Interpersonal community psychiatric treatment for non-psychotic chronic patients and nurses in outpatient mental health care: a controlled pilot study on feasibility and effects.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Pergamon Press Country of Publication: England NLM ID: 0400675 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-491X (Electronic) Linking ISSN: 00207489 NLM ISO Abbreviation: Int J Nurs Stud Subsets: MEDLINE
    • Publication Information:
      Publication: Oxford ; New York : Pergamon Press
      Original Publication: Oxford.
    • Subject Terms:
      Community Health Nursing* ; Interpersonal Relations*; Chronic Disease/*nursing; Feasibility Studies ; Female ; Humans ; Male ; Pilot Projects
    • Abstract:
      Background: 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).
      Objective: To assess the feasibility and effectiveness of an intervention program for use by CPNs in the care of 'difficult' patients with non-psychotic chronic disorders, in a controlled pilot study.
      Design: A mixed-methods quasi-experimental study using process and outcome measures across several dimensions. Measurements took place at 0, 3, and 6 months.
      Settings: Three community mental health centres in the centre of The Netherlands.
      Participants: 14 CPNs and 36 long-term non-psychotic patients who were perceived as 'difficult' were selected. Patients were offered either ICPT (20) or care as usual (16). All patients and CPNs could be followed up at all measurements.
      Methods: Quantitative data included type and severity of psychiatric disorder, psychosocial functioning, needs for care, quality of life and social participation. Also, service use, satisfaction with care, and quality of the therapeutic alliance were measured. Qualitative interviews were conducted with all CPNs and patients in the experimental group.
      Results: ICPT was found feasible by both CPNs and patients. Both the experimental and control condition showed improvement on a number of outcomes. ICPT, however, resulted in significantly better results in some areas. Patients' social network size increased and their care utilization decreased. Also, the quality of the working alliance increased and perceived patient difficulty decreased, both as scored by professionals.
      Conclusions: 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.
      (Copyright © 2011 Elsevier Ltd. All rights reserved.)
    • Publication Date:
      Date Created: 20111202 Date Completed: 20120820 Latest Revision: 20120427
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.ijnurstu.2011.11.003
    • Accession Number:
      22130506