Comparison of integrated and consultation‐liaison models for providing mental health care in general practice in New South Wales, Australia

Harmon, Karen; Carr, Vaughan J.; Lewin, Terry J.

doi:10.1046/j.1365-2648.2000.01616.x

Cited by 20 publications

(12 citation statements)

References 11 publications

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“…Elucidating the essence of psychiatric nursing is of vital importance, particularly while the biomedical perspective is prominent. Psychiatric nurses can still be regarded as dependent assistants to general practitioners and psychiatrists (Harmon et al 2000) and not as carriers of professional skills and a specific knowledge.…”

Section: Discussionmentioning

confidence: 99%

Mutuality as background music in women's lived experience of mental health and depression

Hedelin

Jönsson²

2003

Psychiatric Ment Health Nurs

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Mental health problems, especially depression, have turned into an extensive public health problem, affecting women in particular. The aim of this study was to obtain a deeper understanding of mental health phenomena through elderly women's lived experiences of mental health and depression. The phenomenological approach was chosen for collecting experience-based and person-centred descriptions from 21 women, focusing on mental health and depression. The interviews were analysed using Giorgi's phenomenological descriptive method. Mutuality in their relationships with themselves and others emerged as a major element in the women's experience of mental health and depression. When the women's existence and value were confirmed in relation to themselves and others, mental health appeared as an ascending spiral. When the women's value and self-esteem in relation to themselves and others were violated, the result was a descending spiral. Metaphorically speaking, 'mutuality' provided the 'background music' to the women's lives. Being a skilled professional psychiatric nurse means making the best use of mutuality as a creative power in the nurse-patient relationship. This means that the nurse must be aware that her/his attitude, appearance and behaviour are interpreted as a confirmation of the patient's worthiness or worthlessness.

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Section: Discussionmentioning

confidence: 99%

Mutuality as background music in women's lived experience of mental health and depression

Hedelin

Jönsson²

2003

Psychiatric Ment Health Nurs

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“…Past research has found highly favourable responses from health professionals collaborating with consultation liaison psychiatry nurses in acute care inpatient settings (Wand & Happell 2001, Wand 2004, Sharrock et al. 2006) and in general practice settings (Harmon et al. 2000).…”

Section: Literature Reviewmentioning

confidence: 99%

Evaluation of a community‐based mental health drug and alcohol nurse in the care of people living with HIV/AIDS

Allen

Hamilton

Nunn

et al. 2009

Psychiatric Ment Health Nurs

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There is a growing need for advanced practice mental health and drug and alcohol nursing roles in the care of people living with HIV/AIDS; however, limited publications address these domains. This study evaluated a community-based mental health drug and alcohol nurse role caring for people living with HIV/AIDS (Mental Health D&A Nurse) in a large not-for-profit district nursing organization providing care to people living with HIV/AIDS in an Australian city. Outcomes from a client assessment and 6-8-week follow-up by the Mental Health D&A Nurse are presented as captured by the Depression Anxiety Stress Scales (DASS 21), Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Health of the Nation Outcome Scales (HONOS) and WHOQoL BREF. Mean scores and caseness were analysed, and significant differences were found on the 'impairment' and 'social problems' subscales of the HONOS. Results of semi-structured interviews with clients describe effective and supportive mental health care and health-promoting education following visits by the Mental Health D&A Nurse. These positive findings support continuing implementation of the role within this community setting and indicate that even greater benefits will ensue as the role develops further. Findings are of interest to clinicians and policy makers seeking to implement similar roles in community-based HIV/AIDS care.

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“…Inter-organizational cooperation to provide joint staff training or continuing education was implemented for one of two purposes: to increase the content knowledge of staff from more than one agency and/or to increase staff's and community's knowledge of each other [47,48]. Schulz et al [48] described an eight-week training program where health providers met to discuss community problem-solving skills and resources.…”

Section: Joint Training/educationmentioning

confidence: 99%

“…A commonly implemented relational intervention was the addition of a new role with the purpose of facilitating I-O integration. In some cases this role is played by an individual and in other situations an interdisciplinary team may take the responsibility of integrating existing services [13,47]. For example, Harmon et al [47] introduced a service model whereby community-based mental health nurses facilitated liaisons between general practitioners and mental health services.…”

Section: Addition Of An Integration Rolementioning

confidence: 99%

“…Strategic partnerships refer to the action of identifying and partnering with organizations based on their established relationship with the community of interest. For example, in the study by Harmon et al [47], mental health nurses with established connections to other services were selected as the liaison between general practitioners and mental health services. Other authors have described this notion of strategic partnering using less explicit methods, but nevertheless with similar goals and outcomes.…”

Section: Strategic Partnershipsmentioning

confidence: 99%

See 1 more Smart Citation

Improving Access to Preventive Services for Marginalized Families During Early Childhood: An Integrative Review of Inter-organizational Integration Interventions

Smith¹,

Peterson²,

Jaglarz³

et al. 2009

TOHSPJ

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Marginalized populations exhibit low rates of preventive service use, often avoiding use of non-urgent services. Poor access to preventive and health promoting care serves to maintain inequities in health experienced by many marginalized populations. Of particular concern are marginalized families with young children below the age of school entry, when physical, emotional and psychological foundations for lifelong health are being established. Many community based organizations recognize the need to improve families' access and use of preventive services. However, they are faced with a gap in understanding what inter-organizational interventions could be implemented to improve integration of services particularly focused on addressing experiences of marginalized families. Therefore, we used the integrative review method to identify and describe inter-organizational (I-O) interventions in the literature that aim to improve access to preventive services by marginalized families. As per integrative review methods, the literature was searched for research studies using qualitative, quantitative or mixed method designs, and investigating I-O interventions aiming to improve access to preventive services through increased service integration. Three levels of screening and relevance review identified fourteen articles. A conceptual model informed by socio-ecological theory was used to classify interventions as relational or structural. Results show that reports of rigorously conducted studies of I-O interventions are relatively sparse, and emphasize structural factors such as shared leadership, shared review or development of policies/protocols, changes to referral mechanisms and geographical/caseload matching. Interorganizational interventions that influence relational factors were rare but have included: joint training/education, facilitated communication, addition of an integration role, and strategic partnerships. We suggest that combining both structural-and relational-focused strategies in inter-organizational integration intervention design may have greater impact on improving access to preventive services for marginalized families, with increased use of early childhood preventive services contributing to reducing health disparities.

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Comparison of integrated and consultation‐liaison models for providing mental health care in general practice in New South Wales, Australia

Cited by 20 publications

References 11 publications

Mutuality as background music in women's lived experience of mental health and depression

Mutuality as background music in women's lived experience of mental health and depression

Evaluation of a community‐based mental health drug and alcohol nurse in the care of people living with HIV/AIDS

Improving Access to Preventive Services for Marginalized Families During Early Childhood: An Integrative Review of Inter-organizational Integration Interventions

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