Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up

Fleury, Marie‐Josée; Bamvita, Jean‐Marie; Schmitz, N.; Piat, Myra; Tremblay, Jacques

doi:10.1007/s10488-015-0695-0

Cited by 12 publications

(18 citation statements)

References 54 publications

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“…The knowledge sharing variable under Interactional characteristics was associated with IPC in MH-PCTs only. This suggests the particular importance of knowledge sharing in the newly formed MH-PCTs dealing with patients mainly affected by common mental disorders and substance use disorders as well as multiple biopsychosocial needs that require sharing of information, skills, and expertise [81,82]. Consistent with our results, a number of studies demonstrated that collaboration rarely succeeds without knowledge sharing on teams [30,83].…”

Section: Discussionsupporting

confidence: 86%

Variables associated with interprofessional collaboration: a comparison between primary healthcare and specialized mental health teams

Kebe¹,

Chiocchio²,

Bamvita³

et al. 2020

BMC Fam Pract

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Background: This study has two aims: first, to identify variables associated with interprofessional collaboration (IPC) among a total of 315 Quebec mental health (MH) professionals working in MH primary care teams (PCTs, N = 101) or in specialized service teams (SSTs, N = 214); and second, to compare IPC associated variables in MH-PCTs vs MH-SSTs. Methods: A large number of variables acknowledged as strongly related to IPC in the literature were tested. Multivariate regression models were performed on MH-PCTs and MH-SSTs respectively. Results: Results showed that knowledge integration, team climate and multifocal identification were independently and positively associated with IPC in both MH-PCTs and MH-SSTs. By contrast, knowledge sharing was positively associated with IPC in MH-PCTs only, and organizational support positively associated with IPC in MH-SSTs. Finally, one variable (age) was significantly and negatively associated with IPC in SSTs. Conclusions: Improving IPC and making MH teams more successful require the development and implementation of differentiated professional skills in MH-PCTs and MH-SSTs by care managers depending upon the level of care required (primary or specialized). Training is also needed for the promotion of interdisciplinary values and improvement of interprofessional knowledge regarding IPC.

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Section: Discussionsupporting

confidence: 86%

Variables associated with interprofessional collaboration: a comparison between primary healthcare and specialized mental health teams

Kebe¹,

Chiocchio²,

Bamvita³

et al. 2020

BMC Fam Pract

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“…Thus, it is not surprising that 22 years of age is identified as the age at which the maximum negative impact of a disabling illness occurs . Since young people are more likely to present with multidimensional needs, health service strategies should be in place to identify and respond to a range of health and social issues with the appropriate type and intensity of intervention . We propose five key domains that make up a multidimensional outcomes framework to address the specific needs of young people presenting to health services with emerging mental illness (Box 1):…”

Section: Evidence For a Multidimensional Outcomes Frameworkmentioning

confidence: 99%

Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

Hickie

Scott

Cross

et al. 2019

Medical Journal of Australia

114

137

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“…Of the remaining 227 papers, 190 were discounted due to either region (e.g., United States), demographic (e.g., patients with dementia), irrelevant topic (e.g., comparing treatments), unavailable full text, dissertation or book. The remaining 37 studies met inclusion criteria and were included in the final review: 19 qualitative (17–35), 9 quantitative (36–44), and 9 mixed methods articles (45–53) (Table 1). Reoccurring themes included access to care (strategies to improve access, community level of care and families, homelessness); integration and coordination of care (scope of practice for psychiatrists/physicians, access to and coordination with psychotherapy); and gaps in care.…”

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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Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up

Cited by 12 publications

References 54 publications

Variables associated with interprofessional collaboration: a comparison between primary healthcare and specialized mental health teams

Variables associated with interprofessional collaboration: a comparison between primary healthcare and specialized mental health teams

Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

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

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