Peter J J Goossens

Ghent University | UGhent · Department of Public Health

Aim: This study explores the needs and care experiences of homeless people within categories 1 and 2 of the ETHOS typology in Belgium. Additionally, it examines which care gaps they experience and how they perceive the functioning of street nursing. Methods: From August 2022 to February 2023, data were collected using 15 semi-structured interviews...

Despite the overall poor health status of the homeless, the population has limited access to health care [1,2]. This suboptimal health status is associated with an increased frequency of emergency care interventions and residential admissions, which are frequently preventable. Combined with difficult access to primary care, this leads to the ineffi...

Accessible Summary What is already known? The nurse–patient relationship in mental health care is an important focus of mental health nursing theories and research. There is limited evidence about which factors influence nurse‐sensitive patient outcomes of the nurse–patient relationship. This hinders the development, planning, delivering, and qual...

Background: Previous studies in somatic health care revealed that patients find nurse practitioners reliable, helpful, and empathic and feel empowered, at peace, and in control when cared for by nurse practitioners (NPs). Only one study so far considered what value people with severe mental illness (SMI) attached to treatment by a psychiatric ment...

Objective: This article describes the development and psychometric evaluation of the Manic Thought Inventory (MTI), a patient-driven self-report inventory to assess the presence of typical (hypo)manic cognitions. Methods: The initial item pool was generated by patients with bipolar disorder(BD) type I, and assessed for suitability by five psychi...

Introduction: Identifying patient-reported outcomes of the nurse-patient relationship is a priority in inpatient mental healthcare to guide clinical decision-making and quality improvement initiatives. Moreover, demonstrating nurse-sensitive patient outcomes can be a strategy to avoid further erosion of the specialism of psychiatric and/or mental...

Introduction The lifetime prevalence of comorbid posttraumatic stress disorder (PTSD) in patients with bipolar disorder (BD) is approximately 20%. Guidelines for BD give adequate pharmacological treatment options when there is a ‘pure’ bipolar disorder but lack of treatment options when there is a comorbid disorder present. Objectives The present...

Background Patients with severe mental illness with repeated interpersonal trauma and post-traumatic stress disorder (PTSD) have a negative illness progression. Traumas are often not treated because of their vulnerability. Narrative exposure therapy (NET) is an effective trauma therapy. It is unknown whether NET is effective and tolerable in these...

Background and rationale Although it has been suggested that pregnancy may influence the course of bipolar disorder (BD), studies show contradictory results. Until now, no studies included a finegrained validated method to report mood symptoms on a daily basis, such as the lifechart method (LCM). The aim of the present study is to investigate the c...

Purpose: Most patients with congenital heart disease (CHD) need lifelong cardiac follow-up. Transitioning to adulthood and transferring to adult-focused care are often challenging. We explored the experiences and needs of adolescents with CHD and parents during the entire transitional process, including the post-transfer period. Design and methods:...

Purpose Complementary interventions for persons with severe mental illness (SMI) focus on both personal recovery and illness self-management. This paper aimed to identify the patient-reported outcome measures (PROMs) associated with the most relevant and meaningful change in persons with SMI who attended the Illness Management and Recovery Programm...

Mental health nurses are struggling to describe their nursing identity as professional discipline in a changing mental health care. Measuring nurse‐sensitive patient outcomes and demonstrating nursing’s effect(s) experienced by patients contribute to (re)discover the specific nursing identity. However, a valid and reliable scale is currently lackin...

Background Police officers and members of a mobile crisis team (MCT) are the two actors who respond to nuisance in Dutch society related to ‘persons with confused behavior’ and serious violent incidents. Their collaboration creates tension and dissatisfaction about roles and responsibilities. Aim To explore the lived experiences of, and collaborat...

Interpersonal trauma and Posttraumatic Stress Disorder (PTSD) in severe mentally ill (SMI) patients negatively affect the illness course. Narrative Exposure Therapy (NET) is effective in vulnerable patient groups, but its efficacy and applicability has not been studied in SMI outpatients. Aims Evaluating efficacy and applicability of NET in SMI on...

Purpose To explore the experiences of ambulance nurses in emergency care of patients with acute manic and/or psychotic symptoms. Methods In this qualitative study, 14 interviews were conducted and analyzed using thematic analysis according to Braun and Clarke (2006). Findings Psychiatric emergency care causes stress and uncomfortable feelings for...

Background: When patients diagnosed with bipolar disorder are suffering from acute mania (involuntary), hospitalization is often necessary. Patients are often quite disruptive, which makes it difficult to regulate their behavior and manage them in their current condition. The nursing team must also ensure the safety of the other patients on the wa...

Background: Psychoeducation (PE) for bipolar disorder (BD) has a first-line recommendation for the maintenance treatment phase of BD. Formats vary greatly in the number of sessions, whether offered individually or in a group, and with or without caregivers attending. Due to a large variation in formats in the Netherlands, a new program was develop...

Aims This study aimed to enhance the conceptual understanding of the working alliance in the context of nursing care for people experiencing suicidal ideation. Design A qualitative study based on grounded theory was conducted. Methods Two authors conducted individual semi‐structured interviews from September 2017–January 2019. Twenty‐eight nurses...

BACKGROUND In contemporary healthcare, both community and inpatient mental health and emergency services are important help-seeking avenues for persons with suicidal ideation and behaviour. Regarding nursing practice in these services, there is a strong focus on assessing and managing suicide risk. Within this clinical context, the perspectives of...

Background: Complementary interventions for persons with severe mental illness (SMI) provide broad strategies for recovery and illness self-management. It is not known which outcome measure can be considered to be relevant for persons with SMI. This knowledge can motivate a professional to offer and stimulate a person to participate in that interve...

Background The progress and recovery of a patient with mania during hospitalization is differently seen by professionals working at an admission ward and by relatives of the patient. Professionals often indicate that the situation of the patient is improving while relatives estimate the improvement to be minimal in relation to the recovery of the p...

Purpose: To examine the experiences of outpatients with bipolar disorder recording a 10-minute film to show their "being" in a euthymic mood state. Design and methods: A multicenter qualitative study, in the context of a feasibility study for a newly developed intervention. Data were analyzed using the Stevick-Colaizzi-Keen method. Findings: P...

BACKGROUND: The development of de-hospitalization policies in mental health has resulted in a growing emphasis on self-management. In the chronic care model, self-management support is an essential element. Because of the episodic nature of severe mental illness (SMI) and its high relapse rates, we assume that the extent of self-management support...

Background: Severe mentally ill patients with repeated interpersonal trauma and post-traumatic stress disorder (PTSD) have a negative illness progression. Traumas are often not treated because of their vulnerability. Narrative Exposure Therapy (NET) is an effective trauma therapy. It is unknown whether NET is effective and tolerable in these patien...

Background: Self-management of bipolar disorder (BD) education is a complex nursing intervention in which patients and informal caregivers are taught to be actively involved in self-monitoring and self-regulating activities. Some studies question if nurses are sufficiently equipped to deliver these educational tasks. Other studies suggest that nurs...

Background: Mood disorders can be difficult to treat during pregnancy. There is still lack of evidence whether pregnancy influences their natural course and whether continuation of pharmacotherapy, despite potential risks for the unborn child, is beneficial in preventing recurrence of mood episodes during pregnancy. Methods: Systematic review condu...

Purpose To describe the experiences of patients with nursing care they had received when hospitalized for mania. Design and Methods Multicenter qualitative study using open interviews. Data were analyzed using the Stevick‐Colaizzi‐Keen method. Findings Sense of security is vital for the recovery of these patients, nurses can support and hinder th...

Dit boek doet verslag van een onderzoeksproject naar de verpleegkundige zorg voor patiënten met een acute manie. Er is informatie over de acute manie, het onderzoeksprogramma, aanbevelingen voor de verpleegkundige praktijk. Daarnaast is de filminterventie beschreven.

Background E-mental health holds promise for people with severe mental illness, but has a limited evidence base. This study explored the effect of e-health added to face-to-face delivery of the Illness Management and Recovery Programme (e-IMR). Method In this multi-centre exploratory cluster randomized controlled trial, seven clusters (n = 60; 41...

This poster describes the development of the film intervention.

Pregnant women with a psychiatric disorder have a risk for relapse during pregnancy and are vulnerable for the development of post-partum psychopathology. Nowadays, these women are often referred to a ‘Psychiatry and Pregnancy’ unit. The overall aim of treatment is to prevent relapse and to support these women during pregnancy. A common but not evi...

The literature on nursing patients with acute mania is very limited. International guidelines for the treat- ment of patients with bipolar disorder contain hardly any evidence based information about the nursing of these patients during admission. Current practice is mainly experienced based. Based on the results of a literature review and three qu...

1 Purpose To describe the experiences of informal caregivers with the nursing care received by relatives hospitalized for mania. 2 Design and Methods Multicenter phenomenological study using open interviews. Data were analyzed using the Stevick–Colaizzi–Keen method. 3 Findings The essence of the experiences was the importance of communication, ab...

Background: The degree of informal caregiver involvement influences the self-management of individuals living with bipolar disorder (BD). Objective: This article aims to provide a description of informal caregivers' learning experiences in self-management support of BD in order to guide professionals in tailoring future psychosocial and psychoed...

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Background Bipolar disorder is a major mental illness with a lifetime prevalence of 1, 3 % in the Netherlands. Bipolar disorder type I includes manic and depressed episodes. In the case of an acute manic episode, patients often need hospitalization on a closed psychiatric ward due to a poor illness perception and problematic behavior. Because of t...

Purpose: To explore the lived experiences of patients with a psychotic or bipolar disorder and their families with emergency care during the first contact with a mobile crisis team. Methods: Open individual interviews were held with ten patients and ten family members. Content data-analysis was conducted. Findings: Communication and cooperatio...

Background: Brief admission (BA) is a widely used intervention for patients with a borderline personality disorder but it has not yet clearly defined and still lacks clear operational standards. To fully develop this intervention, the relevant components need to be identified and clearly documented. Objective: To obtain consensus on the componen...

Background: Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning. Objective: To explore the thoughts and considerations of women of childbearing age with bipolar disorder, about family planning and pregnancy. Design: A qualitative s...

In 2014 a psycho education (PE) course for adolescents with bipolar disorder and their parents was developed at the Dimence Centre for Bipolar Disorder in the Netherlands and car-ried out in 2015. The course consists of five group meetings with the adolescents and their parents and seven online modules. The online modules contain facts about bipola...

Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period. They often express concerns about family planning.To explore the thoughts and considerations of women with bipolar disorder, of childbearing age, about family planning and pregnancy. A qualitative descriptive study was conducted: 15 women with...

The progress and recovery of a patient with bipolar disorder during hospitalization is differently objectified by pro-fessionals working at an admission ward and relatives of the patient. Professionals often indicate that the situation of the patient is improving while relatives notice little improvement. This can be caused by a differ-ence in pers...

Background: Multidisciplinary guidelines in severe mental illnesses consider educational programmes to promote self-management as an important additional component in treatment next to pharmaceutical therapy. Bipolar disorder (BD) is a severe mental illness with a chronic course. Patients with BD do not recover; instead they suffer livelong from re...

Background: In the Netherlands, most patients with severe mental illness (SMI) receive flexible assertive community treatment (FACT) provided by multidisciplinary community mental health teams. SMI patients with comorbid posttraumatic stress disorder (PTSD) are sometimes offered evidence-based trauma-focused treatment like eye movement desensitiza...

Background When patients diagnosed with a bipolar disorder are suffering from acute mania (forced) admission in a psychiatric hospital is often necessary. Patients in a manic state are often quite disruptive, which makes it difficult to regulate their behavior and handle them in the current condition. The nursing team must also ensure the safety o...

Background Bipolar disorder (BD) is a severe chronic mental illness characterised by fluctuating mood and activity patterns alternating between euthymic, hypo-manic or manic, major depressive, and mixed-mood episodes. The lifetime prevalence of BD is approximately 1%, with a cumulative incidence of 1.5 to 2% in the European Union population betwee...

Background Bipolar disorder is a major mental illness, characterized by the alternating occurrence of manic, hypomanic, depressive, mixed and euthymic mood episodes. Hospitalization on a closed ward during an acute, severe manic episode is often necessary due to the risk of harm to self or others, whereby intensive nursing in combination with phar...

Samenvatting Een kwalitatief onderzoek naar de beweegredenen en ervaringen van verpleegkundigen met compliance van adviezen, gegeven door de consultatieve ziekenhuispsychiatrie. Doel Doelstelling van dit onderzoek is een antwoord te geven op de vraag welke factoren van invloed zijn op de compliance van adviezen, gegeven door de Consultatief Psychia...

Background and objective: In patients with comorbid complex Posttraumatic Stress Disorder (complex PTSD) and psychotic disorder, trauma focused therapy may be difficult to endure. Phase-based treatment including (1) stabilization, (2) trauma focused therapy, and (3) integration of personality with recovery of connection, appears to be the treatment...

De bipolaire stoornis is een chronische en complexe psychiatrische ziekte. Het is een stemmingsstoornis, met kenmerkende stemmingsepisoden: depressieve, (hypo)manische, gemengde en euthieme episoden. Tijdens een manische episode is opname in een psychiatrisch ziekenhuis vaak noodzakelijk. Wetenschappelijk onderzoek naar de verpleegkundige zorg aan...

This study aims to describe how the Illness Management and Recovery program enhanced recovery of persons with schizophrenia and other psychotic disorders from their own perspective. Participants valued learning how to divide huge goals into attainable steps, how to recognize and prevent a relapse by managing symptoms, practicing skills, and talking...

Background: Psychiatric nurses commonly refer to "providing structure" (PS) as a key intervention. But no consensus exists about what PS entails. PS can be understood as a complex intervention. In four previous studies, a definition, activities, and context variables were described that were presented to experts in a Delphi study. Objective: To...

Background: This study describes the use of brief admissions to a psychiatric ward by a single patient across a period of 7 years. The patient suffered from a borderline personality disorder and a complex posttraumatic stress disorder. Objective: The purpose of this study was to describe how brief admission may be used during a long-term treatme...

E-mental health is a promising medium to keep mental health affordable and accessible. For consumers with severe mental illness the evidence of the effectiveness of e-health is limited. A number of difficulties and barriers have to be addressed concerning e-health for consumers with severe mental illness. One possible solution might be to blend e-h...

Background: The Illness Management and Recovery scales (IMRS) can measure the progress of clients' illness self-management and recovery. Previous studies have examined the psychometric properties of the IMRS. Aims: This study examined the reliability and validity of the Dutch version of the IMRS. Method: Clients (n = 111) and clinicians (n = 4...

Objective To identify and compare caregiver burden and expressed emotion (EE) in adult substance use disorder (SUD) patients with and without co-occurring attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD). To examine possible differences in correlations between caregiver burden and EE across patient groups. Design an...

Accessible summary: Existing evidence suggest that patient education in promoting self-management strategies of bipolar disorder (BD) is effective. However, results across the full range of service users with BD vary. Learning experiences of service users look to be a crucial factor to take into account when designing, delivering, and evaluating e...

Patients with a substance use disorder (SUD) and co-occurring attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) often start using substances in an attempt to cope with the stress related to their ADHD or ASD. To improve treatment for these patient groups, it is important to identify and compare the various coping sty...

Objective: Many patients with major depressive disorder (MDD) or bipolar disorder (BD) experience impairments in daily life. We investigated whether patients with single-episode MDD (MDD-s), recurrent MDD (MDD-r), and BD differ in functional impairments, whether time since last episode (syndromal state, in 4 categories) contributes to impairment,...

Despite treatment, many patients with bipolar disorder experience impaired functioning and a decreased quality of life. Optimal collaboration between patient and mental health care providers could enhance treatment outcomes. The goal of this qualitative study, performed in a trial investigating the effect of collaborative care, was to gain more ins...

To gain insight into nurses' perceptions and use of providing structure (PS) as an intervention during psychiatric inpatient care. Interviews were conducted with nurses (n = 18) from two inpatient wards in psychiatry immediately following the occurrence of a PS event. This was done immediately following the occurrence of a PS event. Transcripts wer...

Background A substantial number of people with bipolar disorder show a suboptimal response to treatment. Aims To study the effectiveness of a collaborative care programme on symptoms and medication adherence in patients with bipolar disorder, compared with care as usual. Method A two-armed, cluster randomised clinical trial was carried out in...

Caregivers often consult community mental health (CMH) nurses when they recognize prodromes of mania in the outpatient. The purpose of this study was to determine nurses' experiences of their therapeutic relationship and nursing interventions to outpatients and caregivers during different stages of mania. A qualitative study was conducted. Nine nur...

The process of personal recovery in people diagnosed with substance use disorder and comorbid attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) was mapped. Four general themes representing four consecutive stages in the recovery process were identified in both client groups: (1) crisis and diagnosis; (2) dealing with...

Patients with a bipolar disorder and currently experiencing acute mania often require hospitalization. We explored patient problems, desired patient outcomes, and nursing interventions by individually interviewing 22 nurses. Qualitative content analysis gave a top five of patients problems, desired patient outcomes and nursing interventions, identi...

Background: Functioning and quality of life are impaired in bipolar patients. Methods: Collaborative Care (CC) is a multi-component intervention, provided by a multidisciplinary team, in which a nurse-care manager plays a central role. Effects on functioning and quality of life were tested in a clinical trial. We also investigated the mediating...

Objectives: Many patients with major depressive disorder (MDD) or bipolar disorder (BD) experience impairments in daily life. We investigated whether patients with single episode MDD (MDD-s), recurrent MDD (MDD-r) and BD differ in functional impairments, whether time since last episode (syndromal state, in 4 categories) contributes to impairment, w...