Integration of Mental and Physical Health Services: Lessons

Bhugra, Dinesh; Kar, Anindya; Lawton‐Smith, Simon

doi:10.1007/s40737-014-0004-3

Cited by 4 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Diabetes and depression are bidirectional, with shared environmental and biological causes, and each condition adversely affects outcomes for the other [ 9 , 10 ]. Biomedical health systems worldwide tend to treat the ‘mind’ and ‘body’ separately, hence the mental health of people with chronic physical conditions, such as diabetes, tends not to be addressed within their services and vice versa–however, there is an increasing recognition of the need for more integrated services [ 9 , 11 , 12 ]. In low resource settings where services are overstretched and under-staffed, the integration of mental and physical health services are not viewed as a priority [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Living with depression and diabetes: A qualitative study in Bangladesh and Pakistan

Jennings,

Anas,

Asmat

et al. 2024

PLOS Glob Public Health

View full text Add to dashboard Cite

Diabetes and depression are both serious health conditions. While their relationship is bidirectional and each condition adversely affects outcomes for the other, they are treated separately. In low and middle income countries, such as Bangladesh and Pakistan, health systems are already stretched and the integration of diabetes and depression care is rarely a priority. Within this context through interviews with patients, healthcare workers and policy makers the study explored: lived experiences of people living with depression and diabetes, current practice in mental health and diabetes care and barriers and perspectives on integrating a brief psychological therapy into diabetes care. The findings of the study included: differing patient and practitioner understandings of distress/depression, high levels of stigma for mental health and a lack of awareness and training on treating depression. While it was apparent there is a need for more holistic care and the concept of a brief psychological intervention appeared acceptable to participants, many logistical barriers to integrating a mental health intervention into diabetes care were identified. The study highlights the importance of context and of recognising drivers and understandings of distress when planning for more integrated mental and physical health services, and specifically when adapting and implementing a new intervention into existing services.

show abstract

Section: Introductionmentioning

confidence: 99%

Living with depression and diabetes: A qualitative study in Bangladesh and Pakistan

Jennings,

Anas,

Asmat

et al. 2024

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…In the United States, behavioral health is a major issue (NAMI, 2019). While a wealth of community based behavioral health services data is available (and thus could be used to identify service problems and improve health services delivery), use of these data is hampered by the fact that individuals with behavioral health disorders are served by multiple service sectors and providers in a community (Bhugra et al, 2014). Though these providers have overlapping partial information about the populations they serve, datasets are siloed, making it hard to detect or address problems that go beyond singular organizations.…”

Section: Introductionmentioning

confidence: 99%

Addressing Fragmentation of Health Services through Data-Driven Knowledge Co-Production within a Boundary Organization

Pine

Hinrichs

Love

et al. 2022

JoCI

View full text Add to dashboard Cite

Behavioral healthcare services involve multiple disconnected sectors and providers serving the same populations. Efforts to identify and address service delivery problems are hampered by fragmentation of datasets. We conducted an engaged research project in which we formed a boundary organization and developed a knowledge co-production process centered on collaborative data sharing and visualization. Multisector participants in [location] worked to access and share data and to collectively interpret the resulting integrated data through visualizations using four knowledge co-production practices: collective interaction with data, perspective taking, reflection & debrief, and iteration of visualizations. The knowledge co-production process was evaluated using qualitative methods. This research extends sociotechnical research on knowledge co-production by proffering collaborative data sharing and visualization as a knowledge co-production process that can extend across disconnected and disparate social groups and contributes to community informatics by highlighting the role boundary organizations can play in facilitating data sharing and data-driven problem solving between fragmented sectors.

show abstract

“…In consideration of the above it is critical to recognise the duality of mental health alongside physical health in regard to health status. Mental health and physical health are not separate entities, they are inter-connected components (Bhugra et al, 2014;Das et al, 2016;Hardy & Thomas, 2012;Pressman et al, 2019;Stein et al, 2019;Steptoe, 2019;Trudel-Fitzgerald, Millstein, et al, 2019). A report by The King's Fund identified that 30% of people with a longterm physical health problem also had a mental health problem and 46% of people with a mental health problem also had a long-term physical health problem (Naylor et al, 2012).…”

Section: Parity Of Esteemmentioning

confidence: 99%

The development and evaluation of a web-based well-being intervention, for inclusion within an existing health promotion programme, to support and encourage health related lifestyle behaviour change

Brown¹

View full text Add to dashboard Cite

Unhealthy lifestyle behaviours constitute a significant burden of disease, globally. Web-based interventions offer a means to support individuals in adopting and maintaining positive healthy lifestyle behaviours to address and reduce this issue. The health behaviour change literature offers several useful theoretical models which aim to explain or predict the likelihood of successful, individual level, lifestyle behaviour change. Indeed, research findings have shown that digital health interventions informed by these models are more likely to be effective. However, in practice adherence and engagement to web-delivered interventions is often critically low and is associated with reduced effectiveness and cost effectiveness. This thesis developed an emotional well-being intervention (ACTivate your Well-being), for inclusion within an existing lifestyle behaviour change programme ‘Champions for Health’. Thirty-eight anticipated end-users and six stakeholders contributed to a three-staged Participatory Design project which led to the development of a twelve-week intervention, based on Acceptance and Commitment Therapy, and a new study website. Development was informed by two systematic literature reviews. Feasibility and acceptability were proven in a cluster randomised control trial (ISRCTN50074817) which recruited 142 participants. The majority (74%) enrolled on at least one lifestyle behaviour change module and health improvements were observed. Almost half (43%) of those randomised to the intervention arm enrolled onto the well-being intervention. Adherence was low (7%), no one completed the full 12-week programme. A randomised control trial (ISRCTN18190978) then evaluated impact on health behaviour change, adherence and engagement, and well-being. 182 participants were recruited. Adherence remained poor (4%) however some completed the full 12-week programme. Almost half (49%) enrolled on a lifestyle behaviour change module and health improvements were observed in three modules. COVID-19 limited evaluation. The ongoing relevance of the intervention and website is evidenced through its inclusion within the Well-being In work – In work support service, Swansea Bay University Health Board.

show abstract

Integration of Mental and Physical Health Services: Lessons

Cited by 4 publications

References 12 publications

Living with depression and diabetes: A qualitative study in Bangladesh and Pakistan

Living with depression and diabetes: A qualitative study in Bangladesh and Pakistan

Addressing Fragmentation of Health Services through Data-Driven Knowledge Co-Production within a Boundary Organization

The development and evaluation of a web-based well-being intervention, for inclusion within an existing health promotion programme, to support and encourage health related lifestyle behaviour change

Contact Info

Product

Resources

About