Education programs for medical psychiatry collaborative care: A scoping review

Shen, Nelson; Sockalingam, Sanjeev; Charow, Rebecca; Bailey, Sharon; Bernier, T.; Freeland, Alison; Hawa, Aceel Christina; Sur, Deepy; Wiljer, David

doi:10.1016/j.genhosppsych.2018.08.009

Cited by 7 publications

(11 citation statements)

References 62 publications

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“…These include e.g. interdisciplinary further training as already researched on in physicians and nurses [ 41 ], well-embedded digital exchange channels [ 42 ] and interprofessional case conferences [ 43 ]. Existing international guidance on how to foster collaborative practice and interprofessional education [ 44 , 45 ] should be consulted and adapted to the specific setting, such as care networks without co-location.…”

Section: Discussionmentioning

confidence: 99%

How do care providers evaluate collaboration? - qualitative process evaluation of a cluster-randomized controlled trial of collaborative and stepped care for patients with mental disorders

et al. 2021

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Background Collaborative and stepped care (CSC) models are recommended for mental disorders. Their successful implementation depends on effective collaboration between involved care providers from primary and specialist care. To gain insights into the collaboration experiences of care providers in CSC against the backdrop of usual mental health care, a qualitative process evaluation was realized as part of a cluster-randomized controlled trial (COMET) of a collaborative and stepped care model in Hamburg (Germany). Methods Semi-structured interviews were conducted with N = 24 care providers from primary and specialist care (outpatient psychotherapists and psychiatrists, inpatient/ day clinic mental health providers) within and outside of COMET at the trial’s beginning and 12 months later. Interviews were analyzed applying a qualitative structuring content analysis approach, combining deductive and inductive category development. Results Usual mental health care was considered deficient in resources, with collaboration being scarce and mainly taking place in small informal networks. Within the COMET trial, quicker referral paths were welcomed, as were quarterly COMET network meetings which provided room for exchange and fostered mutual understanding. Yet, also in COMET, collaboration remained difficult due to communication problems, the unfavorable regional distribution of the COMET care providers and interprofessional discrepancies regarding each profession’s role, competencies and mutual esteem. Ideas for improvement included more localized networks, the inclusion of further professions and the overall amelioration of mental health care regarding resources and remuneration, especially for collaborative activities. Conclusions The process evaluation of the COMET trial revealed the benefits of creating room for interprofessional encounter to foster collaborative care. Despite the benefits of faster patient referrals, the COMET network did not fulfill all care providers’ prior expectations. A focus should be set on interprofessional competencies, mutual perception and role clarification, as these have been revealed as significant barriers to collaboration within CSC models such as COMET. Trial registration The COMET trial (Collaborative and Stepped Care in Mental Health by Overcoming Treatment Sector Barriers) has been registered on July 24, 2017 under the trial registration number NCT03226743.

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Section: Discussionmentioning

confidence: 99%

How do care providers evaluate collaboration? - qualitative process evaluation of a cluster-randomized controlled trial of collaborative and stepped care for patients with mental disorders

et al. 2021

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“…The preparation of future primary care and mental health professionals to work in collaborative partnerships is central to the long-term sustainability of collaborative care, so that this style of practice becomes an integral and expected part of practice for all future practitioners. 78–80 While collaborative care placements will no longer be mandatory for Canadian psychiatry residents under the new Competency by Design (CBD) curriculum, all residents should continue to have a robust experience in CMHC to appreciate the role family medicine plays and the benefits of better collaboration, and to develop competencies as a consultant and collaborator. Faculty development is also important.…”

Section: “Team” Competencies and Training For Health-care Professionalsmentioning

confidence: 99%

“…La préparation des futurs professionnels des soins de première ligne et de la santé mentale pour travailler dans des partenariats collaboratifs est essentielle à la durabilité à long terme des soins collaboratifs, de sorte que ce style de pratique devienne une partie intégrante et voulue de la pratique pour tous les futurs praticiens. 78–80…”

Section: Compétences De « L’équipe » Et Formation Des Professionnels ...unclassified

Collaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions

Kates

Sunderji

et al. 2023

Can J Psychiatry

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“…Developing effective collaborative telepsychiatry care requires frequent multidisciplinary interactions and ongoing engagement (20). In a pilot study focusing on primary care management of complex mental health conditions, notably, bipolar disorder, Kern and Cerimele (21) identified that the psychiatric clinician needed to work collaboratively and flexibly across disciplines, often serving primarily in a consultative role, usually seeing patients directly only infrequently (either in person or via telepsychiatry).…”

Section: Literature Reviewmentioning

confidence: 99%

Telepsychiatry and integrated primary care: setting expectations and creating an effective process for success

Calderone

Lopez

Schwenk

et al. 2020

mHealth

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Telepsychiatry, especially in the form of live interactive videoconferencing, has greatly advanced the availability and use of specialist psychiatric consultations in primary care settings. Nevertheless, reliance on telepsychiatry, with corresponding decreases in direct face-to-face interaction between primary care providers and psychiatrists, can create unique challenges such as reducing the availability of non-verbal cues, and preventing the informal interactions that are so necessary for clarifying clinical and process details and for building essential team-based trust and rapport. Written from the perspective of an integrated psychiatrist, this article offers recommendations for a formal process to optimize virtual care coordination by setting clear expectations and providing communication tools for an effective and efficient telepsychiatry enabled integrated service.

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Education programs for medical psychiatry collaborative care: A scoping review

Cited by 7 publications

References 62 publications

How do care providers evaluate collaboration? - qualitative process evaluation of a cluster-randomized controlled trial of collaborative and stepped care for patients with mental disorders

How do care providers evaluate collaboration? - qualitative process evaluation of a cluster-randomized controlled trial of collaborative and stepped care for patients with mental disorders

Collaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions

Telepsychiatry and integrated primary care: setting expectations and creating an effective process for success

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