Clinical Problems in Community Mental Health Care for Patients with Severe Borderline Personality Disorder
Publication year
2009Source
Community Mental Health Journal, 45, 6, (2009), pp. 508-518ISSN
Publication type
Article / Letter to editor
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Organization
SW OZ BSI BO
SW OZ BSI KLP
Journal title
Community Mental Health Journal
Volume
vol. 45
Issue
iss. 6
Page start
p. 508
Page end
p. 518
Subject
Experimental Psychopathology and TreatmentAbstract
The objective of this research was to assess the problems that professionals perceive in the community mental health care for patients with severe borderline personality disorder that do not fit into specialized therapy. A group of national experts (n = 8) participated in a four-phase Delphi-procedure to identify and prioritize the problems. A total of 36 problems reflecting five categories was found: patient-related, professional-related, interaction-related, social system-related, and mental health care-related. Problems with attachment and dependency and social issues were important patient problems while a lack of skills was an important professional problem. Support from the patient's social system and the mental health system were identified as limited, which resulted in both the patient and the professional feeling isolated. Patient, professional, and organisational characteristics of community care differ substantially from those of specialized care. The field is thus in need of a more tailored approach that takes these differences into account.
This item appears in the following Collection(s)
- Academic publications [238441]
- Electronic publications [122535]
- Faculty of Social Sciences [29483]
- Open Access publications [97530]
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