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Borderline Personality Disorder: Considerations for Inclusion in the Massachusetts Parity List of "Biologically-Based" Disorders
Systems and Psychosocial Advances Research Center Publications and Presentations
  • Mary Ellen Foti, University of Massachusetts Medical School
  • Jeffrey L. Geller, University of Massachusetts Medical School
  • Laura S. Guy, University of Massachusetts Medical School
  • John G. Gunderson, Harvard Medical School
  • Brian A. Palmer, Harvard Medical School
  • Lisa M. Smith, University of Massachusetts Medical School
UMMS Affiliation
Department of Psychiatry
Publication Date
Document Type
Borderline Personality Disorder; Public Policy; Mental Health Services

Borderline Personality Disorder (BPD) is a common and severe mental illness that is infrequently included under state mental health parity statutes. This review considers BPD parity, using the Massachusetts mental health parity statute as a model. While BPD can co-occur with other disorders, studies of its heritability, diagnostic validity/reliability, and response to specific treatments indicate it is best considered an independent disorder, one that negatively impacts the patient's treatment response to comorbid disorders, particularly mood disorders. Persons with BPD are high utilizers of treatment, especially emergency departments and inpatient hospitalizations-the most expensive forms of psychiatric treatment. While some patients remain chronically symptomatic, the majority improve. The findings from psychopharmacologic and other biologic treatment data, coupled with associated brain functioning findings, indicate BPD is a biologically-based disorder. Clinical data indicate that accurately diagnosing and treating BPD conserves resources and improves outcomes. Based on this analysis, insuring BPD in the same manner as other serious mental illnesses is well-founded and recommended.

DOI of Published Version
Psychiatr Q. 2011 Jun;82(2):95-112. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
Mary Ellen Foti, Jeffrey L. Geller, Laura S. Guy, John G. Gunderson, et al.. "Borderline Personality Disorder: Considerations for Inclusion in the Massachusetts Parity List of "Biologically-Based" Disorders" Vol. 82 Iss. 2 (2011) ISSN: 0033-2720 (Linking)
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