Collaborative partnerships: bridging the knowledge practice gap in client-centred care in mental health

2015 ◽  
Vol 10 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Elizabeth McCay ◽  
Kristin Cleverley ◽  
Audrey Danaher ◽  
Naomi Mudachi
Keyword(s):  
Mental Health ◽  
Research Evidence ◽  
Interprofessional Collaboration ◽  
Tertiary Care ◽  
Knowledge Exchange ◽  
Collaborative Partnerships ◽  
Content Type ◽  
Knowledge Practice ◽  
Practice Gap ◽  
Evidenced Based

Purpose – The purpose of this paper is to describe a partnership, the Ryerson-Centre for Addiction and Mental Health Collaborative for Client-Centred and Family Sensitive Care Collaborative, between an urban university and tertiary care mental health facility to build capacity in using research evidence to support client-centred care. A cornerstone of the partnership was a study exploring the connection between effective interprofessional collaboration and the capacity to provide exemplary client-centred care in mental health. Design/methodology/approach – The Collaborative brings together organizations with shared values and a commitment to client-centred interprofessional care. It is a strategic approach in amplifying opportunities for the uptake of research evidence and knowledge transfer. One of the principal deliverables for the Collaborative was a multi-phased study exploring the relationship between team collaboration and client-centred care. Findings – Research findings identified a significant association between the level of team effectiveness and collaboration and the staffs’ perceived capacity to deliver client-centred care. Client and family member perspectives highlighted the importance of interprofessional team functioning and collaboration. The work of the Collaborative helped narrow the knowledge practice gap through: a research practicum to mentor graduate students; knowledge exchange and dissemination; and working with advanced practice staff to support change within the organization. Originality/value – Inter-organizational relationships, such as the Collaborative, support initiatives that accelerate the use of clinically relevant research and bridge the knowledge practice gap. A university/tertiary care teaching facility partnership represents a promising model for advancing and disseminating evidenced-based knowledge.

Exploring Norwegian prison frontline workers’ perceptions of inter professional collaboration – a pilot study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bjørn Kjetil Larsen ◽  
Sarah Hean ◽  
Atle Ødegård
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Interprofessional Collaboration ◽  
Psychosocial Needs ◽  
Theoretical Frameworks ◽  
Cross Sectional ◽  
Frontline Staff ◽  
Content Type ◽  
Frontline Workers ◽  
Cross Sectional Design

Purpose Interprofessional collaboration is necessary for handling the complex psychosocial needs of prisoners. This collaboration must be addressed to avoid high recidivism rates and the human and societal costs linked to them. Challenges are exacerbated by a linear approach to handling prisoners’ problems, silo working between welfare agencies and professional boundaries between frontline workers. There are few adequate theoretical frameworks and tools to address these challenges in the prison context. The purpose of this study is to explore the perceptions that frontline staff working in Norwegian prison facilities have regarding interprofessional collaboration in providing mental health services for prisoners. Design/methodology/approach This study had a non-experimental, cross-sectional design to explore perceptions of interprofessional collaboration in a prison context. Descriptive and multifactorial analyses (exploratory factor analysis and confirmatory factor analysis) were used to explore the data. Findings The analysis showed that three factors, communication, organizational culture and domain, explained 95% of the variance. Results are discussed using relational coordination, as well as the conceptual PINCOM model, as a theoretical framework. Originality/value Few studies explicitly explore collaboration between professionals in mental health and prison services despite its being a prerequisite to achieving sufficient services for prisoners. To our knowledge, this current study is one of the first in Norway to explore collaboration in a prison context by analysing quantitative data and focusing on frontline workers perception of the phenomenon.

Mental health and policing interventions: implementation and impact

2018 ◽  
Vol 23 (2) ◽  
pp. 86-93 ◽  
Author(s):  
Eddie Kane ◽  
Emily Evans
Keyword(s):  
Mental Health ◽  
Justice System ◽  
Design Methodology ◽  
Research Evidence ◽  
Strong Support ◽  
Evidence Base ◽  
Content Type ◽  
Operational Issues ◽  
And Control ◽  
Optimal Effect

Purpose Interactions between individuals experiencing mental health (MH) problems and the police are complex and may affect the way in which both parties react to and experience the interactions. The purpose of this paper is to examine three commonly used interventions to improve these interactions. Design/methodology/approach Mixed methods were used to examine embedded MH professionals in command and control rooms, Liaison and Diversion Teams and Street Triage. The authors also reviewed the use of Section 136 (s136) of the Mental Health Act 1983 (2007) during the period these interventions were deployed. Findings There was strong support for these interventions but also gaps, resource and operational issues that need to be addressed if they are to have optimal effect on delivering appropriate diversion from the justice system, reduce reoffending and improve MH outcomes for individuals. The use of s136 remained relatively constant. Originality/value Despite a recent increase in the level of investment related to these interventions the evidence base remains limited. This study provides baseline of research evidence for those who commission and provide services for individuals experiencing mental ill health and who are in contact with the justice system.

Getting unstuck along the clinical pathway: an integrated multi-agency approach

2014 ◽  
Vol 8 (3) ◽  
pp. 192-196
Author(s):  
Luci Richards ◽  
Nwamaka Uchendu ◽  
Jean O’Hara
Keyword(s):  
Mental Health ◽  
Intellectual Disabilities ◽  
Social Services ◽  
Clinical Pathway ◽  
Care Pathway ◽  
Tertiary Care ◽  
Community Support ◽  
Team Approach ◽  
Challenging Behaviour ◽  
Content Type

Purpose – The purpose of this paper is to highlight how the management of an adult with intellectual disabilities and complex medical conditions by a multi-disciplinary and multi-agency team approach across a clinical pathway (primary, secondary and tertiary care, health, social and third sector agencies) can be used to improve the person's physical and mental health outcome. Design/methodology/approach – Literature review and case report in which the paper describes the presentation of the patient with multiple complex physical health conditions, mild intellectual disability and challenging behaviour and description of the management process and the observed outcome. Findings – The patient required input from the multi-disciplinary community intellectual disabilities team and multi-agency team including social services and community support team, admission to a specialist intellectual disabilities ward to optimise her management. She improved relatively well and was discharged to the community. On discharge she continued to receive ongoing psychiatric, psychological and community psychiatric nurse input and maintains the sustained improvement in her mental health. She no longer displays risky or challenging behaviour, her mood has improved and there is no self-harm ideation. She remains anxious at times, however, her symptoms are much improved and do not affect her daily functioning. Originality/value – This case highlights the profound and enduring psychiatric and behavioural sequelae following brain malignancy and treatment and how essential a multi-disciplinary and multi-agency approach is in the successful management of complex issues. Her symptoms appeared relatively treatment resistant until she had a specialist inpatient admission. This case study also demonstrates the strengths and advantages of having specialist care pathway for such complex presentations, allowing for integrated community, secondary and tertiary care, and for the care system to work together in a coordinated and managed way.

The collaborative assessment and management of suicide (CAMS): a recovery-oriented approach to working with suicidal people

2017 ◽  
Vol 21 (2) ◽  
pp. 86-90
Author(s):  
Eoin Galavan ◽  
Julie Repper
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Design Methodology ◽  
Collaborative Approach ◽  
Content Type ◽  
Collaborative Assessment ◽  
Evidenced Based ◽  
Oriented Approach

Purpose The collaborative assessment and management of suicide (CAMS) is an evidenced-based therapeutic framework designed to facilitate a co-authored and collaborative approach to addressing suicidality (Jobes, 2009). The collaborative nature of this approach is fundamental to its success in delivering suicide specific and recovery-oriented mental health care to thousands of suicidal people to date. The purpose of this paper is to outline the CAMS model and propose it as a recovery-oriented approach to addressing suicidality in mental health care. Design/methodology/approach The CAMS model and its philosophy are reviewed in light of recovery principles. Findings It is proposed that the CAMS model is consistent with a recovery-oriented approach to mental health care for suicidal people. Originality/value As yet there are no specifically identified recovery-oriented approaches to addressing suicidality.

scholarly journals Improving collaboration between professionals supporting mentally ill offenders

2017 ◽  
Vol 13 (2) ◽  
pp. 91-104 ◽  
Author(s):  
Sarah Hean ◽  
Atle Ødegård ◽  
Elisabeth Willumsen
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Health Care Professionals ◽  
Interprofessional Collaboration ◽  
Prison System ◽  
Care Staff ◽  
Mentally Ill Offenders ◽  
Health Staff ◽  
Content Type ◽  
Professional Groups

Purpose Interprofessional collaboration is necessary when supporting mentally ill offenders but little is understood of these interactions. The purpose of this paper is to explore prison officers’ perceptions of current and desirable levels of interprofessional collaboration (relational coordination (RC)) to understand how collaboration between these systems can be improved. Design/methodology/approach Gittell’s RC scale was administered to prison officers within the Norwegian prison system (n=160) using an adaptation of the instrument in which actual and desired levels of RC are evaluated. This differentiates between prison officers’ expectations of optimum levels of collaboration with other professional groups, dependent on the role function and codependence, vs actual levels of collaboration. Findings Prison officers reported different RC levels across professional groups, the lowest being with specialist mental health staff and prison doctors and highest with nurses, social workers and other prison officers. Significant differences between desired and actual RC levels suggest expertise of primary care staff is insufficient, as prison officers request much greater contact with mental health specialists when dealing with the mentally ill offender. Originality/value The paper contributes to limited literature on collaborative practice between prison and health care professionals. It questions the advisability of enforcing care pathways that promote the lowest level of effective care in the prison system and suggest ways in which mental health specialists might be better integrated into the prison system. It contributes to the continued debate on how mental health services should be integrated into the prison system, suggesting that the current import model used in Norway and other countries, may not be conducive to generating the close professional relationships required between mental health and prison staff.

IMPACT OF SOCIO-DEMOGRAPHIC VARIABLES AND MORBID CONDITIONS ON PERCEIVED MENTAL HEALTH COMPONENTS USING SF-36 QUESTIONNAIRE

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
S. K. Sharma ◽  
V. P. Shrotriya ◽  
D. Imtiaz ◽  
S. B. Gupta
Keyword(s):  
Mental Health ◽  
Diabetes Mellitus ◽  
Social Functioning ◽  
Tertiary Care ◽  
Perceived Health ◽  
Subjective Assessment ◽  
Care Hospital ◽  
Sf 36 ◽  
The Social ◽  
The Impact

<bold>Introduction:</bold> Perceived Health is a subjective assessment of the physical as well as mental health and includes so many aspects as mentioned in SF-36 form that are difficult to capture clinically such as incipient disease, physiological, psychological reserves and social functions. To assess the impact of Diabetes Mellitus, Hypertension and other socio-demographic factors on the Social Functioning component of mental health of the patients attending a tertiary care hospital in Bareilly. <bold>Material and Methods:</bold> Perceived health status of the patients was assessed by the Social Functioning dimension of the Mental Component Summary (MCS) using the SF-36 form. <bold>Results:</bold> The presence of both Diabetes Mellitus and Hypertension was associated with lower Social Functioning scores compared to those with diabetes (p = 0.013) and hypertension alone. Age was negatively related with Social Functioning scores (p<0.001) but male gender (p>0.000) and higher income (p<0.424) were all associated with higher Social Functioning scores. Rural subjects were found to have better SF score compared to urban. <bold>Conclusion:</bold> Age, gender and morbidity was found to have profound influence on Social Functioning scoring of the subjects. However, the results should be interpreted in terms of the study’s limitations.

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