Skip to main content
SpringerLink
Log in

Implementatie van een behandelmodel voor persoonlijkheidsgestoorde adolescenten

Successen, mislukkingen en aanbevelingen

  • Published:
Tijdschrift voor Psychotherapie

  • In 2008, Dutch center of psychotherapy ‘De Viersprong’ started an innovative treatment program for adolescents with severe personality disorders, based upon Mentalization-Based Treatment. Unfortunately, the price of this experiment was high: a large increase in illness absenteeism, high staff turnover, temporary restriction of the program, financial losses for the organisation, dissatisfied clients, negative media exposure, and finally the closing of the inpatient program. In this article we analysed the factors contributing to the implementation problems. Several recommendations are included, among which the most important being the development of a quality system monitoring organizational, team and therapist aspects essential to a successful implementation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Literatuur

  • Asen, E. (2010). Mentalization-based family therapy. Pædagogisk Psykologisk Tidsskrift, 47, 49–54.

    Google Scholar 

  • Bales, D., Beek, N. van, Smits, M., Willemsen, S., Busschbach, J. van, Verheul, R., Andrea, H. (in druk). Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality disorder in the Netherlands. Journal of Personality Disorders.

  • Bateman, A. & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial. American Journal of Psychiatry, 156, 1563–1569.

    PubMed  CAS  Google Scholar 

  • Bateman, A.W. & Fonagy, P. (2001). Treatment of borderline personality disorders with psychoanalytically oriented partial hospitalization: an 18-month follow-up. American Journal of Psychiatry, 158, 36–42.

    Article  PubMed  CAS  Google Scholar 

  • Bateman, A.W. & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization-based treatment. Oxford: Oxford University Press.

    Google Scholar 

  • Bateman, A.W., Fonagy, P. (2008). 8-year follow-up of patients treated for borderline personality disorder: Mentalization-based treatment versus treatment as usual. American Journal of Psychiatry, 165, 631–638.

    Article  PubMed  Google Scholar 

  • Binks, C.A., Fenton, M., McCarthy, L., Lee, T., Adams, C.E. & Duggan, C. (2006). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD005652. DOI: 10.1002/14651858.CD005652.

  • Bleiberg, E. (2001). Treating personality disorders in children and adolescents: A relational approach. New York: Guilford Press.

    Google Scholar 

  • Chanen, A.M., Jackson, H. J., McCutcheon, L.K., Jovev, M., Dudgeon, P., Yuen, H.P., Germano, D., Nistico, H., McDougall, E., Weinstein, C., Clarkson, V. & McGorry, P.D. (2008). Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: randomised controlled trial. The British Journal of Psychiatry, 193, 477–484.

    Article  PubMed  Google Scholar 

  • Feenstra, D. J., Busschbach, J. J.V., Verheul, R. & Hutsebaut, J. (in druk). Prevalence and comorbidity of Axis I and Axis II disorders among treatment refractory adolescents admitted for specialized psychotherapy. Journal of Personality Disorders.

  • Feenstra, D. J., Hutsebaut, J., Laurenssen, E.M.P., Verheul, R., Busschbach, J. J.V. & Soeteman, D. I. (ingediend). The burden of disease among adolescents with personality pathology: quality of life and societal costs. Manuscript ingediend voor publicatie.

  • Henggeler, S.W., Schoenwald, S.K., Borduin, C.M., Rowland, M.D. & Cunningham, P.B. (2010). Multisysteemtherapie voor kinderen en jongeren met antisociaal gedrag. Uitgeverij SWP.

  • Hutsebaut, J. (2009a). Persoonlijkheidsstoornissen bij adolescenten. In: E.H.M. Eurelings-Bontekoe, R. Verheul & W.M. Snellen (red.), Handboek persoonlijkheidspathologie (pp. 539–562). Houten: Bohn Stafleu van Loghum.

    Chapter  Google Scholar 

  • Hutsebaut, J. (2009b). Treatment manual MBT-A. Niet-gepubliceerd intern document, de Viersprong.

  • Schuppert, H.M., Giesen-Bloo, J., Gemert, T.G. van, Wiersma, H.M., Minderaa, R.B., Emmelkamp, P.M.G. & Nauta, M.H. (2009). Effectiveness of an emotion regulation group training for adolescents. A randomized controlled pilot study. Clinical Psychology and Psychotherapy, 16, 467–478.

    Article  PubMed  Google Scholar 

  • Verheul, R., Bales, D., Geffen, W. van, Hesselink, A. & Elling-de Boer, A. (2010). Toepasbaarheid van het kwaliteitsmodel vanMulti System Therapy op Mentalization Based Treatment. Niet-gepubliceerd intern rapport van ZonMw en De Viersprong.

Download references

Author information

Authors and Affiliations

  1. PTC De Viersprong, Postbus 7, 4660 AA, Halsteren, The Netherlands

    Joost Hutsebaut

  2. www.bsl.nl

    Dawn Bales, Marieke Kavelaars, Jan van Gerwen, Jan van Busschbach & Roel Verheul

Authors
  1. Joost Hutsebaut
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dawn Bales
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marieke Kavelaars
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jan van Gerwen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jan van Busschbach
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Roel Verheul
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

gz-psycholoog-gedragstherapeut, klinisch psycholoog-psychotherapeut, MBT-trainer en supervisor, gz-psycholoog-psychotherapeut, klinisch psycholoog-psychotherapeut, bijzonder hoogleraar medische psychologie, bijzonder hoogleraar persoonlijkheidsstoornissen

About this article

Cite this article

Hutsebaut, J., Bales, D., Kavelaars, M. et al. Implementatie van een behandelmodel voor persoonlijkheidsgestoorde adolescenten. TIJDSCHRIFT PSYCHOTHERAPIE 37, 162–176 (2011). https://doi.org/10.1007/s12485-011-0030-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12485-011-0030-5

Search

Navigation