Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature

Weaver, Nicholas; Coffey, Michael; Hewitt, Jeanette

doi:10.1111/jpm.12387

Cited by 38 publications

(65 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mental health nurses need to facilitate open dialogues concerning the preferences of patients and families in collaborative care and treatment planning (Barrett & Linsley, ). Comprehensive continuity of care, which synthesizes family‐oriented psychosocial approaches and psychoeducation, is associated with improved health outcomes (Weaver, Coffey, & Hewitt, ); these can increase knowledge and understanding of mental health problems and treatment options. Fostering communication between family caregivers, patients and nursing staff can help families learn to adapt and preserve family integrity and in turn return to a healthy family functioning level (Barrett & Linsley, ).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Hsiao

Tsai

2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible summary What is known on the subject? Families act not only as the primary support for people with a diagnosis of schizophrenia but also as partners in the healthcare system. Families who have members with mental disorders, particularly schizophrenia, experience challenges in family functioning. Research on families in relation to schizophrenia primarily focuses on the determinants that affect family functioning from primary family caregivers' perspectives. What does the paper add to existing knowledge? This report provides evidence that there is a concordance between family functioning and inpatient psychiatric rehabilitation facilities for the patient–caregiver dyad; both care‐receivers and primary family caregivers considered family functioning as poor. Care‐receivers with lower education levels, increased number of previous hospitalizations and poor quality of family‐centred care experienced unhealthy family functioning. Primary family caregivers and care‐receivers with higher education levels, lower suicidality and greater quality of family‐centred care experienced healthier family functioning. What are the implications for practice? Understanding the degree of family functioning, particularly its concordance and correlates as perceived by patients and primary family caregivers, may serve as a platform for inculcating assessment of family functioning to achieve holistic patient care. Open dialogue in family‐focused care planning is essential to facilitate collaborative partnerships and improve family functioning among people with a diagnosis of schizophrenia and their primary family caregivers. Further research on culturally relevant, evidence‐based family interventions to enhance the functioning of affected families is warranted, especially for families with members in inpatient psychiatric rehabilitation facilities. Abstract IntroductionFamilies provide frontline caregiving support for people with a diagnosis of schizophrenia. However, research primarily addresses correlates of family functioning from primary family caregivers' perspectives. AimTo examine perceived family functioning, particularly its concordance within patient–caregiver dyads and associated factors in families of people living with schizophrenia. MethodsA cross‐sectional, descriptive correlational design was used. A total of 133 dyads of patients and primary family caregivers from inpatient psychiatric rehabilitation services participated. Descriptive statistics, independent‐sample t test, one‐way ANOVA, Pearson's correlation coefficients, intraclass correlation coefficient and stepwise multiple linear regression analyses were applied. ResultsFamily functioning was perceived as impaired by patient–caregiver dyads, and there existed a concordance in this regard. Patients' and family caregivers' education levels, patients' suicidality, number of previous hospitalizations and quality of family‐centred care correlated with patients' and primary family caregivers' family functioning. DiscussionFindings highlight the impo...

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Hsiao

Tsai

2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…While it is acknowledged that the concept of continuity of care is complex and multidimensional (Weaver et al . ), this paper limits the discussion to these two organizational arrangements which, it has been argued, impact on continuity of care (Burns & Baggaley ).…”

Section: Continuity Of Care Across Inpatient and Community Services: mentioning

confidence: 99%

Laying new foundations for 21st century community mental health services: An Australian perspective

Williams

Smith

2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

While there has been a significant increase in investment in community mental health in Australia since the advent of the National Mental Health Strategy in the early 1990s, there has been little guidance on service design and delivery. This has led to a growing diversity of approaches and concern about the adequacy of care with repeated calls for a system overhaul. Consumers and carers have very largely been absent from decision‐making about service design and development which has led to a system primarily designed by healthcare professionals. However, with the emergence of recovery as a core principle in mental health, it is time for consumers and carers to be centrally engaged in co‐designing services with service providers. This raises the question of whether dominant service delivery models – such as the growth of specialist teams/services, the changing balance between profession‐specific and generic case management roles in multidisciplinary teams, and the separation of inpatient from community care – will prevail. Contentious issues in these three service delivery areas are outlined to stimulate debate and highlight the pressing need for national guidance on the configuration of community mental health services. Building on the lessons learned from the first National Mental Health Strategy, we outline a proposal for a co‐designed National Framework for Community Mental Health Services to guide the delivery of care in a way which satisfies the aspirations of consumers, carers, and mental health professionals alike.

show abstract

“…A recent review of concepts and models of continuity of care in mental health services indicates that the clarification of care continuity may enable nurses working as care coordinators to develop a better understanding of their role (Weaver, Coffey & Hewitt, 2017). Patients' opinions of transitions in health care trajectories in general, and in the field of psychiatry in particular, are sparse, though the awareness of generic crises caused in patients by psychiatric hospitalization is well known from earlier days (Aroian & Prater, 1988).…”

Section: Introductionmentioning

confidence: 99%

Different Professional Ideal Types in the Inter-sectoral Management of Psychiatric Healthcare Trajectories

2020

View full text Add to dashboard Cite

Aim: To investigate how differences in types of professions and rationalities affect the management of inter-sectoral trajectories in psychiatric health care in the Capital Region of Denmark. Background: Some psychiatry users experience a lack of coherence between the mental health care treatment provided at hospitals and run by the regions, and that provided at residential psychiatric units run by municipalities. The literature points to various challenges in this field of research, related to transitions that need rethinking and further examination. Method: The approach is an eclectic use of theory and methods in a theory-governed analysis of empirical data built up from focus group interviews with professionals in mental health care centres and social psychiatric residencies. We classify the positions from the data using a theoretical framework based on Max Weber's theory of ideal types and from Pierre Bourdieu's concept of habitus. Our analysis outlines a theory about the practice of transitions in inter-sectoral trajectories in psychiatric health care. Results: From the empirical material, we were able to construct different professional ideal types related to mental health care psychiatry and social psychiatry. The construction points to differences in the habitual basis of action that maintains institutional distinctions. Discussion: Differences in ideal types are connected to the prevailing positions of the two sectors, in which management in health care centres follows a dominant medical rationality, and management in residencies draws on a social and social educational legitimacy. Conclusion: We find differences between the rationalities and habitus of staff at regional hospitals and municipal residencies that enable us to explain how management contributes to trajectories in psychiatric health care. Choices concerning trajectory transitions relate to a combination of habitual professional inclinations and the management of trajectories streamlined through illness classification based on a neoliberal governance model. Future management must be aware of the different rationalities linked to professional and institutional logics when planning; and this requires reflexivity and awareness of the management of intersectoral collaboration.

show abstract

Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature

Cited by 38 publications

References 50 publications

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Laying new foundations for 21st century community mental health services: An Australian perspective

Different Professional Ideal Types in the Inter-sectoral Management of Psychiatric Healthcare Trajectories

Contact Info

Product

Resources

About