Integrated Mental Health Care: Practitioners' Perspectives
Objective: Integrated mental health care (IMHC) is a community-based model that considers the patient and informal carers to be the major contributors to stable recovery from severe mental health problems. This study investigates the implementation of IMHC by 35 New Zealand practitioners 1 year afte...
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| Veröffentlicht in: | Australian and New Zealand journal of psychiatry 1997-08, Vol.31 (4), p.496-503 |
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| container_title | Australian and New Zealand journal of psychiatry |
| container_volume | 31 |
| creator | Allen, Ruth E.S. Read, John |
| description | Objective: Integrated mental health care (IMHC) is a community-based model that considers the patient and informal carers to be the major contributors to stable recovery from severe mental health problems. This study investigates the implementation of IMHC by 35 New Zealand practitioners 1 year after being trained in the model. It also explores their experiences and perceptions regarding the model.
Method: Quantitative and qualitative data were gathered by combining a questionnaire survey with in-depth interviews.
Results: Few of the trainees had been able to implement the model as much as they would have liked. A primary barrier to implementation was created by the resource constraints that impede most innovative community care initiatives even when demonstrated to be more cost-effective than traditional hospital-based approaches. Concerns particular to IMHC included issues relating to flexibility, time-intensiveness and applicability to New Zealand. Many practitioners found some of the specific intervention strategies and the clear overall structure of the model useful. Its psychosocial emphasis had a positive impact on many practitioners' beliefs about the causes and prognosis of severe mental health problems.
Conclusions: Participants offer a range of recommendations as to how IMHC might be applied and adapted. Consultation with staff, consumers, families and Maori, as well as a strengthening of the psychosocial components, are recommended. |
| doi_str_mv | 10.3109/00048679709065071 |
| format | Article |
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Method: Quantitative and qualitative data were gathered by combining a questionnaire survey with in-depth interviews.
Results: Few of the trainees had been able to implement the model as much as they would have liked. A primary barrier to implementation was created by the resource constraints that impede most innovative community care initiatives even when demonstrated to be more cost-effective than traditional hospital-based approaches. Concerns particular to IMHC included issues relating to flexibility, time-intensiveness and applicability to New Zealand. Many practitioners found some of the specific intervention strategies and the clear overall structure of the model useful. Its psychosocial emphasis had a positive impact on many practitioners' beliefs about the causes and prognosis of severe mental health problems.
Conclusions: Participants offer a range of recommendations as to how IMHC might be applied and adapted. Consultation with staff, consumers, families and Maori, as well as a strengthening of the psychosocial components, are recommended.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.3109/00048679709065071</identifier><identifier>PMID: 9272259</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Attitude of Health Personnel ; Biological and medical sciences ; Community Mental Health Services ; Delivery of Health Care, Integrated ; Employees ; Evaluation ; Health Resources ; Health Services Research ; Health staff related problems. Vocational training ; Humans ; Integration ; Medical care ; Medical sciences ; Mental Disorders - psychology ; Mental Disorders - rehabilitation ; Mental health ; Mental health services ; New Zealand ; Patient Care Team ; Patient Participation ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Social psychiatry. Ethnopsychiatry ; Surveys ; Training of</subject><ispartof>Australian and New Zealand journal of psychiatry, 1997-08, Vol.31 (4), p.496-503</ispartof><rights>1997 The Royal Australian and New Zealand College of Psychiatrists</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-10032c7c0887e18dcad692d5121ced037cea701942e55e61842f4336bcda1dc43</citedby><cites>FETCH-LOGICAL-c423t-10032c7c0887e18dcad692d5121ced037cea701942e55e61842f4336bcda1dc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.3109/00048679709065071$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.3109/00048679709065071$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,31000,43621,43622</link.rule.ids><backlink>$$Uhttps://natlib-primo.hosted.exlibrisgroup.com/primo-explore/search?query=any,contains,992604653602837&tab=innz&search_scope=INNZ&vid=NLNZ&offset=0$$DView this record in NLNZ$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2781730$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9272259$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, Ruth E.S.</creatorcontrib><creatorcontrib>Read, John</creatorcontrib><title>Integrated Mental Health Care: Practitioners' Perspectives</title><title>Australian and New Zealand journal of psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective: Integrated mental health care (IMHC) is a community-based model that considers the patient and informal carers to be the major contributors to stable recovery from severe mental health problems. This study investigates the implementation of IMHC by 35 New Zealand practitioners 1 year after being trained in the model. It also explores their experiences and perceptions regarding the model.
Method: Quantitative and qualitative data were gathered by combining a questionnaire survey with in-depth interviews.
Results: Few of the trainees had been able to implement the model as much as they would have liked. A primary barrier to implementation was created by the resource constraints that impede most innovative community care initiatives even when demonstrated to be more cost-effective than traditional hospital-based approaches. Concerns particular to IMHC included issues relating to flexibility, time-intensiveness and applicability to New Zealand. Many practitioners found some of the specific intervention strategies and the clear overall structure of the model useful. Its psychosocial emphasis had a positive impact on many practitioners' beliefs about the causes and prognosis of severe mental health problems.
Conclusions: Participants offer a range of recommendations as to how IMHC might be applied and adapted. Consultation with staff, consumers, families and Maori, as well as a strengthening of the psychosocial components, are recommended.</description><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Community Mental Health Services</subject><subject>Delivery of Health Care, Integrated</subject><subject>Employees</subject><subject>Evaluation</subject><subject>Health Resources</subject><subject>Health Services Research</subject><subject>Health staff related problems. Vocational training</subject><subject>Humans</subject><subject>Integration</subject><subject>Medical care</subject><subject>Medical sciences</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - rehabilitation</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>New Zealand</subject><subject>Patient Care Team</subject><subject>Patient Participation</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Surveys</subject><subject>Training of</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE9LHEEQxRuJmFXzATwEBhLMadaq_jvtLSyJCit6MOeh7a41I7M9m-7ZYPz09rKLl4Be6kG9Xz2Kx9gJwlQg2DMAkI021oAFrcDgHpuglFCjRvmBTTZ-XQD5kR3m_AiAApU5YAeWG86VnbDzqzjSQ3Ijheqa4uj66pJcP_6uZi7ReXWbnB-7sRsipfytui1zRWXzl_Ix21-4PtOnnR6xXz9_3M0u6_nNxdXs-7z2kouxRgDBvfHQNIawCd4FbXlQyNFTAGE8OQNoJSelSGMj-UIKoe99cBi8FEfsdJu7SsOfNeWxXXbZU9-7SMM6t8ZyKYxU74LKaDQWN4m4BX0ack60aFepW7r0r0VoN8W2_xVbbj7vwtf3SwqvF7smi_9157vsXb9ILvouv2LcNGgEFOzLFot9fG67GOipqLVcg9RKaOCNMIWabqnsHqh9HNYplobf-O4F1b2Vbg</recordid><startdate>19970801</startdate><enddate>19970801</enddate><creator>Allen, Ruth E.S.</creator><creator>Read, John</creator><general>SAGE Publications</general><general>Informa</general><scope>DUNLO</scope><scope>GOM</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19970801</creationdate><title>Integrated Mental Health Care: Practitioners' Perspectives</title><author>Allen, Ruth E.S. ; Read, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-10032c7c0887e18dcad692d5121ced037cea701942e55e61842f4336bcda1dc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Community Mental Health Services</topic><topic>Delivery of Health Care, Integrated</topic><topic>Employees</topic><topic>Evaluation</topic><topic>Health Resources</topic><topic>Health Services Research</topic><topic>Health staff related problems. Vocational training</topic><topic>Humans</topic><topic>Integration</topic><topic>Medical care</topic><topic>Medical sciences</topic><topic>Mental Disorders - psychology</topic><topic>Mental Disorders - rehabilitation</topic><topic>Mental health</topic><topic>Mental health services</topic><topic>New Zealand</topic><topic>Patient Care Team</topic><topic>Patient Participation</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Surveys</topic><topic>Training of</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allen, Ruth E.S.</creatorcontrib><creatorcontrib>Read, John</creatorcontrib><collection>Index New Zealand (A&I)</collection><collection>Index New Zealand</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allen, Ruth E.S.</au><au>Read, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Integrated Mental Health Care: Practitioners' Perspectives</atitle><jtitle>Australian and New Zealand journal of psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>1997-08-01</date><risdate>1997</risdate><volume>31</volume><issue>4</issue><spage>496</spage><epage>503</epage><pages>496-503</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective: Integrated mental health care (IMHC) is a community-based model that considers the patient and informal carers to be the major contributors to stable recovery from severe mental health problems. This study investigates the implementation of IMHC by 35 New Zealand practitioners 1 year after being trained in the model. It also explores their experiences and perceptions regarding the model.
Method: Quantitative and qualitative data were gathered by combining a questionnaire survey with in-depth interviews.
Results: Few of the trainees had been able to implement the model as much as they would have liked. A primary barrier to implementation was created by the resource constraints that impede most innovative community care initiatives even when demonstrated to be more cost-effective than traditional hospital-based approaches. Concerns particular to IMHC included issues relating to flexibility, time-intensiveness and applicability to New Zealand. Many practitioners found some of the specific intervention strategies and the clear overall structure of the model useful. Its psychosocial emphasis had a positive impact on many practitioners' beliefs about the causes and prognosis of severe mental health problems.
Conclusions: Participants offer a range of recommendations as to how IMHC might be applied and adapted. Consultation with staff, consumers, families and Maori, as well as a strengthening of the psychosocial components, are recommended.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>9272259</pmid><doi>10.3109/00048679709065071</doi><tpages>8</tpages></addata></record> |
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| ispartof | Australian and New Zealand journal of psychiatry, 1997-08, Vol.31 (4), p.496-503 |
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| language | eng |
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| source | Access via SAGE; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Access via Taylor & Francis |
| subjects | Attitude of Health Personnel Biological and medical sciences Community Mental Health Services Delivery of Health Care, Integrated Employees Evaluation Health Resources Health Services Research Health staff related problems. Vocational training Humans Integration Medical care Medical sciences Mental Disorders - psychology Mental Disorders - rehabilitation Mental health Mental health services New Zealand Patient Care Team Patient Participation Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Social psychiatry. Ethnopsychiatry Surveys Training of |
| title | Integrated Mental Health Care: Practitioners' Perspectives |
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