Decision making, responsibility and accountability in community mental health teams

Iqbal, Nasur; Rees, Madeleine; Backer, Clare

doi:10.7748/mhp2014.04.17.7.26.e926

Cited by 3 publications

(3 citation statements)

References 0 publications

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“…Because being part of a team is essential for the provision of safe and quality patient care, and is a cornerstone of CMHT provision, clearly there is need to support CMHTs in Ireland to develop effective team working strategies. Indeed, Iqbal, Rees, and Backer (2014) advocate that in order to provide adequate care, each team member needs to be the ambassador of their professional discipline and they should also recognise the value of the input of other professional categories; thus effective team work and communication is clearly essential.…”

Section: Discussionmentioning

confidence: 99%

“…Recovery represents moving away from pathology, illness and symptoms and emphasises the entire wellness (Davidson, 2005;Shepherd, Boardman, & Slade, 2008). Each professional working in CMHTs should be able to provide their unique competencies, skills training and clinical experience attached to their specific role in order to provide service users with a range of skills that are necessary to be fully equipped for effective reintegration into the society (Iqbal, Rees, & Backer, 2014).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Promoting mental health through multidisciplinary care: Experience of health professionals working in community mental health teams in Ireland

Vitale

McNamara

Cullinan

2015

International Journal of Mental Health Promotion

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Promoting mental health through multidisciplinary care: Experience of health professionals working in community mental health teams in Ireland

Vitale

McNamara

Cullinan

2015

International Journal of Mental Health Promotion

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“…[1] Clinical handover is included in a health employee's work responsibilities involving tasks assigned by employers through position descriptions which an employee is held accountable to perform. [2] Clinical handover is undertaken multiple times in a variety of places and situations between all levels of health care professionals. In a previous review of literature conducted by Anderson et al, [1] the process of accountability and the transfer of responsibility of care was identified as a major issue in delivering patient care safely.…”

Section: Introductionmentioning

confidence: 99%

Transfer of Responsibility and Accountability of Patient Care

Deravin

Anderson

2020

JHA

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Aims and ObjectivesThis paper reports on a study of clinical incidents related to the transfer of accountability and responsibility of patient care during clinical handover in three major health facilities in regional Australia. It aims to identify significant issues in the area of transferring accountability and responsibility.BackgroundAlthough clinical handover is widely acknowledged as the process which transfers accountability and responsibility, issues occur particularly when this transfer is incomplete, shared or when one clinician feels an ongoing sense of responsibility for the patient.DesignA thematic analysis of incidents related to clinical handover was conducted on data collected at three regional settings within Australia in order to identify issues which had occurred during this process.MethodsThe Incident Information Management System (IIMS) is a database that collects information about clinical incidents and near misses and relies on health staff to report them. The initial information retrieved from IIMs identified 3716 possible events for inclusion. A thematic analysis was undertaken of the data which identified transfer of responsibility and accountability as a key theme.ResultsThe data related to the transfer of responsibility and accountability came to prominence in the incident reports in three ways. These included; identifying omissions, issues with information exchange and refusal to accept responsibility of care.ConclusionsThis study demonstrates the need for a more systematic approach regarding communication between health professionals regarding the transferability and accountability of patient care.Relevance to Clinical PracticeClinical handover remains a contentious issue regarding patient care and safety. Health professionals may benefit from this review of incidents related to clinical handover and consider some of the recommendations to improve clinical practice.

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A narrative review of mental health support for people during transition from incarceration to community: the grass can be greener on the other side of the fence

Smith‐Merry

Mellifont

McKenzie

et al. 2018

Journal of Mental Health

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Identified barriers to the implementation of effective transition support programs are: administrative problems leading to ineffective in-reach into correctional facilities or untimely support, lack of support for immediate needs meaning that inmates deprioritise their mental health needs, a lack of ongoing program resources and poor communication between correctional facilities and mental health services. Enablers for transition reflect the inverse of these barriers, alongside other successful strategies including medical home models, regionalised programs, programs which target connections with primary care, nurse-led patient-centred health programs and peer support initiatives.

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Decision making, responsibility and accountability in community mental health teams

Cited by 3 publications

References 0 publications

Promoting mental health through multidisciplinary care: Experience of health professionals working in community mental health teams in Ireland

Promoting mental health through multidisciplinary care: Experience of health professionals working in community mental health teams in Ireland

Transfer of Responsibility and Accountability of Patient Care

A narrative review of mental health support for people during transition from incarceration to community: the grass can be greener on the other side of the fence

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