122 Ensuring the delivery of excellent care, close to home- developing a teleconference ‘Vitual MDT’ for the management of acute lymphoblastic leukaemia across multiple shared care centres

Riley, Lynne; Lowe, Rochelle

doi:10.1136/archdischild-2019-gosh.122

Cited by 1 publication

(1 citation statement)

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“…This collaboration sometimes extends to include providers, health care leaders, policy planners, and community participation [5,9,10]. Shared care models are practiced by different specialties and for the management of common physical health ailments, including ophthalmology [11,12], pediatrics [13,14], leukemia [15], and diabetes [16][17][18]. In the mental healthcare delivery system, one definition of shared care is: "a process of collaboration between the family physician and the psychiatrist that enables the responsibilities of care to be apportioned according to the treatment needs of the patient at different points in time in the course of a mental illness and the respective skills of the family physician and psychiatrist" [18].…”

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confidence: 99%

Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders

et al. 2022

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Shared care involves collaboration between primary care, secondary and tertiary care that enables the allocation of responsibilities of care according to the treatment needs of patients over the course of a mental illness. This study aims to determine stakeholders’ perspectives on the features of an ideal shared care model and barriers to practicing shared care within addiction and mental health programs in Edmonton, Canada. This is a qualitative cross-sectional study with data collected through focus group discussions. Participants included patients, general practitioners, psychiatrists, management, and therapists working in primary and secondary addiction and mental health. Responses were audio-recorded, transcribed, and analyzed thematically. Perceived barriers to the implementation of an ideal shared care model identified by participants include fragmented communication between primary and secondary healthcare providers, patient and family physician discomfort with discussing addiction and mental health, a lack of staff capacity, confidentiality issues, and practitioner buy-in. Participants also identified enablers to include implementing shared electronic medical record systems, improving communication and collaboration, physical co-location, and increasing practitioner awareness of appropriate referrals and services. This original research provides stakeholders’ perspectives on the features of an ideal shared care model and barriers to practicing shared care within addiction and mental health programs.

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