How do intake clinicians use patient characteristics to select treatment for patients with personality disorders?
Treatment selection in clinical practice is a poorly understood, often largely implicit decision process, perhaps especially for patients with personality disorders. This study, therefore, investigated how intake clinicians use information about patient characteristics to select psychotherapeutic treatment for patients with personality disorder. A structured interview with a forced-choice format was administered to 27 experienced intake clinicians working in five specialist mental health care institutes in the Netherlands. Substantial consensus was evident among intake clinicians. The results revealed that none of the presented patient characteristics were deemed relevant for the selection of the suitable treatment setting. The appropriate duration and intensity are selected using severity or personal strength variables. The theoretical orientation is selected using personal strength variables.
van Manen
Janine
J
Viersprong Institute for Studies on Personality Disorders, Halsteren, The Netherlands. janine.van.manen@deviersprong.nl
Kamphuis
Jan Henk
JH
Visbach
Geny
G
Ziegler
Uli
U
Gerritsen
Ad
A
Van Rossum
Bert
B
Rijnierse
Piet
P
Timman
Reinier
R
Verheul
Roel
R
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007206:Individuality; D007406:Interview, Psychological; D008297:Male; D018579:Patient Selection; D010552:Personality Assessment; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods*; D011614:Psychotherapy, Brief / Q000379:methods; D016896:Treatment Outcome