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

Vitale, Agata; McNamara, Patricia; Cullinan, Veronica

doi:10.1080/14623730.2015.1023660

Cited by 9 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several countries have explored such collaborative care models targeting the reduction in patient hospitalizations. For example, the United Kingdom, Ireland, Italy, the Netherlands, Denmark and Belgium have policies prioritizing community-based, multiprofessional care (Vitale, Mannix-McNamara & Cullinan, 2015). These care delivery approaches provide mental health and medical care in primary care settings at the community level, and coordinate with social care (see Case study 3).…”

Section: Collaboration and Multiprofessional Team-based Carementioning

confidence: 99%

“…However, experiences in both countries reveal difficulties in the implementation of this collaborative care model (Gilburt, 2016). In Ireland, the multiprofessional input from CMHTs was limited to psychiatrists, trainee doctors and nurses (Vitale, Mannix-McNamara & Cullinan, 2015). In the United Kingdom, blurred professional role boundaries, lack of training for role development, and models of decision-making and the adoption of generic working practices by staff within these teams became the main barriers to team continuity (Belling et al, 2011;Gilburt, 2016).…”

Section: Collaboration and Multiprofessional Team-based Carementioning

confidence: 99%

See 1 more Smart Citation

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Winkelmann¹,

Williams²,

Rijken³

et al. 2022

Skill-Mix Innovation, Effectiveness and Implementation

View full text Add to dashboard Cite

The prevalence of chronic diseases and multimorbidity is rising across Europe, triggered by increasing life expectancy and changing lifestyles. Chronic conditions are now the leading causes of premature death and disability in high-income countries (IHME, 2018;Jakab et al., 2018). In European countries, the number of people with multimorbidity, defined as the co-existence of two or more chronic conditions, is growing and may be an even greater challenge (Rijken et al., 2017.The resulting pressures on health systems to address chronic and multimorbid conditions have become a major concern for policymakers and providers. Traditional care delivery models are insufficient to respond to the complexity of such health conditions, with some patients experiencing disrupted care pathways. Continuous, coordinated, person-centred care is essential. Yet, many health service delivery models remain fragmented and focused on a single disease. As a result, a variety of new care models responding to chronic conditions and multimorbidity have been developed over the last decades, including disease management programmes, integrated care and multiprofessional team collaboration (Nolte & Knai, 2015). However, implementation remains patchy, limited to stand-alone programmes or projects, certain regions or single health conditions. These new health care models require new professional skills from individual providers and new competencies. Skill gaps include coordination and communication among providers, digital health know-how, coordination and transition between care levels (home, community, ambulatory, hospital), and developing patients' self-management through self-care and independent decision-making.

show abstract

Section: Collaboration and Multiprofessional Team-based Carementioning

confidence: 99%

Section: Collaboration and Multiprofessional Team-based Carementioning

confidence: 99%

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Winkelmann¹,

Williams²,

Rijken³

et al. 2022

Skill-Mix Innovation, Effectiveness and Implementation

View full text Add to dashboard Cite

show abstract

“…Regarding the Irish context, the closure process of large psychiatric hospitals and the process of deinstitutionalization were slow (Kelly, 2015;McInerney et al 2018), while at the same time Community Mental Health Teams have been introduced as an alternative to inpatient treatment (Mental Health Commission, 2006;Vitale et al 2015). Although Ireland has been characterized as an individualistic culture (according to the Hofstede model), there is still an expectation that family involvement will be strong, and perhaps family dynamics will become disturbed.…”

Section: Introductionmentioning

confidence: 99%

The association between family dysfunction and admission to an acute mental health inpatient unit: a prospective study

Tan

Conlon

Tsamparli

et al. 2019

Ir. j. psychol. Med.

View full text Add to dashboard Cite

Objectives:With the shift from deinstitutionalization to community care in mental health services, relatives of persons with severe and enduring mental illnesses have had to take over the role as primary caregivers. Disturbed family dynamics have been observed within families with an ‘ill’ member. Although schizophrenia and related mental illnesses are biologically based disorders, environmental stress (including stress within family relationships) plays a major role in the onset and maintenance of symptoms. With this study, we assume that family dynamics play a central role in the course of severe psychiatric illness and hypothesized that dysfunction within family systems is a prognostic indicator of hospitalization in the course of schizophrenia/bipolar and schizoaffective disorders.Methods:Prospective, observational cohort study evaluating family functioning of 121 patients (schizophrenia/bipolar and schizoaffective disorder) from community at baseline and followed-up over 12-month period after recruitment. Measurements included demographics, diagnosis, Family Assessment Device – General Functioning, Perceived Criticism Scale, Brief Psychiatric Rating Scale, Global Assessment of Functioning and Social Support Questionnaire-6.Results:Significant differences found between patients admitted and not admitted during the 12-month time period for age (p = 0.003), Brief Psychiatric Rating Scale (BPRS; p = 0.026), Family Assessment Device – General Functioning (FAD-GF; p = 0.007) and Social Support Questionnaire total satisfaction level (p = 0.042) at baseline. Bivariate analysis showed that those admitted into hospital were younger with a higher BPRS score, less social satisfaction and disturbed family dynamics. FAD-GF (p = 0.006) and age (p = 0.022) were significant independent predictors for admission.Conclusion:This provides further evidence supporting importance of promoting better family functioning through modified family dynamics, integrating and involving family into the care of such patients.

show abstract

“…The presence of these two factors also resulted in greater confidence in referring to SPs; assigning a higher value on SPs' services in the mental health context and a superior self-reported knowledge of speech pathology. Mental health practitioners who have worked with SPs could be good advocates for the role of SPs in this context, but advocacy needs to extend to policy makers at national and international levels as the exclusion of SPs in the mental health arena is not uniquely Australian [18,21]. Perceiving speech and language therapy services as part of the public health umbrella, and hence promoting a health and well-being service delivery model for SPs, may be one way to facilitate inclusion on mental health teams [4].…”

Section: Discussionmentioning

confidence: 99%

“…The progressive rollout of the NDIS across Australia accentuates the need for mental health providers and participants in the NDIS to be cognisant of available services and to appropriately access these services. The inclusion of an interprofessional approach to the management of mental health disorders in children, adolescents, and adults is discussed in the literature, but with notable absence of specific reference to the speech pathology profession [18][19][20][21]. In these studies, allied health professionals such as occupational therapists and psychologists were explicitly listed as team members, but SPs were not.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Practitioners’ Understanding of Speech Pathology in a Regional Australian Community

2021

View full text Add to dashboard Cite

(1) Background: This study aimed to determine the level of knowledge and the perceptions of speech pathology held by a sample of regional mental health practitioners and to explore factors that facilitate understanding of the roles of speech pathologists in mental health. While mental health is recognised as an area of practice by Speech Pathology Australia, the inclusion of speech pathologists in mental health teams is limited. (2) Methods: An anonymous online survey was created using previously validated surveys and author generated questions and distributed to mental health practitioners in Central Queensland, Australia. (3) Results: Mental health practitioners had difficulty identifying speech pathology involvement when presented with case scenarios. Accuracy was poor for language-based cases, ranging from 28.81% to 37.29%. Participants who reported having worked with a speech pathologist were more likely to demonstrate higher scores on the areas of practice questions, [r(53) = 0.301, p = 0.028], and the language scenarios [r(58) = 0.506, p < 0.001]. They were also more likely to agree to statements regarding the connection between speech pathology and mental health, r(59) = 0.527, p < 0.001. (4) Conclusions: As found in this study, contact with speech pathologists is a strong predictor of mental health providers’ knowledge of the speech pathology profession. Thus, the challenge may be to increase this contact with mental health providers to promote inclusion of speech pathologists in the mental health domain.

show abstract

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

Cited by 9 publications

References 15 publications

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

The association between family dysfunction and admission to an acute mental health inpatient unit: a prospective study

Mental Health Practitioners’ Understanding of Speech Pathology in a Regional Australian Community

Contact Info

Product

Resources

About