Tasman Medical Journal

ISSN:  2652-1881

Volume 2023 - Issue 2.

Evolving appreciation of risks to health associated with environmental per- and polyfluoroalkyls (PFAS)

Alasdair Millar


Polyfluoroalkyl compounds have existed since 1939. As a group they are causing increasing concern over adverse effects on human health and biological systems generally, based on th lack of clearance if they escape into the environment. This article summarises the current attitudes, regulation and science of environmental PFAS.


Patient Controlled Crisis Admission Plan (PCAP): a clinical psychology-led model of care for youth populations with Borderline Personality Disorder

Hyranthi Kavanagh, Eleni Avard, Jessie Georgiades, Michael Monisse-Redman, Vinicius Cavalheri and Sandra McMillan


Objective: To describe a new model of care, the Patient Controlled Crisis Admission Plan (PCAP), for the inpatient mental healthcare of youths (16-24 years) with Borderline Personality Disorder (BPD) or BPD traits. This model aims to empower the patient and facilitate patient engagement in decisions about their need for inpatient support increasing self-agency/self-efficacy to manage further crises.

Method: This new service model was developed from existing clinical guidelines, established literature on evidence-based treatment of BPD and clinical experience. The current PCAP model has been operationalised on a youth acute inpatient mental health unit since 2017.

Results: The rationale for the PCAP model of care is detailed. Preliminary data indicated adherence to the model of care and a representative case study demonstrates the experience and possible usefulness of the program to a patient.

Conclusion: The PCAP provides an operationalised, model of care for the management of youth with BPD or BPD traits in an acute youth inpatient setting. The model supports established clinical recommendations for less frequent and shorter inpatient admissions, provides a framework for managing chronic suicidality and non-suicidal self-injury (NSSI), and promotes engagement with community mental health services. Further research is required to gather data on its effectiveness with a youth population in reducing length of stay and presentations to inpatient services.


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