A multilevel study of patient-centered care perceptions in mental health teams

Patient Centered Care ◽

Multidisciplinary Teams ◽

Patient Centered ◽

Cross Sectional ◽

Abstract Background: The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams.Method: A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings. Results: This study showed that belief in interprofessional collaboration’s relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams’ ability to respond to its challenges. It is also related to individuals’ beliefs central to the delivery of interprofessional care.

A multilevel study of patient-centered care perceptions in mental health teams

10.21203/rs.3.rs-48898/v2 ◽

2020 ◽

Author(s):

Francois Durand ◽

Marie-Josée Fleury

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Patient Centered Care ◽

Multidisciplinary Teams ◽

Patient Centered ◽

Cross Sectional ◽

A multilevel study of patient-centered care perceptions in mental health teams

BMC Health Services Research ◽

10.1186/s12913-020-06054-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

François Durand ◽

Marie-Josée Fleury

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Patient Centered Care ◽

Multidisciplinary Teams ◽

Patient Centered ◽

Cross Sectional ◽

Abstract Background The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams. Method A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings. Results This study showed that belief in interprofessional collaboration’s relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions. Conclusions Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams’ ability to respond to its challenges. It is also related to individuals’ beliefs central to the delivery of interprofessional care.

A Multilevel Study of Patient-Centered Care Perceptions In Mental Health Teams

10.21203/rs.3.rs-48898/v1 ◽

2020 ◽

Author(s):

Francois Durand ◽

Marie-Josée Fleury

Keyword(s):

Mental Health ◽

Patient Centered Care ◽

Multidisciplinary Teams ◽

Patient Centered ◽

Cross Sectional ◽

Team Processes ◽

Interprofessional Care ◽

Centered Care ◽

The Impact

Abstract Background: The combination of interprofessional collaboration in teams and patient-centered care is a necessary amalgamation when it comes to delivering complex mental healthy care and services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines the impact of predictors of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration, informal role self-efficacy in multidisciplinary mental health teams.Method: Cross-sectional multilevel design using self-administered bilingual validated questionnaires.Results: This study showed that belief in interprofessional collaboration’s impact on patient-centered perceptions is increased in teams with high collaboration. We also showed that collaboration is a mediator; that is, a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.Conclusions: In terms of research our results are in line with recent theorising on team processes and specifically established collaboration as key in a multilevel examination of predictors of patient-centered care perceptions. In terms of practice, we showed that multidisciplinary teams should know that working hard on collaboration as an answer to the complexity of patient-centered care impacts the teams’ ability to respond to its challenges but also impacts individuals’ beliefs central to the delivery of interprofessional care.

Beyond patient-centered care: Enhancing the patient experience in mental health services through patient-perspective care

Patient Experience Journal ◽

10.35680/2372-0247.1139 ◽

2016 ◽

Vol 3 (2) ◽

pp. 46-49 ◽

Cited By ~ 8

Author(s):

Timothy A Carey

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Patient Experience ◽

Patient Perspective ◽

Patient Centered Care ◽

Patient Centered ◽

Improving Interagency Collaboration, Innovation and Learning in Criminal Justice Systems ◽

Interorganisational Collaboration in a Norwegian Prison—Challenges and Opportunities Arising from Interagency Meetings

10.1007/978-3-030-70661-6_2 ◽

2021 ◽

pp. 31-57

Author(s):

Päivikki Lahtinen ◽

Anu Kajamaa ◽

Laura Seppänen ◽

Berit Johnsen ◽

Sarah Hean ◽

...

Keyword(s):

Mental Health ◽

Criminal Justice ◽

Mental Health Services ◽

Health Services ◽

Health Professionals ◽

Challenges And Opportunities ◽

Working Together ◽

Provision Of Care

AbstractIn prison, the provision of care and the surveillance of inmates takes place in multiple locations with several often contradictory demands. Inmates may experience a fragmentation of services because of the separate silos in which criminal justice service and mental health professionals work and the distinct ways of working that develop within these. A greater alignment between services is required. This chapter focuses on interagency meetings in a Norwegian prison. These are groups that aim to develop an holistic perspective of the inmate’s situation and problems, and are seen as an innovative way to overcome the contradiction between ‘treatment’ and ‘punishment’ prison paradigms applied by the different professionals working together in the prison and mental health services. We analysed how the professionals interact at interagency meetings, and how they align their tasks, goals, roles and expertise to support the inmate’s imprisonment and rehabilitation. Our analysis illustrates the multiple ways in which this collective activity is conceptualised by the participants and then provides a model of interorganisational dynamics through which these collaborations may be fostered. By so doing, we have made suggestions about how to enhance interprofessional collaboration between prison and mental health services. The chapter also contributes to research on challenges and opportunities for collaboration in complex organisational settings.

Addressing the existential dimension in treatment settings: Mental health professionals’ and healthcare chaplains’ attitudes, practices, understanding and perceptions of value

Archive for the Psychology of Religion ◽

10.1177/0084672419883345 ◽

2019 ◽

Vol 41 (3) ◽

pp. 253-276

Author(s):

Hilde Frøkedal ◽

Torgeir Sørensen ◽

Torleif Ruud ◽

Valerie DeMarinis ◽

Hans Stifoss-Hanssen

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Health Professionals ◽

Group Practice ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Existential Dimension ◽

Treatment Settings

Research has shown that addressing and integrating the existential dimension in treatment settings reduce symptoms like anxiety, depression and substance abuse. Healthcare chaplains are key personnel in this practice. A nationwide, cross-sectional survey influenced by a mixed-methods approach was used to examine the attitudes, practices, understanding and perceptions of mental health professionals, including healthcare chaplains, regarding the value of addressing the existential dimension in treatment programmes. The existential group practice was led by the healthcare chaplains as an integrated part of specialist mental health services. A positive and open attitude towards addressing the existential dimension was identified among the informants. Despite this, a small gap between attitude and practice was reported. Existential, religious and spiritual concerns are reported as part of the existential dimension and as relevant topics to be discussed in specialist mental health services. The findings indicate that the existential group practice could have a positive influence on the co-leaders’ competence to address existential, religious and spiritual concerns; however, this should be further investigated.

The Bridge Program: A Model for Delivering Mental Health Services to Asian Americans through Primary Care

10.36650/nexus3.1_13-29_chenetal ◽

2005 ◽

Vol 3 (1) ◽

pp. 13-29 ◽

Cited By ~ 1

Author(s):

Hongtu Chen ◽

Elizabeth Kramer ◽

Teddy Chen ◽

Jianping Chen ◽

Henry Chung

Keyword(s):

Mental Health ◽

Primary Care ◽

Mental Health Services ◽

Health Services ◽

Asian Americans ◽

Primary Care Providers ◽

Care Providers ◽

Bridge Program ◽

Community Awareness

Compared to all other racial and ethnic groups, Asian Americans have the lowest utilization of mental health services. Contributing factors include extremely low community awareness about mental health, a lack of culturally competent Asian American mental health professionals, and severe stigma associated with mental illness. This manuscript describes an innovative program that bridges the gap between primary care and mental health services. The Bridge Program, cited in the supplement to the Surgeon’s General’s Report on Mental Health: Culture, Race, and Ethnicity as a model for delivery of mental health services through primary care; (2) to improve capacity by enhancing the skills of primary care providers to identify and treat mental disorders commonly seen in primary care; and (3) to raise community awareness by providing health education on mental health and illness. Results are presented and the potential for replication is addressed.

Distress and impaired functioning, coping mechanisms and barriers to access mental health services among Syrian refugees and Jordanian adults after eight years of Syrian crisis: a cross-sectional study (Preprint)

10.2196/preprints.29797 ◽

2021 ◽

Author(s):

Yousef Khader ◽

Ahmad Bawaneh ◽

Zaid Al-Hamdan

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Significant Proportion ◽

Cross Sectional Study ◽

Coping Mechanisms ◽

Syrian Refugees ◽

Sectional Study ◽

Cross Sectional ◽

Barriers To Access

BACKGROUND The Syrian conflict started in 2011 and resulted ever since in a large displacement of Syrians. Conflict-related violence coupled with displacement related stressors such as poverty, poor access to health services, loss of family support and discrimination had a significant impact on the mental health and psychosocial wellbeing of Syrian refugee OBJECTIVE This study aimed to identify the perceived symptoms of severe distress and impaired functioning, identify coping mechanisms and identify the barriers to access mental health services among Syrian refugees and Jordanian adults. METHODS This cross-sectional study study took place in 14 randomly selected sites in Jordan where Syrian refugees are concentered and from Za’tari refugee camp. A toolkit for humanitarian settings was used for data collection. RESULTS Of the 1424 participants, 43.4% had distress; 38.9% among host population, 57.0% among refugees in urban communities, and 23.0% among refugees in camp (p <0.005). Overall, finding comfort in faith and spiritual beliefs was the most common coping mechanism reported by those who perceived to be experiencing distress. CONCLUSIONS A significant proportion of Syrian refugees had distress symptoms. It is recommended to incorporate mental health services into broad-based community settings, such as schools, primary prevention or case management programs.

The transition between mental health services in Scotland

Mental Health Review Journal ◽

10.1108/mhrj-05-2017-0020 ◽

2018 ◽

Vol 23 (1) ◽

pp. 12-24 ◽

Cited By ~ 5

Author(s):

Juliette van der Kamp

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Health Professionals ◽

Transition Period ◽

Organisational Development ◽

Structured Interviews ◽

Content Type ◽

Experience Difficulty

Purpose The purpose of this paper is to describe the barriers and facilitators to an effective transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). It also presents a new entry into considering how the transition can be improved. Design/methodology/approach Insights into the transition from CAMHS to AMHS were gathered through eight semi-structured interviews with mental health professionals. Two methods of data analysis were employed to explore the emerging themes in the data and the observed deficit approach to organisational development. Findings The findings identified a vast volume of barriers in comparison to facilitators to the transition. Adolescents who transition from CAMHS to AMHS initially experience difficulty adapting to the differences in the services due to the short duration of the transition period. However, despite the established barriers to the transition, adolescents tend to adapt to the differences between the services. Findings also showed a negative framing towards the transition amongst the mental health professionals which resembles a deficit approach to organisational development. Originality/value This paper explores mental health professionals’ perspectives regarding the transition in Dumfries and Galloway, Scotland. The transition is increasingly recognised as an area in health care that requires improvement. This research provides a new way to consider the transition by exploring the perceived deficit approach to organisational development in the services.

The Greek Hybrid Version of the Assertive Community Treatment Model: A Perspective View between Challenges and Limitations

Psych ◽

10.3390/psych3040050 ◽

2021 ◽

Vol 3 (4) ◽

pp. 792-799

Author(s):

Vaios Peritogiannis ◽

Fotini Tsoli

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Assertive Community Treatment ◽

Rural Areas ◽

Community Treatment ◽

Community Mental Health Service ◽

Perspective View

The Assertive Community Treatment (ACT) model of care has been long considered to be effective in the management of patients with severe mental illness (SMI) in most Western countries. The implementation of the original ACT model may be particularly challenging in rural and remote communities with small and dispersed populations and lack of adequate mental health services. Rural programs may have to adapt the model and modify the ACT fidelity standards to accommodate these limitations, and this is the rationale for the introduction of more flexible, hybrid ACT models. In rural Greece, the so called Mobile Mental Health Units (MMHUs) are well-established community mental health services. For patients with SMI that have difficulties engaging with treatment services, the new hybrid ACT model has been recently launched. The objective of this manuscript is to present the recently launched hybrid ACT model in rural areas in Greece and to explore the challenges and limitations in its implementation from the experience of a team of mental health professionals with ACT experience. Referral criteria have not been strictly set, but the number of previous relapses and hospitalizations is taken under consideration, as well as the history of poor treatment adherence and disengagement from mental health services. The main limitation in the implementation of the hybrid ACT service is that it has been introduced in several areas in the absence of a pre-existing community mental health service. This may impact referrals and limit focus on the difficult cases of patients with SMI, thus making the evaluation of the model inapplicable.