Evaluation of an intensive treatment program for disrupted patient-staff relationships in psychiatry

Nienke Kool, Berno van Meijel, Bauke Koekkoek, Ad Kerkhof

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PURPOSE: Some patients in psychiatric treatment are considered extremely difficult to treat because of the disruptive nature of their relationships with treatment staff. In this paper, we describe and evaluate a specialist inpatient treatment program for these patients.

DESIGN AND METHODS: Data were collected from medical records and daily reports of patients (n = 108). Pretest–posttest measurements were used to evaluate the treatment.

FINDINGS: The main treatment method consists of the provision of safety, structure, and cooperation. Treatment results show statistically significant changes from admittance to discharge.

PRACTICE IMPLICATIONS: The collaborative and consistent manner in which nurses approach the patients is crucial for quality of care.

Original languageEnglish
Pages (from-to)139-146
Number of pages8
JournalPerspectives in psychiatric care
Issue number2
Publication statusPublished - 1 Apr 2014

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