Engagement complications of adolescents with borderline personality disorder: navigating through a zone of turbulence.

Objective: Premature treatment discontinuation is a widespread phenomenon in child and adolescent mental health services that impacts treatment benefits and costs of care. Adolescents with borderline personality disorder (BPD) are heavy users of health care services and notoriously difficult to engage in treatment. However, there is hardly any data regarding this phenomenon with these youths.

Treatment planning: A key milestone to prevent treatment dropout in adolescents with borderline personality disorder.

Objective: The aim of this study was to gain a broader appreciation of processes involved in treatment dropout in adolescents with borderline personality disorder (BPD).

Design: A constructivist grounded theory was chosen using a multiple-case research design with three embedded levels of analysis (adolescent, parent, and care setting).

Method: Theoretical sampling and the different stages of analysis specific to grounded theory were performed according to the iterative process of constant comparative analysis.

[Nursing in prison: inmates as patients].

There are very few studies investigating the work nurses do in prisons. Based on data stemming from a research in Psychodynamics of Work and a literature review, this paper describes nursing practices in a Canadian penitentiary institution. Three male nurses and two female nurses participated in three two-hour long focus group sessions.

[From deintegration to professional reintegration following a sick leave from work for a mental health problem].

The aim of this study is to better understand the factors involved in the process of professional reintegration following an absence because of a mental health problems. The methodology is based on data collected from individual interviews with workers who were on a sick leave for reasons of mental health problems as certified by a medical diagnosis. The analysis of the path of people allows to better seize the articulation between events preceding the work interruption, the process of restoration of capacities and conditions favoring or hindering the return to work.