Stepped care for depression is easy to recommend, but harder to implement: results of an explorative study within primary care in the Netherlands.

Background: Depression is a common mental disorder with a high burden of disease which is mainly treated in primary care. It is unclear to what extent stepped care principles are applied in routine primary care. The first aim of this explorative study was to examine the gap between routine primary depression care and optimal care, as formulated in the depression guidelines.

Barriers to implementing the clinical guideline on borderline personality disorder in the Netherlands.

Objective: This study determined the gap between actual care and optimal care (recommended in the clinical guideline) for patients with borderline personality disorder in the Netherlands. Factors that affected guideline implementation were identified.

Methods: Ten specialized mental health organizations participated in this cross-sectional study.