Brief Admissions During Prolonged Treatment in a Case Involving Borderline Personality Disorder and Posttraumatic Stress Disorder: Use and Functions
| Autor: | Peter J. J. Goossens, Theo van Achterberg, Marjolein Helleman, Ad Kaasenbrood |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Mental health service Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Borderline Personality Disorder Intervention (counseling) Humans Medicine Psychiatry Psychiatric ward Borderline personality disorder business.industry medicine.disease 030227 psychiatry Single patient Hospitalization Suicide Posttraumatic stress Pshychiatric Mental Health business Self-Injurious Behavior 030217 neurology & neurosurgery Crisis intervention Prolonged treatment Clinical psychology |
| Zdroj: | Journal of the American Psychiatric Nurses Association, 22, 215-24 Journal of the American Psychiatric Nurses Association, 22, 3, pp. 215-24 |
| ISSN: | 1078-3903 |
| Popis: | Contains fulltext : 172047.pdf (Publisher’s version ) (Closed access) BACKGROUND: This study describes the use of brief admissions to a psychiatric ward by a single patient across a period of 7 years. The patient suffered from a borderline personality disorder and a complex posttraumatic stress disorder. OBJECTIVE: The purpose of this study was to describe how brief admission may be used during a long-term treatment process. DESIGN: A single-case descriptive study with triangulation of the data was undertaken. Semistructured interviews were conducted with the patient and the patient's spouse, psychiatrist, ward nurse, and community psychiatric nurse. Other data were retrieved from the medical records of the patient. RESULTS: Four phases could be distinguished in the treatment of the patient: crisis, treatment of posttraumatic stress disorder, treatment of borderline personality disorder, and recovery. The use of brief admissions positively influenced the course of treatment. CONCLUSIONS: Brief admissions were initially used to prevent self-harm and suicide. The goals and functions expanded to prevention of prolonged admission, prevention of dropout from evidence-based therapy, and practicing with newly acquired skills and promotion of autonomy. |
| Databáze: | OpenAIRE |
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