Thesis

118 Chapter 4 purpose. For example, it was satisfying for them to be able to provide emotional support to patients. Several coaches reported they enjoyed interacting with the patient. "But what has it given me, fun … another view, or eyes opening a bit anyway, other experiences. […] Yes and I think, […] a certain satisfaction from doing something that matters." – coach 036. In addition, most patients expressed feelings of happiness and relaxation after contact with the coach, in part because of the casual nature of the contact. However, some coaches described feelings of deception and self-doubt after failing to develop a bond with a patient or being unable to work on social network-related goals with a patient. Theme 5: using a personalized approach “Don’t try to stubbornly stick to a preconceived protocol but let your feelings guide you” – coach 037 When asked about the Natuurlijk, een netwerkcoach! [Of course, a network coach!] intervention protocol that was available to coaches to strengthen social networks in a goal-oriented and structured manner, the participants were unanimous in their response that they had not used this protocol in FNC. Many coaches demonstrated that the default protocol was not appropriate and feasible for forensic outpatients. One often reported concern was the difficulty to adhere to a structured intervention as situations of patients were unique and could change rapidly. Furthermore, a goal-oriented approach did not match the needs of many patients. Most patients expressed they were not interested in working on assignments and achieving goals with a coach, as this resembled the professional care they were receiving or had received many times in the past. "It wasn't structured I must say, but I did feel that we got along fairly easily. And I thought that was quite something. And that's actually still the case, but I don't have the idea that we got very far looking at the coaching trajectory or actually nowhere at all. But he [referring to the patient] also says: ‘I don't need all of that, I find that I can talk to you because with the people here where I'm [living] I can't talk at all’. And he even finds it so important that he thinks he will go crazy otherwise." – coach 025. In addition, coaches mentioned that the protocol did not match the abilities of patients. They considered the protocol too elaborate and too complicated. Multiple coaches suggested that the protocol should be adapted to clinical practice, taking into account the language of patients. Several coaches did use the protocol as a tool to inspire and guide

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