulation, Rachael Lester and Mark Sampson
3. The Clinical Stance and Individual SCM Sessions, Mark Sampson and Sharron Kayes
4. Crisis work and Safety Planning, Rebecca Bevington, Ashleigh McGuinness and Mark Sampson
5. Group SCM sessions, Stuart Mitchell
6. Models of SCM Implementation: UK, Mark Sampson, Chris Berry, Catriona Gray, Allyson Jerry
7. Models of SCM Implementation: Europe, Peder Bjorling, Niki Sundstrom and Helga Aalders
8. Team working, system and service interfaces in SCM, Stuart Mitchell and Julia Harrison
9. Prescribing in SCM: UK and Europe, Rajesh Nair, Peder Bjorling, Muhammad Abdul-Rahman and Gordon Turkington
10. SCM & Inpatient Care, Elaine Swift, Louise roper, Genevieve Quayle, Kathryn Strom and Jill Everett
11. Managing Transitions and Endings, Genevieve Quayle and Stuart Mitchell
12. Working with Families and Carers, John Chiocchi, Paula Slevin, Lisa Evans, Catriona Gray, Nicola Armstrong and Kerry Anderson
13. Adapting Structured Clinical Management for People with Intellectual Disabilities, Jill Everett, Mark Oliver and Katie Cummings
14. Adaptations of SCM: A SCM Case Management Service and Personality Disorder Link Worker Role, Simon Graham, Jon Robinson, Rachael Juma-Smith and Sharron Kayes
15. Adapting SCM for Complex Trauma and Dissociation, Stuart Mitchell and Kerry Anderson
16. Service user experiences of SCM, Rob Watts, Amy Maher, Lisa Weaving and Donna Potts
17. Practitioners’ Experiences of SCM, Sarah Hanmer, Donna Potts, Louise Macdonald, Rob Watts, Amy Maher, Isaac McCann, Darren Ellis, John Ludden, Karen Finch, Melanie Jones, Lisa Weaving and Kris Allam
18. SCM Supervision in the UK, Julia Harrison, Rob Watts, Genevieve Quayle, Sarah Hanmer, Darren Ellis, Rachael Line, Amy Maher and Louise Macdonald
19. Reflections, Synthesis and Future Directions, Stuart Mitchell, Mark Sampson and Anthony Bateman