Kim Jørgensen, Kirstine Bro Jørgensen, Bengt Karlsson
{"title":"Cross-Sectoral Collaboration Between Mental Health Hospitals and Municipalities: A Scoping Review.","authors":"Kim Jørgensen, Kirstine Bro Jørgensen, Bengt Karlsson","doi":"10.1080/01612840.2025.2478419","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cross-sectoral collaboration between mental health hospitals and municipalities addresses the multifaceted needs of individuals with mental health conditions. Recovery-oriented care emphasizes personal empowerment, holistic support, and integrated services. However, barriers to collaboration hinder effective service delivery. This scoping review explores how recovery-oriented approaches are integrated within collaborative practices and identifies key barriers and facilitators to cross-sectoral collaboration.</p><p><strong>Methods: </strong>This review followed Arksey and O'Malley's framework, with systematic searches conducted in PubMed, CINAHL, PsycINFO, and Web of Science. Studies published between 2012 and 2024 were included if they focused on cross-sectoral collaboration within a recovery-oriented framework. Data from 30 peer-reviewed articles were synthesized to identify themes related to barriers, facilitators, and best practices.</p><p><strong>Results: </strong>Barriers to collaboration included fragmented communication systems, cultural and professional differences, and power imbalances across sectors. Structural challenges, such as discrepancies in legislative and funding mechanisms, hindered integration. Successful models, such as Individual Placement and Support (IPS) and Open Dialogue, demonstrated the potential of structured frameworks in overcoming barriers. User involvement emerged as a pivotal facilitator of meaningful collaboration but remains underutilized in practice.</p><p><strong>Discussion: </strong>Recovery-oriented care necessitates overcoming systemic and cultural barriers to develop integrated, person-centered approaches. Despite promising practices, gaps in understanding long-term outcomes and user perspectives persist, highlighting the need for further research.</p><p><strong>Conclusion: </strong>Effective collaboration between mental health hospitals and municipalities is fundamental to delivering recovery-oriented care. Future research should explore standardized metrics, enhance user involvement, and assess the scalability of successful models to strengthen integration.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-15"},"PeriodicalIF":1.7000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Issues in Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01612840.2025.2478419","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Cross-sectoral collaboration between mental health hospitals and municipalities addresses the multifaceted needs of individuals with mental health conditions. Recovery-oriented care emphasizes personal empowerment, holistic support, and integrated services. However, barriers to collaboration hinder effective service delivery. This scoping review explores how recovery-oriented approaches are integrated within collaborative practices and identifies key barriers and facilitators to cross-sectoral collaboration.
Methods: This review followed Arksey and O'Malley's framework, with systematic searches conducted in PubMed, CINAHL, PsycINFO, and Web of Science. Studies published between 2012 and 2024 were included if they focused on cross-sectoral collaboration within a recovery-oriented framework. Data from 30 peer-reviewed articles were synthesized to identify themes related to barriers, facilitators, and best practices.
Results: Barriers to collaboration included fragmented communication systems, cultural and professional differences, and power imbalances across sectors. Structural challenges, such as discrepancies in legislative and funding mechanisms, hindered integration. Successful models, such as Individual Placement and Support (IPS) and Open Dialogue, demonstrated the potential of structured frameworks in overcoming barriers. User involvement emerged as a pivotal facilitator of meaningful collaboration but remains underutilized in practice.
Discussion: Recovery-oriented care necessitates overcoming systemic and cultural barriers to develop integrated, person-centered approaches. Despite promising practices, gaps in understanding long-term outcomes and user perspectives persist, highlighting the need for further research.
Conclusion: Effective collaboration between mental health hospitals and municipalities is fundamental to delivering recovery-oriented care. Future research should explore standardized metrics, enhance user involvement, and assess the scalability of successful models to strengthen integration.
期刊介绍:
Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.