Title: | The treatment of 'difficult' patients in a secure unit of a specialized psychiatric hospital : The patient's perspective |
Author(s): | Kool-Goudzwaard, N. ; Koekkoek, B.W. ; Gamel, C.J. ; Bos, Isaac ; Meijel, B. van |
Publication year: | 2012 |
Source: | Journal of Psychiatric and Mental Health Nursing, vol. 19, iss. 6, (2012), pp. 528-535 |
ISSN: | 1351-0126 |
Related links: | https://hdl.handle.net/20.500.12470/283 |
DOI: | https://doi.org/10.1111/j.1365-2850.2011.01827.x |
Publication type: | Article / Letter to editor |
Please use this identifier to cite or link to this item : https://hdl.handle.net/20.500.12470/283 ![]() |
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Lectorate : | Onbegrepen gedrag, Zorg en Samenleving |
Journal title : | Journal of Psychiatric and Mental Health Nursing |
Volume : | vol. 19 |
Issue : | iss. 6 |
Page start : | p.528 |
Page end : | p.535 |
Abstract: |
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.
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