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SUMMARY
What is already known about this topic: In psychiatric case management, an integrated package of monitoring, support and treatment is coordinated by a case manager or care coordinator. Effective discharge of case manager responsibilities requires a wellfunctioning multidisciplinary team, with high levels of communication and member participation in team meetings. In the UK, the effective deployment of case management has been undermined by the failure to address teamwork skills and underlying interprofessional and interpersonal tensions. Yet there has been little direct investigation of the impact of team processes on the psychiatric case manager role.
What this paper adds: This study identifies team processes that impact on the effective coordination of community mental health care for people with severe mental illness. Care co-ordination is enhanced when team structures and policies are in place and where respectful interactions in team meetings encourage participation. Where team members feel disrespected, undermined or 'unsafe', their psychological or physical withdrawal from team meetings impairs communication, information sharing and collaboration, with a negative and potentially risky impact on the provision and coordination of care.