Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study (original) (raw)
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BMC Family Practice
Background This study has two aims: first, to identify variables associated with interprofessional collaboration (IPC) among a total of 315 Quebec mental health (MH) professionals working in MH primary care teams (PCTs, N = 101) or in specialized service teams (SSTs, N = 214); and second, to compare IPC associated variables in MH-PCTs vs MH-SSTs. Methods A large number of variables acknowledged as strongly related to IPC in the literature were tested. Multivariate regression models were performed on MH-PCTs and MH-SSTs respectively. Results Results showed that knowledge integration, team climate and multifocal identification were independently and positively associated with IPC in both MH-PCTs and MH-SSTs. By contrast, knowledge sharing was positively associated with IPC in MH-PCTs only, and organizational support positively associated with IPC in MH-SSTs. Finally, one variable (age) was significantly and negatively associated with IPC in SSTs. Conclusions Improving IPC and making M...
Sage Open Medicine, 2019
This study aims at identifying profiles of mental health professionals based on individual, interactional, structural and professional role characteristics related to interprofessional collaboration. Methods: Mental health professionals (N = 315) working in primary health care and specialized mental health teams in four Quebec local service networks completed a self-administered questionnaire eliciting information on individual, interactional, structural and professional role characteristics. Results: Cluster analysis identified four profiles of mental health professionals. Those with the highest interprofessional collaboration scores comprised two profiles labeled "highly collaborative female professionals with fewer conflicts and more knowledge sharing and integration" and "highly collaborative male professionals with fewer conflicts, more participation in decision-making and mutual trust." By contrast, the profile labeled "slightly collaborative professionals with high seniority, many conflicts and less knowledge integration and mutual trust" had the lowest interprofessional collaboration score. Another profile positioned between these groups was identified as "moderately collaborative female psychosocial professionals with less participation in decision-making." Discussion and conclusion: Organizational support, participation in decision-making, knowledge sharing, knowledge integration, mutual trust, affective commitment toward the team, professional diversity and belief in the benefits of interdisciplinary collaboration were features associated with profiles where perceived interprofessional collaboration was higher. These team qualities should be strongly encouraged by mental health managers for improving interprofessional collaboration. Training is also needed to promote improvement in interprofessional collaboration competencies.
Professionals' perceptions of interprofessional working in community mental health teams
Journal of Interprofessional Care, 2005
This paper seeks to establish whether the presence of core structures influences professionals' perceptions of interprofessional working within their teams by means of a cross-sectional questionnaire survey of all professionals working in integrated community mental health teams in an identified NHS Trust. The findings confirm that the interprofessional teams were integrated, but that the presence of meetings, Care Programme Approach policy or operational policy had little influence on perceptions of interprofessional working. Joint policies on documentation, risk and supervision were related to perceptions of interprofessional working. The majority of professionals were clear about their roles, but perceived that other members of the team did not recognise or understand these roles. Questions arise about how identified structures are operationalised in interprofessional teams. Practice areas may need to examine the effectiveness of the identified meetings and the involvement of the different professionals.
Framework development for the assessment of interprofessional teamwork in mental health settings
Journal of interprofessional care, 2017
In mental health settings, interprofessional practice is regarded as a comprehensive approach to prevent relapse and manage chronic conditions with practice of various teamwork interventions. To reinforce the potential of interprofessional teamwork, it is recommended that theories or conceptual frameworks be employed. There continues, however, to be a limited use of such approaches that assess the quality of interprofessional teamwork in mental health settings. This article aimed to present a new conceptual framework for the assessment of interprofessional teamwork based on the findings of a scoping review of the literature. This review was undertaken to identify conceptual frameworks utilised in interprofessional teamwork in mental health settings. After reviewing 952 articles, the methodological characteristics extracted from 12 articles were considered. The included studies were synthesised into the Donabedian structure-process-outcome model. The findings revealed that structural...
Developing Effective Collaboration Between Primary Care and Mental Health Providers
The Primary Care Companion to The Journal of Clinical Psychiatry, 2006
Improving care for depressed primary care (PC) patients requires system-level interventions based on chronic illness management with collaboration among primary care providers (PCPs) and mental health providers (MHPs). We describe the development of an effective collaboration system for an ongoing multisite Department of Veterans Affairs (VA) study evaluating a multifaceted program to improve management of major depression in PC practices. Method: Translating Initiatives for Depression into Effective Solutions (TIDES) is a research project that helps VA facilities adopt depression care improvements for PC patients with depression. A regional telephone-based depression care management program used Depression Case Managers (DCMs) supervised by MHPs to assist PCPs with patient management. The Collaborative Care Workgroup (CWG) was created to facilitate collaboration between PCPs, MHPs, and DCMs. The CWG used a 3-phase process: (1) identify barriers to better depression treatment, (2) identify target problems and solutions, and (3) institutionalize ongoing problem detection and solution through new policies and procedures. Results: The CWG overcame barriers that exist between PCPs and MHPs, leading to high rates of the following: patients with depression being followed by PCPs (82%), referred PC patients with depression keeping their appointments with MHPs (88%), and PC patients with depression receiving antidepressants (76%). The CWG helped sites implement site-specific protocols for addressing patients with suicidal ideation. Conclusion: By applying these steps in PC practices, collaboration between PCPs and MHPs has been improved and maintained. These steps offer a guide to improving collaborative care to manage depression or other chronic disorders within PC clinics.
An Approach to Integrating Interprofessional Education in Collaborative Mental Health Care
Academic Psychiatry, 2012
This article describes an evaluation of a curriculum approach to integrating interprofessional education (IPE) in collaborative mental health practice across the pre-to postlicensure continuum of medical education. Methods: A systematic evaluation of IPE activities was conducted, utilizing a combination of evaluation study designs, including: pretest-posttest control group; one-group pre-testpost-test; and one-shot case study. Participant satisfaction, attitudes toward teamwork, and self-reported teamwork abilities were key evaluative outcome measures. Results: IPE in collaborative mental health practice was well received at both the pre-and post-licensure levels. Satisfaction scores were very high, and students, trainees, and practitioners welcomed the opportunity to learn about collaboration in the context of mental health. Medical student satisfaction increased significantly with the introduction of standardized patients (SPs) as an interprofessional learning method. Medical students and faculty reported that experiential learning in practice-based settings is a key component of effective approaches to IPE implementation. At a post-licensure level, practitioners reported significant improvement in attitudes toward interprofessional collaboration in mental health care after participation in IPE. Conclusion: IPE in collaborative mental health is feasible, and mental health settings offer practical and useful learning experiences for students, trainees, and practitioners in interprofessional collaboration.
Iranian journal of nursing and midwifery research, 2012
Nurses and other members of health care team provide mental patients with health services through interprofessional collaboration which is a main strategy to improve health services. Nevertheless, many difficulties are evidently influencing interprofessional collaboration in Iranian context. This paper presented the results of a study aimed to explore the context. A qualitative study was conducted using in-depth interviews to collect data from 20 health professionals and 4 clients or their family members who were selected purposefully from the health centers affiliated with Isfahan University of Medical Sciences. Themes were identified using latent qualitative content analysis. Trustworthiness of the study was supported considering auditability, neutrality, consistency and transferability. The study lasted from 2010 to 2011. Some important challenges were identified as protecting professional territory, medical oriented approach and teamwork deficits. They were all under a main them...
The Effect of Collaborative Handling on Community Mental Health Nursing Services
THE MALAYSIAN JOURNAL OF NURSING, 2022
Service collaboration in the community occurs in the working relationship between health workers, sources, and community leaders in providing services to patients, clients, and individuals in conducting discussions about diagnoses, cooperation in health services, mutual consultation, or communication, and each is responsible for the scope of work. her job. The purpose of this study was to analyze the effectiveness of collaborative handling in community mental health nursing services (CMHN). This study found an important role in the practice of providing services for people with mental disorders (ODGJ), describing an increase in the independence of ODGJ and the effectiveness of handling collaboration in the implementation of IPC. The practice of collaboration between health officers and community leaders or officers at NISWA is a process of intervening in more than one profession, completing one task to achieve goals, and optimizing services to ODGJ. This condition is evidenced by collaboration services having a positive and significant effect on CHMN. A synergy of collaboration was found between health workers/sources/community leaders as Reform Agents on the role of health workers by jointly providing Interprofessional Collaboration (IPC) in the implementation of CMHN at NISWA. Keywords: Community Leader; Inter-