title: Collaborative Care for Patients With Severe Personality Disorders: Analyzing the Execution Process in a Pilot Study (Part II).
abstract: OBJECTIVE
  To examine the factors that influence the effective execution of a collaborative care program (CCP) for patients with severe personality disorders.
  
  
  METHODS
  A multiple case study using qualitative research methods.
  
  
  RESULTS
  Three factors were identified as influencing the execution process: (a) the context in which the CCP was executed, (b) the patient population, and (c) the individual application of the CCP by nurses.
  
  
  CONCLUSIONS
  The prominent position of mental health nurses in complex intervention programs such as CCPs poses new challenges for them in making these programs work. A CCP could be a useful intervention for patients with severe personality disorders because it offers the necessary structure in treatment.
authors.affiliation: Department of Psychiatry and the EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam/GGZ inGeest, Amsterdam, The Netherlands.|Research Group Mental Health Nursing/Cluster Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands.
authors.forename: Barbara
authors.initials: B
authors.lastname: Stringer
authors.affiliation: Research Group Mental Health Nursing/Cluster Nursing, Inholland University of Applied Sciences, and VU University Medical Center Amsterdam/GGZ inGeest, Amsterdam, The Netherlands.|Parnassia Psychiatric Institute, Parnassia Academy, the Hague, The Netherlands.
authors.forename: Berno
authors.initials: B
authors.lastname: van Meijel
authors.affiliation: Psychiatric Centre Children and Adolescents, De Jutters Foundation, the Hague, The Netherlands.
authors.forename: Pieter
authors.initials: P
authors.lastname: Karman
authors.affiliation: ProPersona GGZ, ProCES, Wolfheze, The Netherlands.|Research Group Social Psychiatry & Mental Health Nursing, HAN University of Applied Science, Nijmegen, The Netherlands.
authors.forename: Bauke
authors.initials: B
authors.lastname: Koekkoek
authors.affiliation: Department of Clinical Psychology and the EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.
authors.forename: Ad J F M
authors.initials: AJ
authors.lastname: Kerkhof
authors.affiliation: Department of Psychiatry and the EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam/GGZ inGeest, Amsterdam, The Netherlands.
authors.forename: Aartjan T F
authors.initials: AT
authors.lastname: Beekman
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000451:nursing*; D003156:Community Mental Health Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010865:Pilot Projects; D011568:Psychiatric Nursing / Q000458:organization & administration*
keywords: Borderline personality disorder; collaborative care; community mental health service; practice development; psychiatric nursing