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Collaborative Care for Patients With Severe Personality Disorders: Analyzing the Execution Process in a Pilot Study
Barbara Stringer1,2, Berno van Meijel3,4, Pieter Karman5
1Department of Psychiatry and the EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam/GGZ inGeest, Amsterdam, The Netherlands.
Purpose:
To examine the factors that influence the effective execution of a collaborative care program (CCP) for patients with severe personality disorders.
Design And Methods:
A multiple case study using qualitative research methods.
Findings:
Three factors were identified as influencing the execution process: (a) the context in which the CCP was executed, (b) the patient population, and (c) the individual application of the CCP by nurses.
Practice Implications:
The prominent position of mental health nurses in complex intervention programs such as CCPs poses new challenges for them in making these programs work. A CCP could be a useful intervention for patients with severe personality disorders because it offers the necessary structure in treatment.
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