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date: 01 March 2021

Abstract and Keywords

This chapter aims to provide Dialectical Behaviour Therapy (DBT) cost-effectiveness information to assist funders, administrators, and providers in making decisions about borderline personality disorder (BPD) service provision. It provides brief overviews of BPD service provision challenges, how they relate to DBT and of DBT adherence, and current cost effectiveness research of DBT. DBT is the treatment for borderline personality disorder that offers Level 1 (highest level) evidence of efficacy and effectiveness, but data on cost-effectiveness is variable, limited, and largely descriptive; however, it is the only treatment with sufficient data for meta-analyses. Despite the limited existing data, DBT currently offers an evidence-based option that is likely to meet the financial objectives of funders, economists, accountants, administrators, providers, and consumers.

Keywords: Borderline personality disorder, dialectical behaviour therapy, cost-benefit analysis, cost-effectiveness, service provision, behaviour therapy

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