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Clinical Problems in Community Mental Health Care for Patients with Severe Borderline Personality Disorder

Bibliographic Data

ID8907364
AuthorsB Koekkoek (0000-0002-6967-4471, Altrecht GGZ, corresponding author), B Van Meijel (0000-0002-2198-1528, Inholland University of Applied Sciences), A Schene, Aart H Schene (0000-0002-1756-3235, University of Amsterdam), G Hutschemaekers (Radboud University Nijmegen)
Year2009
Volume45
Issue6
Pages508-516
Publication date2009-10-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCommunity Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0010-3853 • E-ISSN: 1573-2789
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-009-9259-7
PMID19847645
PMCIDPMC2791482
OpenAlexW2121043163
LanguageEN
Citations received2
References cited28

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

Borderline personality disorder · Delphi method · Feeling · Health care · Mental health · Personality · Psychiatry · Clinical Psychology · Medicine · Mental Health and Psychiatry · Nursing · Personality Disorders and Psychopathology · Psychology · Schizophrenia research and treatment · Social Psychology · Social Work

  • Comparing Effectiveness of Treatments for Borderline Personality Disorder in Communal Mental Health Care

    Open Access•Virpi Leppänen, Helinä Hakko et al.•Community Mental Health Journal•2015

  • Clinical Problems in Community Mental Health Care for Patients with Severe Borderline Personality Disorder

    Open Access•B Koekkoek, B Van Meijel et al.•Community Mental Health Journal•2009

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    Open Access•Klaus Lieb, Mary C Zanarini et al.•The Lancet•2004

  • Two-Year Randomized Controlled Trial and Follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder

    Marsha M Linehan, Katherine Anne Comtois et al.•Archives of General Psychiatry•2006

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    Open Access•Jeremy Jones, Duncan Hunter•BMJ•1995

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    Marsha M Linehan•Archives of General Psychiatry•1991

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    Anthony Bateman, P Fonagy•American Journal of Psychiatry•1999

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    Open Access•Nadine Nehls, Ronald J Diamond•Community Mental Health Journal•1993

  • Clinical Problems in Community Mental Health Care for Patients with Severe Borderline Personality Disorder

    Open Access•B Koekkoek, B Van Meijel et al.•Community Mental Health Journal•2009

  • From hospital to community psychiatry

    Open Access•Maxwell Jones•Community Mental Health Journal•1970

Unique citing works2
Citations per year0,12
Citation span2009 - 2015 (7)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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Open DOISci-HubOpen Access
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