Collaborative Care for Patients With Severe Personality Disorders: Analyzing the Execution Process in a Pilot Study (Part II)

Perspect Psychiatr Care. 2015 Jul;51(3):220-7. doi: 10.1111/ppc.12087. Epub 2014 Oct 20.

Abstract

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.

Keywords: Borderline personality disorder; collaborative care; community mental health service; practice development; psychiatric nursing.

MeSH terms

  • Adult
  • Borderline Personality Disorder / nursing*
  • Community Mental Health Services / organization & administration*
  • Cooperative Behavior*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Pilot Projects
  • Psychiatric Nursing / organization & administration*