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Multiple system reforms in Australia, including the National Disability Insurance Scheme (NDIS), are changing mental health (MH) and disability-related service provision, whilst policy drivers continue to require service integration. This has necessitated service providers discovering new ways of working collaboratively to achieve an integrated model of care. This qualitative study examined what does and does not work to support collaborative and coordinated care (CCC), as essential components of service integration. The study sample (n = 59) included four cohorts: health and community service leaders (n = 16), staff (n = 23); MH service consumers with complex needs (n = 10), and MH carers (n = 10). Thematic analysis from interviews was applied to data from each cohort to identify overarching themes that described the lived experience of current CCC delivery. COREQ and EQUATOR guidelines were applied to reporting the findings. Themes emphasized CCC is enabled by the development and sustainability of positive working relationships, and depth of knowledge across health and community services. Unnavigable service systems, stigmatization, perceived power differentials, multiple and rapid service reforms and Fee-For-Service (FFS) models provide significant barriers to CCC. Recommendations include the need for accessible service navigation, consumer-friendly service environments, a stable workforce, standardization of knowledge across sectors, outcome measures and funding attached to CCC as part of a raft of potential changes.

Titel:	Understanding collaborative and coordinated care in a mental health and well-being context: Essential elements for effective service integration.
Autor/in / Beteiligte Person:	Williams, B ; Charleston, R ; Innes, S ; McIver, S
Zeitschrift:	International journal of mental health nursing, Jg. 33 (2024-04-01), Heft 2, S. 397-408
Veröffentlichung:	Carlton, Vic. : Wiley-Blackwell : Blackwell Pub. ; <i>Original Publication</i>: Carlton, Vic. : Blackwell Pub., c2002-, 2024
Medientyp:	academicJournal
ISSN:	1447-0349 (electronic)
DOI:	10.1111/inm.13244
Schlagwort:	Humans Mental Health Australia Caregivers Disabled Persons Mental Health Services
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Int J Ment Health Nurs] 2024 Apr; Vol. 33 (2), pp. 397-408. <i>Date of Electronic Publication: </i>2023 Oct 17. MeSH Terms: Disabled Persons* ; Mental Health Services* ; Humans ; Mental Health ; Australia ; Caregivers References: Armytage, P., Fels, A., Cockram, A. & Mcsherry, B. (2021) Royal commission into Victoria's mental health system. Final report. ; Banfield, M. & Forbes, O. (2018) Health and social care coordination for severe and persistent mental illness in Australia: a mixed methods evaluation of experiences with the Partners in Recovery Program. International Journal of Mental Health Systems, 12, 1-13. ; Banfield, M.A., Gardner, K.L., Yen, L.E., Mcrae, I.S., Gillespie, J.A. & Wells, R.W. (2012) Coordination of care in Australian mental health policy. Australian Health Review, 36, 153-157. ; Baxter, S., Johnson, M., Chambers, D., Sutton, A., Goyder, E. & Booth, A. 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Contributed Indexing: Keywords: care coordination; healthcare reform; integrated care; mental health services; service delivery Entry Date(s): Date Created: 20231018 Date Completed: 20240311 Latest Revision: 20240311 Update Code: 20240311

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Understanding collaborative and coordinated care in a mental health and well-being context: Essential elements for effective service integration.