Ambivalent connections. Improving community mental health care for non-psychotic chronic patients perceived as ‘difficult’
Certain patients in mental health care are seen as ‘difficult’, yet little is known about the reasons for it. This study focussed on the description and analysis of problems in the care of patients perceived to be difficult, the development of a treatment program, and its subsequent evaluation. Several variables, not only patientrelated, are responsible for the label ‘difficult’. A treatment program that invests in the prevention of chronic ineffective illness behaviour (in patients) and ineffective professional behaviour (in professionals), shows good results once carried out by Community Psychiatric Nurses.