Factors supporting the implementation of integrated care between physical and mental health services: an integrative review.

Coates, D; Coppleson, D; Travaglia, J

Factors supporting the implementation of integrated care between physical and mental health services: an integrative review.

Coates, D

Coppleson, D Travaglia, J

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Publisher:: TAYLOR & FRANCIS INC
Publication Type:: Journal Article
Citation:: Journal of interprofessional care, 2021, pp. 1-14
Issue Date:: 2021-01-13

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Field	Value	Language
dc.contributor.author	Coates, D https://orcid.org/0000-0002-4463-7615
dc.contributor.author	Coppleson, D
dc.contributor.author	Travaglia, J https://orcid.org/0000-0002-7537-0466
dc.date.accessioned	2021-10-08T04:37:52Z
dc.date.available	2021-10-08T04:37:52Z
dc.date.issued	2021-01-13
dc.identifier.citation	Journal of interprofessional care, 2021, pp. 1-14
dc.identifier.issn	1356-1820
dc.identifier.issn	1469-9567
dc.identifier.uri	http://hdl.handle.net/10453/150941
dc.description.abstract	In Australia and internationally there is a strong policy commitment to the redesign of health services toward integrated physical and mental health care. When executed well, integrated care has been demonstrated to improve the access to, clinical outcomes from, and quality of care while reducing overtreatment and duplication. Despite the demonstrated effectiveness and promise of integrated care, exactly how integrated care is best achieved remains less clear. The aim of this review study was to identify factors that support the implementation of integrated care between physical and mental health services. An integrative review was conducted following the framework developed by Whittemore and Knafl, with quantitative and qualitative evidence systematically considered. To identify studies, Medline, PubMed, PsychINFO, CINAHL were searched for the period from 2003 to 2018, and reference lists of included studies and review articles were examined. Nineteen studies were included. Synthesis of study findings identified seven key factors supporting the implementation of integrated care between physical and mental health services: (a) adequate resourcing, (b) shared values, (c) effective communication, (d) information technology (IT) infrastructure, (e) flexible administrative organizations, (f) role clarity and accountability, and (g) staff engagement and training. There was little theoretical development in included studies, with little insight into the contextual factors or underlying mechanism required to support the implementation of integrated care initiatives. This review identified a set of inter-related barriers and facilitators which, if addressed, can improve the implementation and sustainability of truly integrated care.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	TAYLOR & FRANCIS INC
dc.relation.ispartof	Journal of interprofessional care
dc.relation.isbasedon	10.1080/13561820.2020.1862771
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Nursing
dc.title	Factors supporting the implementation of integrated care between physical and mental health services: an integrative review.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
dc.date.updated	2021-10-08T04:37:51Z
pubs.publication-status	Published

Abstract:

In Australia and internationally there is a strong policy commitment to the redesign of health services toward integrated physical and mental health care. When executed well, integrated care has been demonstrated to improve the access to, clinical outcomes from, and quality of care while reducing overtreatment and duplication. Despite the demonstrated effectiveness and promise of integrated care, exactly how integrated care is best achieved remains less clear. The aim of this review study was to identify factors that support the implementation of integrated care between physical and mental health services. An integrative review was conducted following the framework developed by Whittemore and Knafl, with quantitative and qualitative evidence systematically considered. To identify studies, Medline, PubMed, PsychINFO, CINAHL were searched for the period from 2003 to 2018, and reference lists of included studies and review articles were examined. Nineteen studies were included. Synthesis of study findings identified seven key factors supporting the implementation of integrated care between physical and mental health services: (a) adequate resourcing, (b) shared values, (c) effective communication, (d) information technology (IT) infrastructure, (e) flexible administrative organizations, (f) role clarity and accountability, and (g) staff engagement and training. There was little theoretical development in included studies, with little insight into the contextual factors or underlying mechanism required to support the implementation of integrated care initiatives. This review identified a set of inter-related barriers and facilitators which, if addressed, can improve the implementation and sustainability of truly integrated care.

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http://hdl.handle.net/10453/150941