{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:13:45Z","timestamp":1787066025726,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Te Whatu Ora Te Toka Tumai","award":["training support"],"award-info":[{"award-number":["training support"]}]},{"DOI":"10.13039\/501100001537","name":"The University of Auckland","doi-asserted-by":"crossref","award":["School of Population Health"],"award-info":[{"award-number":["School of Population Health"]}],"id":[{"id":"10.13039\/501100001537","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Good Psychiatric Management (GPM) is a structured, evidence-based approach for treating borderline personality disorder (BPD). In this study, we aimed to explore the experiences of using GPM within a multidisciplinary mental health team and to identify factors that promote or impede its implementation and practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study design was informed by interpretive description methodology. Semi-structured, in-person interviews were conducted with staff based at an assertive community outreach service (ACOS) trained in GPM. Interviews were audio-recorded, transcribed and coded by reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From eleven participants of social work, community support work, nursing, psychology, occupational therapy and managerial backgrounds, we identified three main themes: (1) GPM as complementary to practitioners\u2019 values, (2) GPM as empowerment to deliver treatment confidently and consistently and (3) leadership as instrumental for the implementation of a new model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementing GPM as a shared model of care has value for health professionals by improving confidence and skills in working with people with BPD and increasing team cohesion. Effective leadership facilitates the introduction of an empirically supported evidence-based model of care, even when there are system constraints. Further research is needed to evaluate the use of GPM in general healthcare settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251378259","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:33:20Z","timestamp":1757702000000},"page":"73-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementing Good Psychiatric Management in mental health services"],"prefix":"10.1177","volume":"34","author":[{"given":"Sikva","family":"Javaid","sequence":"first","affiliation":[{"name":"The University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Quan","sequence":"additional","affiliation":[{"name":"Health New Zealand Te Whatu Ora Te Toka Tumai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7189-1272","authenticated-orcid":false,"given":"Lillian","family":"Ng","sequence":"additional","affiliation":[{"name":"The University of Auckland"},{"name":"Health New Zealand Te Whatu Ora Te Toka Tumai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2372-6854","authenticated-orcid":false,"given":"Rodrigo","family":"Ramalho","sequence":"additional","affiliation":[{"name":"The University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lois","family":"Choi-Kain","sequence":"additional","affiliation":[{"name":"Gunderson Personality Disorders Institute"},{"name":"McLean Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_3_5_3_2","volume-title":"ICD-11","author":"World Health Organization","unstructured":"World Health Organization. ICD-11. (nd). https:\/\/icd.who.int\/en\/"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13970"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506000702"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900073"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09010039"},{"key":"e_1_3_5_8_2","volume-title":"Treatment of borderline personality disorder: a guide to evidence-based practice","author":"Paris J","year":"2019","unstructured":"Paris J. Treatment of borderline personality disorder: a guide to evidence-based practice. New York: Guilford Publications, 2019."},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2012.11091416"},{"key":"e_1_3_5_10_2","volume-title":"The world health report 2000: health systems: improving performance","author":"World Health Organization","year":"2000","unstructured":"World Health Organization. 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Whole system quality: a unified approach to building responsive resilient health care systems. 2021. https:\/\/www.ihi.org\/"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.27.3.759"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2022-010191"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.12437"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1713"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004160"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7313.625"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.4324\/9781315426259"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7294.1115"},{"key":"e_1_3_5_20_2","unstructured":"Harvard CME online: https:\/\/cmecatalog.hms.harvard.edu\/general-psychiatric-management-borderline-personality-disorder"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_5_22_2","first-page":"172:w10023","article-title":"Should \u201cGood enough\u201d healthcare network management be considered as a key element of borderline personality disorder treatment?","author":"Mognetti PF","year":"2021","unstructured":"Mognetti PF, Kolly S, Kramer U, et al. 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