Barriers and Facilitators to Mental Health Service Integration: A Scoping Review.

Adam Searby, Dianna Burr, Renae Carolin, Alison Hutchinson
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Abstract

Mental health service integration currently has no consensus definition and exists in a variety of settings, including primary care, addiction treatment and chronic disease management, and mental health nurses have often experienced efforts at service integration with varying degrees of success. The intent of mental health service integration is to enable collaboration between mental health services and other healthcare providers to improve service access and the care provided to individuals with mental health issues or mental illness. This scoping review aimed to explore service integration between mental health services and with a specific focus on those evaluated in peer-reviewed, primary literature, to determine facilitators and barriers to service integration. Using the Arksey and O'Malley's framework for scoping reviews, we located 3148 studies, with screening narrowing final papers for inclusion to 18. Facilitators to service integration included clinician education, adequate resourcing and an interdisciplinary approach, while barriers included staff factors such as a reluctance to work with individuals with mental illness, consumer level barriers such as poor mental health literacy, 'territorialism' among staff and organisational climate. Research indicates that service integration is an effective means to detect and treat mental health issues in settings that do not traditionally provide mental health care, lowering the costs of providing healthcare and providing improved care for mental health needs; however, there are several barriers to be addressed to achieve full implementation of integration models.

心理健康服务整合的障碍和促进因素:范围审查》。
心理健康服务整合目前还没有一个共识性的定义,它存在于各种环境中,包括初级医疗、成瘾治疗和慢性病管理。心理健康服务整合的目的是使心理健康服务和其他医疗服务提供者之间能够相互协作,以提高服务的可及性,并为有心理健康问题或精神疾病的个人提供更好的护理。本范围综述旨在探索心理健康服务之间的服务整合,并特别关注那些经过同行评审的主要文献中的评估,以确定服务整合的促进因素和障碍。利用 Arksey 和 O'Malley 的范围界定综述框架,我们找到了 3148 项研究,并通过筛选将最终纳入的论文缩减至 18 篇。服务整合的促进因素包括临床医生教育、充足的资源配置和跨学科方法,而障碍则包括员工因素(如不愿与精神疾病患者共事)、消费者层面的障碍(如心理健康知识匮乏)、员工中的 "地域主义 "和组织氛围。研究表明,服务整合是一种有效的手段,可以在传统上并不提供精神健康护理的环境中发现和治疗精神健康问题,降低医疗保健的成本,并为精神健康需求提供更好的护理;然而,要实现整合模式的全面实施,还有一些障碍需要解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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