Variables Associated With Perceived Work Role Performance Among Professionals in Multidisciplinary Mental Health Teams Overall and in Primary Care and Specialized Service Teams, Respectively

Fleury, Marie‐Josée; Grenier, Guy; Bamvita, Jean‐Marie; Chiocchio, François

doi:10.1177/0163278717734282

Cited by 7 publications

(8 citation statements)

References 68 publications

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“…Facilitating knowledge sharing and collaboration between frontline and primary care providers was found to reduce harm and avoidable death, especially in the midst of a rising opioid epidemic. Knowledge sharing was also associated with enhanced perceived work role performance (66) and promoted shared vision and practice for integrated care among providers, reducing discrepancies in care (57).…”

Section: Resultsmentioning

confidence: 99%

Models of Concurrent Disorder Service: Policy, Coordination, and Access to Care

et al. 2019

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Background: Societal capacity to address the service needs of persons with concurrent mental health and substance-use disorders has historically been challenging given a traditionally siloed approach to mental health and substance-use care. As different approaches to care for persons with concurrent disorders emerge, a limited understanding of current models prevails. The goal of this paper is to explore these challenges along with promising models of coordinated care across Canadian provinces. Materials and methods: A scoping review of policies, service coordination and access issues was undertaken involving a review of the formal and gray literature from 2000 to 2018. The scoping review was triangulated by an analysis of provincial auditor general reports. Results: Models of concurrent disorders service were found to have evolved unevenly. Challenges related to the implementation of models of collaborative care and local networks that foster service coordination and policy accountability were found to inhibit integrated care. Conclusion: Emergent models of coordinated care were found to include collaborative care, regional networks with centralized access to care, clinical information-sharing, cross-training, improved scope of care to include psychologists and alignment of physician incentives with patient needs to better support patient care.

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Section: Resultsmentioning

confidence: 99%

Models of Concurrent Disorder Service: Policy, Coordination, and Access to Care

et al. 2019

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“…Interventions in primary care teams are needed because these teams are structured differently than teams in acute care and they may have different priorities. Fleury et al (2019) [78] completed a cross-sectional survey of mental health teams (n = 315) in primary and specialized care, and found that team attributes (e.g., type of professional, recovery promotion) had a greater impact on team functioning in primary care teams while team processes were more important in specialized care teams. As argued by Marriage et al (2016) [2] current team assessment tools are based on judgments of observable behaviours because they provide a quantifiable account of team performance.…”

Section: Future Researchmentioning

confidence: 99%

Systematic review of the characteristics of brief team interventions to clarify roles and improve functioning in healthcare teams

et al. 2020

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Aim Describe brief (less than half a day) interventions aimed at improving healthcare team functioning. Methods A systematic review on brief team interventions aimed at role clarification and team functioning (PROSPERO Registration Number: CRD42018088922). Experimental or quasi-experimental studies were included. Database searches included CINAHL, Medline, EMBASE, PUBMED, Cochrane, RCT Registry-1990 to April 2020 and grey literature. Articles were screened independently by teams of two reviewers. Risk of bias was assessed. Data from the retained articles were extracted by one reviewer and checked by a second reviewer independently. A narrative synthesis was undertaken. Results Searches yielded 1928 unique records. Final sample contained twenty papers describing 19 studies, published between 2009 and 2020. Studies described brief training interventions conducted in acute care in-patient settings and included a total of 6338 participants. Participants' socio-demographic information was not routinely reported. Studies met between two to six of the eight risk of bias criteria. Interventions included simulations for technical skills, structured communications and speaking up for non-technical skills and debriefing.

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“…Furthermore, the successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is ncessary when it comes to delivering complex mental health services. Indeed, biopsychosocial roots of mental health problems impact multiple aspects of patients' lives [5]. A plurality of views from the part of health care professionals are essential for providing all-inclusive, rounded services that meet patients' complex needs [6,7].…”

Section: Introductionmentioning

confidence: 99%

A multilevel study of patient-centered care perceptions in mental health teams

Durand

Fleury

2021

BMC Health Serv Res

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Background The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams. Method A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings. Results This study showed that belief in interprofessional collaboration’s relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions. Conclusions Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams’ ability to respond to its challenges. It is also related to individuals’ beliefs central to the delivery of interprofessional care.

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Variables Associated With Perceived Work Role Performance Among Professionals in Multidisciplinary Mental Health Teams Overall and in Primary Care and Specialized Service Teams, Respectively

Cited by 7 publications

References 68 publications

Models of Concurrent Disorder Service: Policy, Coordination, and Access to Care

Models of Concurrent Disorder Service: Policy, Coordination, and Access to Care

Systematic review of the characteristics of brief team interventions to clarify roles and improve functioning in healthcare teams

A multilevel study of patient-centered care perceptions in mental health teams

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