Table 3 The tolerator

View of support

I think I have considerable responsibility and I know what I’m doing, because it is about the wellbeing of the client

Int 39

Interpretation of role and responsibilities

It’s a minefield. I think it has something to do with the culture. It is the client that is important and you cannot just involve the entire support system. And where does the support stop? It’s the client that matters and to what extent do you give family support? Do you talk about the client while talking with the caregiver? Do you need to ask for permission every time? I mean there might be tension because people feel patronized. Or the family member is pressured because of their history with the client and family members are uncertain about what will happen next. As a professional you are already happy when you have enough time to do your job properly for the client, and support of caregivers would be felt as an additional burden

Int 59

MHN-caregiver relationship

In the beginning I pretend that I’m interested in the caregiver also and I am a little interested because I have to gain the confidence of not only the client but also the caregiver. I must have permission to be alone with my client.

Int 39

Defining caregiver needs

I believe I’ve done it only once I think; talking with the husband but that is an exception. No, I really focus on the needs of the client

Int 51

In the case of relapse prevention; “Over time I just had to learn that caregivers do not want to take over your role, yet they do see the early signals and you can still take that very seriously”

Int 39

Interventions

“As an MHN I have to set a good example of how to deal with individual clients. I am used to doing this because I set examples in groups of clients on the ward where I worked as a nurse”

Int 39