Document Detail


A Delphi study of problems in providing community care to patients with nonpsychotic chronic mental illness.
MedLine Citation:
PMID:  19411361     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The study identified problems that professionals perceive in community care of patients with nonpsychotic chronic mental illness. METHODS: Eight national experts from the Netherlands participated in a four-phase modified Delphi procedure to identify and rate the urgency of problems in patient care and the extent to which problems were amenable to change. RESULTS: A total of 39 problems were identified in five categories: patients, professionals, their interactions, the family and social system, and the mental health system. Participants noted the many social problems of these patients and their unusual help-seeking behavior. They often perceived these patients as able but unwilling to get better. They also noted that their diagnoses tend to be unclear and shifting and that more precise classifications would help in development of treatments. CONCLUSIONS: Elucidating the distinction between the psychiatric symptoms of these patients and their unusual help-seeking behavior may improve diagnosis and patient care.
Authors:
Bauke Koekkoek; Berno van Meijel; Aart Schene; Giel Hutschemaekers
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  60     ISSN:  1557-9700     ISO Abbreviation:  Psychiatr Serv     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  693-7     Citation Subset:  IM    
Affiliation:
Brinkveld Outpatient Community Care, Altrecht Mental Health Care, Oude Arnhemseweg 260, 3705 BK Zeist, Netherlands. b.koekkoek@altrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Community Mental Health Services / organization & administration*,  supply & distribution
Delphi Technique
Humans
Mental Disorders / diagnosis,  epidemiology*,  therapy*
Netherlands / epidemiology
Patient Acceptance of Health Care / statistics & numerical data
Questionnaires*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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