Health Professionals' Experiences of Person-Centered Collaboration In Mental Health Care (original) (raw)
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Journal of Clinical Nursing, 2004
Mental health: integrated network and family-oriented model for cooperation between mental health patients, adult mental health services and social services Background. Cooperation between mental health care units and the social services is important in the case of people with social problems who also suffer from mental health problems. However, participation of patients and their families in the treatment process, and cooperation between them and the professionals, are also important. Communication between the professionals, patients and their family members, and the professionals is a crucial factor for cooperation. Aims and objectives. The aim of this study was to elucidate the experiences and importance of cooperation for the patients. The data consisted of interviews with 22 mental health patients who were also clients of municipal social services. Method. The grounded theory approach was used, focusing on the informants' experiences of the integrated network and family-oriented model for cooperation. Results. The findings indicate the importance of the participation of patients and their social networks in psychiatric care or the treatment process. Meetings should be characterized by open and reflexive discussions with all participants' points of view being included, so that fruitful cooperation is possible. However, some negative experiences were also reported, all of which were connected with the professionals' behaviour. Conclusions. Trust and honesty are essential elements in relations between professionals and psychiatric patients, but it cannot be assumed that they will develop naturally. It is the professionals' responsibility to adjust their behaviour so that these elements can be created in a mutual process between patients and professionals. Multidisciplinary teams are a necessity in family-oriented cooperation between psychiatry and social services, and in a satisfactory caring process. Relevance to clinical practice. Nurses' work is often individually oriented and nurses are ruled by routines in their work. The mental health caring process should be seen as a shared process between the patient, his/her human environment and professionals for which nurses need skills to their interaction with patients and their social network.
Quality Management in Health Care, 2016
The aim of this study was to describe health care-and social service professionals' experiences of a qualityimprovement program implemented in the south of Sweden. The focus of the program was to develop interprofessional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.
International Journal of Mental Health Systems, 2019
Background: Collaborative care is a means of improving outcomes particularly for people with complex needs. The Partners in Recovery (PIR) program, established in Australia in 2012, provides care coordination to facilitate access to health and social support services for people with severe and persistent mental illness. Of the 48 PIR programs across Australia, 35 were led by Medicare Locals, the previous Australian regional primary health care organisation and nine involved Medicare Locals as partner organisations. Aims: To identify features which enabled and hindered collaboration in PIR programs involving Medicare Locals and determine what can be learnt about delivering care to this population. Methods: Data were collected from 50 interviews with senior staff at Medicare Locals and from eight focus groups with 51 mental health stakeholders in different Australian jurisdictions. Results: Successful PIR programs were based upon effective collaboration. Collaboration was facilitated by dedicated funding, a shared understanding of PIR aims, joint planning, effective network management, mutual respect and effective communication. Collaboration was also enhanced by the local knowledge and population health planning functions of Medicare Locals. Jurisdictional boundaries and funding discontinuity were the primary barriers to collaboration.
Mental Illness, 2014
The family’s role in patient care was greatly altered by Law 180. This law, introduced in Italy in 1978, led to a gradual phasing out of custodial treatment for psychiatric patients. This different mindset, which views the family as an alternative to institutionalization, leads to it being seen as an essential entity in the setting up of community service dynamics. We interviewed health professionals in order to understand obstacles of collaboration between family members and mental health care workers. The goal was to uncover actions that promote collaboration and help build alliances between families and psychiatric workers. Results showed that health professionals view the family as a therapeutic resource. Despite this view, family members were rarely included in patient treatment. The reasons is: the structures have a theoretical orientation of collaboration with the family but, for nurses not are organized a few meeting spaces with family members. Services should create moments...
How is the collaborative-practice competency operationalized by mental health workers
International Journal of Rehabilitation Research, 2006
The recovery-focused competencies currently endorsed in policy emphasize collaborative relationships between mental health workers, service users, families and communities. Based on a qualitative research methodology, multi-disciplined practitioners shared their perceptions as to how mental health workers could operationalize collaborative relationships. Two community mental health centres were the setting for three focus groups, where 16 voluntary participants contributed to focused discussions. Participants discussed the pragmatics of how they work collaboratively; identifying knowledge and attitudes that underpin their practice, and elaborating on environmental influences that impact on a collaborative approach. Findings from the study recommend the practitioner role as one of advocacy and facilitation. The collaborative approach, which is inextricably related to the quality of the practitioner-service user relationship, aids sense-making for service users of their mental health experience. This requires of practitioners the qualities of openness, expression of hope, genuineness and people-first attitude that supports the building of knowledge rather than communicating it.
International Practice Development Journal, 2015
Background: During the past three decades, the concepts of recovery and person-centredness have become familiar in mental health policy, practice and research, as well as in the voicing of service users' experiences of moving from mental distress and processes towards wellbeing and citizenship. Recovery, like person-centredness, is about a person retaining and keeping control over their life situation and being assisted in making informed decisions, and about supporting real partnerships between persons, families and services. Aim: The aim of the article is to discuss the roots and developments of recovery and personcentredness, highlight some key strategies of these practice developments and show how the concepts and practices can nurture each other. What this article adds to the topic: The roots of recovery are based in service user and activist organisations, and in disability movements, while the roots of person-centeredness can be traced back to Carl Rogers' work from the early 1940s, and also to humanistic-existentialist oriented models of care in the 1960 and 1970s. The two concepts are interdependent in that they presuppose each other. The key aspects of recovery can be summed up as: • Recovery as a spontaneous, natural event • Recovery as consequence of active treatment • Recovery despite symptoms and functional impairments Recovery is a personal, social and a spiritual process. Person-centredness is regarded as an essential component in good-quality care, and is understood as conveying a holistic approach characterised by respect for individuals and their unique experiences and needs. Implications for practice: To make recovery and person-centredness influential in practice, four strategies are outlined: • Realising the radical change involved in placing the person at the centre • Acknowledging mental health problems as both personal and social • Recognising and using knowledge embedded in the lived experience of service users, family members and practitioners • Paying genuine attention to the spiritual process of recovery
2021
Background In an earlier study, PRIM-CARE RCT, a care manager implementation at the primary care centre showed improved return to work and reduced sick leave for patients with CMD. To further improve return to work, the project Co-Work-Care added a person-centered dialogue meeting between the patient, the employer and the rehabilitation coordinator, preceded by an increased collaboration between care manager, rehabilitation coordinator and GP. In this first qualitative study of the Co-Work-Care project, we explored how care managers and rehabilitation coordinators experienced the Co-Work-Care model. The purpose of this study was to explore care managers' and rehabilitation coordinators' perceptions and experiences of a close collaboration and the use of the person-centred dialogue meeting. Methods From an ongoing RCT with 20 primary care centres, care managers (CMs) (n = 13) and rehabilitation coordinators (RCs) (n = 12) participated in a qualitative study with focus groups....
Perceptions of health professionals on social inclusion in a Psychosocial Care Center
Revista da Rede de Enfermagem do Nordeste, 2019
Objective: to understand the perceptions of the technical team about social inclusion in the Psychosocial Care Center. Methods: qualitative research, developed with 20 health professionals. A semi-structured interview technique and non-participant observation were used. Data analyzed through the descending hierarchical classification and content thematic analysis, processed in the Analyse Lexicale par Contexte d'un Ensemble de Segments de Texte software. Results: three categories emerged: Social inclusion, family participation in inclusion/ exclusion and income generation; Therapeutic activities: inclusion inside and outside the Psychosocial Care Center; and Challenges of inclusion: service management and professional training. Conclusion: prejudice or discrimination in this field, coupled with the difficulties of support of the management with service and stiffening of the work process with centrality in the psychiatric consultation, jeopardize attempts at rehabilitation and social inclusion of users and families. Descriptors: Social Support; Mental Health Services; Psychiatric Nursing; Mental Health. Objetivo: compreender as percepções de equipe técnica sobre inclusão social em um Centro de Atenção Psicossocial. Métodos: pesquisa qualitativa, desenvolvida com 20 profissionais de saúde. Utilizaram-se a técnica de entrevista semiestruturada e a observação não participante. Dados analisados por meio da classificação hierárquica descendente e análise temática de conteúdo, processados no software Analyse Lexicale par Contexte d'un Ensemble de Segments de Texte. Resultados: emergiram-se três categorias: Inclusão social: participação familiar na inclusão/exclusão e a geração de renda; Atividades terapêuticas: inclusão "dentro e fora" do Centro de Atenção Psicossocial; e Desafios da inclusão: gestão do serviço e capacitação profissional. Conclusão: o preconceito ou a discriminação neste campo, aliado às dificuldades de apoio da gestão com serviço e "engessamento" do processo de trabalho com centralidade na consulta psiquiátrica, prejudica as tentativas de reabilitação e inclusão social de usuários e famílias.
Journal of multidisciplinary healthcare, 2022
Individuals with serious mental illness (SMI) might require coordinated health services to meet their healthcare needs. The overall aim of this study was to describe the perspectives of professionals (registered nurses, medical doctors, social educators, and social workers) on care coordination and measures to ensure proper and coordinated follow-up of the healthcare needs of individuals with SMI. More specifically, we investigated which measures are taken by employees in municipal health and care services to prevent the deterioration of health conditions and which measures are taken in cases where deterioration occurs despite preventive efforts. Method: The study comprised individual qualitative interviews with professionals employed in municipal health and care services in two Norwegian municipalities. The interview material was analyzed using systematic text condensation. Results: Three categories and seven subcategories were created in the data analysis: 1) Maintain a stable and meaningful home life, including ensuring proper housing and access to services and assistance in receiving healthcare; 2) Measures to prevent deterioration of the health condition, including close monitoring of symptoms, emergency psychiatric care plans and emergency room calls and visits; and 3) Inpatient care to stabilize acute and severe symptoms, including municipal inpatient care, returning home after inpatient care and a need for shared responsibility for treatment and care. Conclusion: Professionals employed in municipal health and care services coordinate health services to ensure proper and coordinated follow-up of the healthcare needs of individuals with SMI by ensuring housing services and access to the required healthcare. Measures taken when deterioration occurs include monitoring symptoms, use of emergency psychiatric care plans, emergency room contacts, or inpatient care.