tailieunhanh - báo cáo khoa học: " Achieving Continuity of Care: Facilitators and Barriers in Community Mental Health Teams"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Achieving Continuity of Care: Facilitators and Barriers in Community Mental Health Teams | Belling et al. Implementation Science 2011 6 23 http content 6 1 23 IMPLEMENTATION SCIENCE Implementation Science RESEARCH Open Access Achieving Continuity of Care Facilitators and Barriers in Community Mental Health Teams Di 4 pi D S-. I I I z-i3 t ft I VTI W T 4-4- - . I 3 Cl I r n r zs 3 D I I I I S r 1 2 I r r f l s 4 4 i2 I D r I S-. r-4 IR I D r Ruth Belling Margaret wniLLOCK Susan McLaren iom Burns Jocelyn catty Ian Rees Jones Diana nose and Til WyKes5 for the ECHO Group5 Abstract Background The integration of mental health and social services for people diagnosed with severe mental illness SMI has been a Key aspect of attempts to reform mental health services in the UK and aims to minimise user and carer distress and confusion arising from service discontinuities. Community mental health teams CMHTs are a Key component of UK policy for integrated service delivery but implementing this policy has raised considerable organisational challenges. The aim of this study was to identify and explore facilitators and barriers perceived to influence continuity of care by health and social care professionals working in and closely associated with CMHTs. Methods This study employed a survey design utilising in-depth semi-structured interviews with a proportionate random sample of 113 health and social care professionals and representatives of voluntary organisations. Participants worked in two NHS Mental Health Trusts in greater London within eight adult CMHTs and their associated acute in-patient wards six local general practices and two voluntary organisations. Results Team leadership decision making and experiences of teamwork support were facilitators for cross boundary and team continuity face-to-face communication between teams managers general practitioners and the voluntary sector were facilitators for information continuity. Relational personal and longitudinal continuity were facilitated in some local areas by workforce .