‘Shared Care – Shared Dream’: Model of shared care in rural Australia between mental health services and general practitioners

Samy, D. Chinna; Hall, Philip S.; Rounsevell, Jacquie; Carr, Rodney

doi:10.1111/j.1440-1584.2007.00847.x

Cited by 7 publications

(6 citation statements)

References 13 publications

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“…Effectiveness studies of collaborative care have included rural populations and some have primarily focused on rural populations . One Australian study focused on a shared care/collaborative care intervention in a rural clinic setting that worked to improve communication between general practitioners and psychiatric consultants . In child and adolescent psychiatry, where there are few trained specialists, consultation models and collaborative models that involve local primary care providers hold potential to leverage these skills .…”

Section: Resultsmentioning

confidence: 99%

“…33,34 One Australian study focused on a shared care/collaborative care intervention in a rural clinic setting that worked to improve communication between general practitioners and psychiatric consultants. 35 In child and adolescent psychiatry, where there are few trained specialists, consultation models and collaborative models that involve local primary care providers hold potential to leverage these skills. 36 Finally, the Improving Access to Psychological Therapies (IAPT) initiative in primary care clinics in England, while not focused on collaborative care, has dedicated considerable funds to train therapists in cognitive behavioral therapy who offer stepped care for depression and anxiety in primary care.…”

Section: Other Providers In Primary Care and Specialist Supportmentioning

confidence: 99%

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Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Hoeft

Fortney

Patel

et al. 2017

The Journal of Rural Health

405

268

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Purpose Rural areas persistently face a shortage of mental health specialists. Task shifting, or task sharing, is an approach in global mental health that may help address unmet mental health needs in rural and other low‐resource areas. This review focuses on task‐shifting approaches and highlights future directions for research in this area. Methods Systematic review on task sharing of mental health care in rural areas of high‐income countries included: (1) PubMed, (2) gray literature for innovations not yet published in peer‐reviewed journals, and (3) outreach to experts for additional articles. We included English language articles published before August 31, 2013, on interventions sharing mental health care tasks across a team in rural settings. We excluded literature: (1) from low‐ and middle‐income countries, (2) involving direct transfer of care to another provider, and (3) describing clinical guidelines and shared decision‐making tools. Findings The review identified approaches to task sharing focused mainly on community health workers and primary care providers. Technology was identified as a way to leverage mental health specialists to support care across settings both within primary care and out in the community. The review also highlighted how provider education, supervision, and partnerships with local communities can support task sharing. Challenges, such as confidentiality, are often not addressed in the literature. Conclusions Approaches to task sharing may improve reach and effectiveness of mental health care in rural and other low‐resource settings, though important questions remain. We recommend promising research directions to address these questions.

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Section: Resultsmentioning

confidence: 99%

Section: Other Providers In Primary Care and Specialist Supportmentioning

confidence: 99%

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Hoeft

Fortney

Patel

et al. 2017

The Journal of Rural Health

405

268

View full text Add to dashboard Cite

show abstract

“…While the concept of primary and specialist shared care models is not novel, [20][21][22] only one published Australian report was found that had explored their effectiveness for patients treated with clozapine. 17 To assist in providing guidance to other services establishing similar care pathways, the results of the current study may facilitate the selection of suitable patients for transitioning, based on the characteristics in Figure 4 that distinguished transitioned patients from those remaining in PMHS care.…”

Section: Discussionmentioning

confidence: 99%

Demonstrating the effectiveness of less restrictive care pathways for the management of patients treated with clozapine

Filia

Lee

Sinclair

et al. 2013

Australas Psychiatry

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Objective: The purpose of this study was to measure the effectiveness of two alternative care pathways for managing patients treated with clozapine. Method: Medical records for 90 clozapine patients managed via three care pathways were audited for a 24 month period (30 per group). The three care pathways established to manage patients prescribed clozapine include: (1) remaining in public mental health service case management; (2) transitioning to general practitioner–mental health service shared care; or (3) transitioning to private psychiatry sole care. Demographic, illness, medication compliance, service utilisation and performance on clinical outcome measures were collected in the 12 months prior to and following transition. Results: Across both the private psychiatry and general practitioner (GP) shared care transitioned groups, only one patient had a psychiatric hospital admission in the 12 months following transition, and transitioned patients also had fewer mental health service clinician contacts. Good medication compliance, better skills of daily living, lower levels of illicit substance abuse and a lower intensity of case management history were seen in transitioned patients. Conclusions: Transitioning appropriate patients taking clozapine to less intensive care pathways like private psychiatrists and GP shared care can be effectively achieved if appropriate supports are in place for both the clinicians and their patients.

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“…A potential way to address this issue is to consider shared‐care models. Shared‐care provides single point integrated services, which maximise access to quality locally available care, provides mutual professional support and reduced travel 45,46 and has shown to be positively received by cancer patients 47 and beneficial in rural settings 48 . With increasingly widespread telehealth capabilities, the ability for patients and clinicians from both the rural and tertiary services to connect for online consultation and to deliver coordinated and collaborative shared‐care is a potential solution.…”

Section: Discussionmentioning

confidence: 99%

Clinician and consumer perceptions of head and neck cancer services in rural areas: Implications for speech pathology service delivery

Foley

Nund

Ward

et al. 2022

Australian J Rural Health

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Objective: Individuals with head and neck cancer residing in rural areas face numerous challenges accessing post-acute rehabilitation services, including speech pathology services. In order to inform future service enhancements, the key issues impacting access to, and the provision of, speech pathology head and neck cancer services in rural areas was explored through the perspectives of patients, carers, speech pathology clinicians and service managers. Setting: A rural health referral network in Queensland consisting of tertiary, regional and remote hospitals.Participants: Twenty-eight participants, including 12 speech pathology staff/ managers and 16 consumers (people with head and neck cancer/carers).Design: Qualitative methodology using semi-structured interviews was analysed using content analysis. Results: Two themes were identified from the consumer group including (a) navigating health services for head and neck cancer management and (b) burden of accessing head and neck cancer care. Speech pathology staff/managers interviews raised 3 themes: (a) transfer of care and access to local services, (b) workforce and workload and (c) travelling impacts the service our patients can receive. An integrative theme across both groups highlighted the perceived disparity in health care access that existed for people with head and neck cancer in rural areas. How to cite this article: Foley J, Nund RL, Ward EC, et al. Clinician and consumer perceptions of head and neck cancer services in rural areas: Implications for speech pathology service delivery.

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‘Shared Care – Shared Dream’: Model of shared care in rural Australia between mental health services and general practitioners

Abstract: This study offers a model on how a rural mental health service could enter into a shared care program with the local GP practice and achieve a greater level of satisfaction in serving the rural communities in Australia.

Cited by 7 publications

References 13 publications

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Demonstrating the effectiveness of less restrictive care pathways for the management of patients treated with clozapine

Clinician and consumer perceptions of head and neck cancer services in rural areas: Implications for speech pathology service delivery

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