Continuity of Care in Mental Health Services: Toward Clarifying the Construct

Objective: To clarify “continuity of care” (COC), a construct associated with the delivery of services for persons suffering from severe and persistent mental illness (SPMI), with attention to the service recipient's perception of COC. Method: The study involved a systematic appraisal of the li...

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Veröffentlicht in:Canadian journal of psychiatry 2004-08, Vol.49 (8), p.539-550
Hauptverfasser: Joyce, Anthony S, Wild, T Cameron, Adair, Carol E, McDougall, Gerald M, Gordon, Alan, Costigan, Norman, Beckie, Anora, Kowalsky, Laura, Pasmeny, Gloria, Barnes, Fran
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container_end_page 550
container_issue 8
container_start_page 539
container_title Canadian journal of psychiatry
container_volume 49
creator Joyce, Anthony S
Wild, T Cameron
Adair, Carol E
McDougall, Gerald M
Gordon, Alan
Costigan, Norman
Beckie, Anora
Kowalsky, Laura
Pasmeny, Gloria
Barnes, Fran
description Objective: To clarify “continuity of care” (COC), a construct associated with the delivery of services for persons suffering from severe and persistent mental illness (SPMI), with attention to the service recipient's perception of COC. Method: The study involved a systematic appraisal of the literature on COC, supplemented by interviews with 36 SPMI patients and their families. Statements highlighting attributes of COC were extracted from both sources. Results: Comments by patients and families corresponded to descriptions of COC in the mental health literature. Attribute classifications by independent teams of judges showed good consistency. The following 4 attribute domains of the COC construct were identified: service delivery, accessibility, relationship base, and individualized care. Conclusions: Service recipients' perceptions of COC overlapped with representations of the construct in the mental health literature. The qualitative inquiry resulted in a draft, 47-item, self-report questionnaire for use in studies of interventions designed to facilitate COC.
doi_str_mv 10.1177/070674370404900805
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subjects Biological and medical sciences
Care & treatment
Continuity of Patient Care
Evaluation
Humans
Medical sciences
Mental Disorders - therapy
Mental health
Mental health care
Mental Health Services - organization & administration
Mentally ill
Organization of mental health. Health systems
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social psychiatry. Ethnopsychiatry
Surveys and Questionnaires
title Continuity of Care in Mental Health Services: Toward Clarifying the Construct
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