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Grounding clinical guidelines in service users’ experiences of endings

Webb, Kimberley; Schröder, Thomas; Gresswell, David Mark

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Kimberley Webb

Professor of Clinical Psychology and Psychological Therapies

David Mark Gresswell


Purpose: The purpose of this paper is to explore service users’ experiences of the process of ending from national health service (NHS) community personality disorder services. Design/methodology/approach: Semi-structured interviews were conducted with eight participants recruited from four NHS community personality disorder services. Findings: Three main themes emerged; “Service users” experiences in the context of “Reflective versus Reactive practice”, “Endings held in mind” and “What next”? Originality/value: Further recommendations are provided for practitioners supporting individuals managing endings alongside a “readiness to end” model which may be used in clinical practice.

Journal Article Type Article
Acceptance Date Aug 18, 2021
Online Publication Date Oct 8, 2021
Publication Date Feb 1, 2022
Deposit Date Oct 15, 2021
Publicly Available Date Oct 15, 2021
Journal Mental Health Review Journal
Print ISSN 1361-9322
Publisher Emerald
Peer Reviewed Peer Reviewed
Volume 27
Issue 1
Pages 48-64
Keywords endings; termination; discharge; clinical guidelines; NICE guidelines; service- user experiences; thematic analysis
Public URL
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