Integrated Primary Care Mental Health Service: A Qualitative Exploration of an Integrated Approach to Supporting People with Significant Mental Health Problems in Primary Care.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES Community Mental Health Journal Pub Date : 2025-05-01 Epub Date: 2024-12-20 DOI:10.1007/s10597-024-01393-1
Pamela McSherry, Anna Maria Manti, Amy Crellin, Colette Lane, Georgina Foulds
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Abstract

Individuals with significant mental health problems (SMHP) have historically faced challenges accessing mental health care due to gaps between primary and secondary care services. The National Health Service (NHS) Long Term Plan aims to bridge this gap through the introduction of integrated primary care services that provide holistic, person-centred, multidisciplinary support for people with SMHP. This evaluation aimed to explore the experience of service users, carers and staff working within this new model of care. A qualitative approach was employed, and semi-structured interviews were conducted with N = 123 participants (n = 106 staff, n = 15 service users, n = 2 carers). Thematic analysis identified three themes: 'opening doors and improving experiences', 'tailored and timely care' and 'connected communities'. Findings showed that the Integrated Primary Care Mental Health Service enabled earlier and easier access to mental health support for people with SMHP and supported community engagement and cross-collaboration between the NHS and partner agencies. The findings underscore the value of the Integrated Service in providing accessible, comprehensive, and person-centred mental health support at a primary care level, highlighting the benefits of cross-partnership working.

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综合初级保健心理健康服务:在初级保健中支持有重大心理健康问题的人的综合方法的质性探索。
由于初级和二级保健服务之间的差距,有严重精神健康问题的个人在获得精神保健方面历来面临挑战。《国民保健服务长期计划》旨在通过引入综合初级保健服务来弥补这一差距,这些服务为患有轻度高血压的人提供全面的、以人为本的多学科支持。这项评估旨在探索服务使用者、护理人员和在这种新的护理模式下工作的工作人员的经验。采用定性方法,对123名参与者进行了半结构化访谈(N = 106名工作人员,N = 15名服务使用者,N = 2名护理人员)。专题分析确定了三个主题:“打开大门,改善体验”、“量身定制的及时护理”和“互联社区”。调查结果表明,综合初级保健精神卫生服务使患有精神疾病的人能够更早、更容易地获得精神卫生支持,并支持社区参与和国民保健制度与伙伴机构之间的交叉合作。调查结果强调了综合服务在初级保健一级提供可获得的、全面的和以人为本的精神卫生支助方面的价值,并强调了跨伙伴合作的好处。
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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