The impact of personality disorders can be substantial in humanitarian relief settings.
Having done related work e.g. disaster zones, I can attest individuals so affected can cause major disruptions at inopportune times.
Author of this Lancet Psychiatry correspondence note
@TheLancet
Personality disorders are common and impairing, but their prevalence in populations in humanitarian settings, such as those facing war, mass displacement, or famine, is unknown, making protection of affected individuals (eg, from exploitation, abuse, and unsafe detention) and planning of health-care services difficult.
They propose:
1) brief, culturally adapted screening in rapid assessments;
2) metrics in IASC/UNHCR dashboards;
3) non-specialist, skills-focused care with clear referral for high risk;
4) harmonised field studies to guide protection and planning.
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