Browsing by Author "Meijel, B. van"

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A Qualitative Study of the Working Alliance between Patient and Community Mental Health Nurse during Interpersonal Community Psychiatric Treatment
Veen, M. van ; Peters, A. ; Mulder, N. ; Meijel, B. van ; Koekkoek, B.W.
2019, Article / Letter to editor (Issues in Mental Health Nursing, vol. 41, iss. 3, (2019), pp. 211-220)
The treatment of 'difficult' patients in a secure unit of a specialized psychiatric hospital : The patient's perspective
Kool-Goudzwaard, N. ; Koekkoek, B.W. ; Gamel, C.J. ; Bos, Isaac ; Meijel, B. van
2012, Article / Letter to editor (Journal of Psychiatric and Mental Health Nursing, vol. 19, iss. 6, (2012), pp. 528-535)The aim of this study is to obtain insight, from a patients perspective, into the results and essential components of treatment in specialist settings for so-called difficult patients in mental health care. In cases where usual hospital treatment is not successful, a temporary transfer to another, specialist hospital may provide a solution. We investigated which aspects of specialist treatment available to difficult patients are perceived as essential by the patients and what are the results of this treatment in their perception. A qualitative research design based on the Grounded Theory method was used. To generate data, 14 semi-structured interviews were held with 12 patients who were admitted to a specialist hospital in the Netherlands. Almost all respondents rated the results of the specialist treatment as positive. The therapeutic climate was perceived as extremely strict, with a strong focus on structure, cooperation and safety. This approach had a stabilizing effect on the patients, even at times when they were not motivated. Most patients developed a motivation for change, marked by a growing and more explicit determination of their future goals. We concluded that a highly structured treatment environment aimed at patient stabilization is helpful to most difficult patients.
Interpersonal Community Psychiatric Treatment for non-psychotic chronic patients and nurses in outpatient mental health care : A controlled pilotstudy on feasibility and effects
Smit, M.A. ; Schene, A. ; Meijel, B. van ; Kaasenbrood, A. ; Hutschemaekers, Giel ; Koekkoek, B.W.
2012, Article / Letter to editor (International Journal of Nursing Studies, vol. 49, iss. 5, (2012), pp. 549-559)In psychiatric care professionals perceive some patients as ‘difficult’, especially patients with long-term non-psychotic disorders. For these patients few evidence-based treatments exist. An intervention program, Interpersonal Community Psychiatric Treatment (ICPT), was developed by the authors. It was evaluated with the aim to increase effective behaviours by both patients and community psychiatric nurses (CPNs). ICPT is one of very few intervention programs aimed at ‘difficult’ non-psychotic chronic patients. In this pilot study was found that it can be successfully carried out by CPNs, is generally experienced as acceptable and useful by patients and CPNs alike, and results in some significantly better effects on both process and outcome measures. In the main study, some alterations will be made to the instruction manual and training program. Also, the diagnostic interview may be briefer, and the characteristics and treatment integrity of CPNs will be included in measurements. Further controlled and randomized research is needed to test the effectiveness of the program in a larger group of patients.

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Browsing by Author "Meijel, B. van"

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