Bales Dawn L, Verheul Roel, Hutsebaut Joost
Viersprong Institute for Studies on Personality Disorders (VISPD), MBT Netherlands, The Netherlands.
Personal Ment Health. 2017 May;11(2):118-131. doi: 10.1002/pmh.1368.
There are several evidence-based treatments for borderline personality disorder, but very little is known about the success or failure of implementation in daily practice. This study aims to investigate the success or failure of newly started mentalization-based treatment programs, and to explore the barriers and facilitators. The implementation trajectories of seven different mentalization-based treatment programs in six mental health clinics in the Netherlands were included in a multiple case study combining a qualitative and quantitative design. Semi-structured interview data were collected from several stakeholders of each program. Narrative reconstructions of each interview were assessed by 12 independent experts. Results showed that several programs struggled to implement their program successfully, leading to discontinuation in three programs. According to the experts, particularly elements at the organizational level (i.e. organizational support) and team level (i.e. leadership) contributed to implementation outcome. These findings have important implications for the translation of guidelines and research findings in daily practice. Copyright © 2017 John Wiley & Sons, Ltd.
目前有几种基于循证的边缘型人格障碍治疗方法，但对于这些方法在日常实践中的实施成败却知之甚少。本研究旨在调查新启动的基于心理化的治疗项目的成败，并探索其中的障碍和促进因素。荷兰六家心理健康诊所中七个不同的基于心理化的治疗项目的实施轨迹被纳入一项结合定性和定量设计的多案例研究。从每个项目的多个利益相关者处收集了半结构化访谈数据。12名独立专家对每次访谈的叙事重构进行了评估。结果显示，有几个项目在成功实施其方案方面面临困难，导致三个项目中断。专家认为，特别是组织层面的因素（即组织支持）和团队层面的因素（即领导力）对实施结果有影响。这些发现对于将指南和研究结果转化为日常实践具有重要意义。版权所有© 2017约翰·威利父子有限公司。
