Introduction: Elderly alcohol dependent patients can be discriminated based on the age of onset of alcohol use. This is relevant for their clinical problem presentation and for the course of treatment. Materials and methods: In this paper, problems of elderly patients are presented at intake in an addiction …

BACKGROUND: Cervical dystonia (CD) is characterized by involuntary muscle contractions causing abnormal postures and/or twisting movements of the head and neck. These motor symptoms can have a major impact on disability. Treatment with botulinum toxin injections aims to reduce motor symptoms, and therefore …

Background This study aims for health gain and cost reduction in the care for people with long-term non-psychotic psychiatric disorders. Present care for this population has a limited evidence base, is often open ended, little effective, and expensive. Recent epidemiological data shows that 43.5% of …

Studies about clinical pain in schizophrenia are rare. Conclusions on pain sensitivity in people with schizophrenia are primarily based on experimental pain studies. This review attempts to assess clinical pain, that is, everyday pain without experimental manipulation, in people with schizophrenia. PubMed, …

Purpose To examine the factors that influence the effective execution of a collaborative care program (CCP) for patients with severe personality disorders. Design and Methods A multiple case study using qualitative research methods. Findings Three factors were identified as influencing the execution …

BACKGROUND On the psychiatric department of the Zaans Medisch Centrum, respiration and relaxation is offered as PMT- activity. However, patients who suffer from psychotic symptoms are not allowed to participate, despite the fact that multiple researches have proven these exercises can be beneficial for …

Some patients in psychiatric treatment are considered extremely difficult to treat because of the disruptive nature of their relationships with treatment staff. In this paper, we describe and evaluate a specialist inpatient treatment program for these patients. Data were collected from medical records …

In psychiatric care professionals perceive some patients as ‘difficult’, especially patients with long-term non-psychotic disorders. For these patients few evidence-based treatments exist. An intervention program, Interpersonal Community Psychiatric Treatment (ICPT), was developed by the authors. It …

The aim of this study is to obtain insight, from a patients perspective, into the results and essential components of treatment in specialist settings for so-called difficult patients in mental health care. In cases where usual hospital treatment is not successful, a temporary transfer to another, specialist …

Hoofdstuk in Progression in forensic Psychiatry: About Boundaries van prof. mr. Marc Groenhuijsen en prof. dr. T.I. Oei. As a young adolescent the man started using soft drugs and as a result was expelled from school. Following a registration with RIAGG he was placed in a children’s home for some years. …