Strengthening the delivery of integrated care for individuals experiencing serious mental illness within mental health settings: a qualitative description of health provider perspectives

被引：0

作者：

Ambreen, Munazzah ^{[1
]}

Canning, Christopher ^{[2
]}

Lo, Brian ^{[1
,3
]}

Agarwal, Sri Mahavir ^{[1
,4
]}

Burhan, Amer M. ^{[4
,5
]}

Castle, David ^{[6
,7
]}

Del Giudice, M. Elisabeth ^{[8
]}

Konkoly-Thege, Barna ^{[2
,4
]}

Liu, Louis ^{[9
]}

Melamed, Osnat C. ^{[1
,8
]}

Sirotich, Frank ^{[10
,11
]}

Sockalingam, Sanjeev ^{[1
,4
]}

Strudwick, Gillian ^{[1
,12
]}

Tajirian, Tania ^{[1
,8
]}

Tibbo, Philip G. ^{[13
,14
]}

van Kesteren, Mary Rose ^{[1
]}

Walker, Caroline ^{[1
]}

Stergiopoulos, Vicky ^{[1
,4
,15
]}

机构：

[1] Ctr Addict & Mental Hlth, Toronto, ON, Canada

[2] Waypoint Ctr Mental Hlth Care, Waypoint Res Inst, Penetanguishene, ON, Canada

[3] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada

[4] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[5] Ontario Shores Ctr Mental Hlth Sci, Whitby, ON, Canada

[6] Univ Tasmania, Sch Med, Hobart, Tas, Australia

[7] Tasmanian Hlth Serv, Tasmanian Ctr Mental Hlth Serv Innovat, Hobart, Australia

[8] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada

[9] Univ Toronto, Univ Hlth Network, Toronto, ON, Canada

[10] Canadian Mental Hlth Assoc, Toronto Branch, Toronto, ON, Canada

[11] Univ Toronto, Factor Inwentash Fac Social Work, Toronto, ON, Canada

[12] Western Univ, Arthur Labatt Family Sch Nursing, London, ON, Canada

[13] Dalhousie Univ, Dept Psychol & Neurosci, Halifax, NS, Canada

[14] Dalhousie Univ, Dept Psychiat, Halifax, NS, Canada

[15] Univ Toronto, 1051 Queen St West,Room 2310, Toronto, ON M6J 1H3, Canada

来源：

BMC PSYCHIATRY | 2025年 / 25卷 / 01期

基金：

加拿大健康研究院;

关键词：

Serious mental illness; Integrated care; Reverse integration; Physical health; Qualitative design; Provider perspectives; Health services research; GENERAL MEDICAL OUTCOMES; MORTALITY; PEOPLE; ADULTS;

D O I：

10.1186/s12888-025-06572-2

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

BackgroundIndividuals experiencing serious mental illness (SMI) have higher rates of comorbid physical health conditions, poorer associated health outcomes, and die on average 10-20 years earlier than the general population. They encounter multiple barriers to accessing appropriate physical health care in many countries, including Canada, where policies and practices to promote integrated care delivery to this population remain scant. This qualitative study aimed to explore health provider perspectives and experiences with integrated physical and mental health care within mental health settings in Canada, in efforts to address the health needs of this population.MethodsThis qualitative descriptive study involved conducting individual semi-structured interviews with 13 health administrators and four focus groups with 15 clinicians between July 2023 and April 2024. The data analysis team, inclusive of individuals with SMI, used thematic analysis to identify overarching themes that capture participants' perspectives on and experiences with delivering integrated physical and mental health care within mental health settings in Canada, including their clinical practices and organizational contexts.ResultsWe identified four themes in participant narratives: (1) the need for integrated care delivery within mental health settings; (2) organizational readiness for integrated care; (3) moving integration forward: addressing challenges; and (4) leveraging opportunities to advance integrated care. Both participant groups highlighted challenges with fragmented healthcare services, emphasized the urgent need for policies, practices and guidelines that support person-centered, comprehensive care within mental health settings, and called for engaging people with living/lived experience and family members in service redesign.ConclusionFindings underscore the importance of accelerating efforts to promote integrated health care delivery for adults with SMI within mental health settings, and of implementing policies that address health disparities for this population in the Canadian context.Clinical trial numberNot Applicable.

引用

页数：12

共 51 条

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