Four training days (2 + 1 + 1) plus 12 hours of group supervision in the format of 2 hours per month for 6 months

About this course

Structured Clinical Management (SCM) is an evidenced based approach that enables generalist mental health practitioners to work effectively with people with borderline personality disorder. 

SCM provides generalist mental staff with a coherent systematic approach to working with people with borderline personality disorder. It is based on a supportive approach with case management and advocacy support. There is an emphasis on problem-solving, effective crisis planning, medication review and assertive follow-up if appointments are missed.

General Criteria for identifying staff to put forward for upskilling in treatments for personality disorder

Training team leaders should work with professional leads for psychological therapies to identify staff:

  1. Who can have the required amount of time built into their job plan to undertake the training, required casework and associated supervision to become proficient in the specified approach;
  2. Who are highly motivated to undertake what can be demanding programmes of study;
  3. With the required entry qualifications and competences for the upskilling training;
  4. With the required job roles and identified capacity, and at the required grade to implement either the individual therapy/family intervention, or in some cases wider team components of treatment;
  5. With access to the required specialist supervision during and beyond the training period;
  6. Should only be put forward for training if they will spend a minimum of two days per week delivering the interventions they are being trained to deliver. Any less would be considered a poor return on new public investment in training and is likely to lead to rapid skills decay post-training.

Criteria for training in generalist intervention for personality disorder - Structured Clinical Management

SCM is an organised intervention for ‘personality disorder’, which can be delivered by general mental health professionals with limited additional training. Training focuses on coherent provision of effective clinical interventions which are already within the competence of general mental health practitioners e.g. those working in community teams. SCM enables general mental health services to meet the needs of the majority of people with borderline ‘personality disorder’. SCM draws on existing knowledge and skills within the workforce and so is implemented within existing teams.


  1. Mental health professional with or without core training;
  2. Working within a mental health team – community team, in-patient team, crisis teams, home treatment teams, for example;
  3. Ability to understand generic psychological interventions in individual and/or group work;
  4. Attending with 3 or more clinicians working together (one should be AfC Grade 6 or above and have supervisory role within the mental health team in current job plan);
  5. Motivated to work with patients with personality disorder who may be at risk to themselves or others;
  6. Ability to participate in on-going team supervision in the work-place following the course.

Format of this training

4 days (2 + 1 + 1) over 12 months = 2 days training, followed by 6 months of small group supervision, followed by one follow up day at the 6-month point, and a final follow up day after a further 6 months. In addition to the supervision we provide, we also advise that attendees conduct 1-hour team/peer supervision internally per month. The two follow up days will be scheduled shortly and attendees will be advised of these in advance. Supervision groups will be organised and supervisors allocated after the first two days.