Organisation-related factors | Citation | Environment-related factors | Citation |
---|---|---|---|
Internal capacity The degree to which treatment options are available within the service | ‘She has not shown up in our program, the DRG has ended and we are not going to open a new one. So let’s quit’ (PSO, TeamMeeeting4) | External capacity The degree to which treatment options are available outside the service | ‘This is highly complex care. If the patient has five contacts per year we may keep him stable. This does not have to be in our service – if the primary care physician has a mental health nurse it may be done there’ (PSA, TeamMeeeting7) |
Financial incentives The degree to which financial reimbursement of services influences decisions | ‘Limitations play no role. If there is still is a need for treatment, another DRG [financial treatment episode] is started’ (CMHN, Interview8) |  |  |
 |  | Support The degree to which the patient has social support, or is able to organize practical support | ‘The biggest problem was her housing. Once she got another house, things were already a lot better. When her financial situation got better also, we were able to terminate treatment’ (SW, TeamMeeeting8) |
 |  | Resistance The degree to which others (e.g. family, neighbours, other institutions) are willing to care for the patient | ‘This is an annoying guy but if we terminate treatment there will be trouble that will reflect on us’ (CMHN, TeamMeeeting11) |