Health & Social Care in the Community最新文献

{"title":"Introducing a Computerized Care-Pathways System for Older Adults in Home-Care Settings","authors":"Nicole Dubuc,&nbsp;Afiwa N’Bouke,&nbsp;Cinthia Corbin,&nbsp;Nathalie Delli-Colli","doi":"10.1155/hsc/5535495","DOIUrl":"https://doi.org/10.1155/hsc/5535495","url":null,"abstract":"<div>\u0000 <p>Introducing computerized care pathways for older adults living at home may be a promising way to improve the clinical dimension of integrated care. Evidence on how to implement them in various home-care contexts is, however, sparse. A prospective, comparative multiple case study with nested analysis units was conducted across three home-care settings. Participants included managers, healthcare professionals, and home-care clients. We used a variety of frameworks and both qualitative and quantitative methods to understand the implementation process. The implementation research logic model (IRLM) presents links among determinants, strategies, mechanisms, and outcomes. Twelve barriers and 35 facilitators were similarly perceived, and 40 strategies were commonly adopted during implementation. After 12 months, OCCI implementation was feasible, appropriate, and acceptable at moderate-to-high levels. They were delivered with a moderate level of fidelity, but the level of penetration after 24 months was high. Participants perceived the OCCIs as supporting a holistic approach, good relationships, clinical decision-making, information sharing, and interprofessional coordination, but not as much productivity and efficiency. Home-care clients had a high level of satisfaction with health care and services. They were satisfied about their involvement in decision-making and with computer use by professionals. We identified four causal pathways: engaging interest holders in a partnership model throughout the study; providing an information system that supports clinical processes; building a conducive environment with deliberate efforts to increase buy-in and engagement; facilitating capacity and relationship building to increase adoption; and embedding the OCCIs in usual practice. The results illustrate how a real understanding of contexts was important to elucidate the mechanisms at work during this study. Adapting the innovation to achieve a better fit between it and the clinical contexts was fundamental. Positive outcomes relied on time, appropriated resources, and a continual, iterative process corresponding to “Make It Happen.”</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5535495","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Contracting With a Family Doctor Affect the Medical Expenditures of Residents in China?","authors":"Jiayi Song,&nbsp;Xizi Wan,&nbsp;Shaojie Zhou,&nbsp;Miao Yu","doi":"10.1155/hsc/6697562","DOIUrl":"https://doi.org/10.1155/hsc/6697562","url":null,"abstract":"<div>\u0000 <p>The Chinese government implemented a nationwide family doctor policy in 2016 as a component of the Healthy China 2030 plan. Previous studies on the role of family doctors in reducing medical expenditures in China have produced inconsistent results. This study employed large-sample microsurvey data from across China to analyze the effects of family doctor contracts on actual medical and hospitalization expenditures. Utilizing both ordinary least squares (OLS) regression and instrumental variable (IV) regression, we analyzed data from 11,221 participants in the 2021 National China Livelihood Survey. The OLS and IV regression results suggested that engaging with a family doctor enhanced actual medical and hospitalization costs. This study conducted two additional analyses to delve deeper into this finding. The mechanistic analysis indicated that the association between contracting with a family doctor and increased medical spending was mediated by improved medical accessibility, prompt medication adherence, and regular hospital visits. Furthermore, a heterogeneity analysis showed that this increase in medical expenditures was particularly pronounced among residents with an educational level of high school and below, those suffering from chronic diseases, and individuals residing in regions with superior infrastructure and health resource availability. Consequently, our study indicates that contracting with a family doctor, although it raises medical costs for Chinese residents, is also associated with enhancements in health status.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6697562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development and Preliminary Evaluation of the “SPA-LTC Voices” Video Series as a Means of Articulating a Palliative Approach in Long-Term Care Settings","authors":"Paulette V. Hunter,&nbsp;Abigail Wickson-Griffiths,&nbsp;Susan M. Tupper,&nbsp;Allison Cammer,&nbsp;Lynn McCleary,&nbsp;Sharon Kaasalainen,&nbsp;Tamara Sussman,&nbsp;Genevieve Thompson","doi":"10.1155/hsc/3998877","DOIUrl":"https://doi.org/10.1155/hsc/3998877","url":null,"abstract":"<div>\u0000 <p>Palliative care has earned its place as a respected approach to medicine that focuses on quality of life, symptom management, a team approach, and family involvement, typically following the diagnosis of a life-limiting illness. To improve health equity, it is important to encourage the adaptation of palliative care practice and philosophy beyond hospices and within a range of care settings. To support further adaptation in long-term care, our research team Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) created the video education resource “SPA-LTC Voices” to explore what a palliative approach entails in a long-term care context and to dispel persistent myths about palliative care. After consulting with palliative care experts and family caregivers, we designed a four-part series using a storytelling approach (i.e., presenting accounts of lived experience) within a three-act narrative structure (i.e., setup, tension, and resolution). We then employed an embedded intervention mixed methods design to pilot-test the acceptability of the video series and the outcome of knowledge transfer during structured interviews with 16 participants, who were either family caregivers (12) or healthcare providers (4). Integrated qualitative and quantitative findings confirmed potential for positive impact on knowledge transfer across both audiences, including an improved understanding of the values and practices involved in palliative care. Integrated findings also confirmed high acceptability of the narrative format and the diversity of the storytellers. Overall, this pilot research suggests that the “SPA-LTC Voices” video series holds promise as a tool to support education within long-term care settings.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3998877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Potential Impact of Social Prescribing on Meaningful Engagement in Collective Aged Care Settings: Perspectives From the Global South","authors":"Melissa Kilian,&nbsp;Tania Rauch van der Merwe,&nbsp;Itumeleng Tsatsi,&nbsp;Ronelle Jansen,&nbsp;Marieta Visser,&nbsp;Rayne Stroebel,&nbsp;Sanetta Henrietta Johanna du Toit","doi":"10.1155/hsc/3848622","DOIUrl":"https://doi.org/10.1155/hsc/3848622","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Promoting collective care philosophies in residential aged care homes that enhances person-centred care remains a global challenge. More success is evident when an organisation’s approach to care impacts the well-being of everyone who lives and works in the home. However, funding systems are seldom applied in favour of a collective approach. The uptake of social prescribing is potential yet another obstacle in eradicating the prevailing dominance of the medical model of care in aged care homes.</p>\u0000 <p><b>Objective:</b> In the Global South, institutionalised care is becoming a more acceptable and viable option to ensure health and well-being of older adults. Introducing person-centred care philosophies, such as the Eden Alternative (EA), in settings where care approaches are not predetermined by stringent funding schemes (i.e., related to addressing ‘challenging behaviours’ or specifying social prescribing), provides an opportunity to explore the intricacies of collective approaches. This project specifically considered how the EA philosophy impacted the quality of collective care within state-wide organisations in South Africa.</p>\u0000 <p><b>Methods:</b> A qualitative, descriptive research design supported the investigation of four residential aged-care settings in South Africa. Ten focus groups, guided by the nominal group technique, were conducted with 68 participants, including residents, operational staff, and management staff. Quantitative and qualitative findings were deductively analysed using the EA’s domains of well-being as the guiding framework.</p>\u0000 <p><b>Results:</b> The findings mostly indicated agreement between staff and residents on the positive contributions of the EA to support well-being associated with security, autonomy, identity, growth, connectedness, meaning and joy. Overall, security was the most prevalent theme and linked with needs for physical and emotional safety.</p>\u0000 <p><b>Conclusion:</b> Partnerships with external bodies, such as the EA, could support cross-national learning and exchange to support stakeholders working more closely with government agencies in creating realistic and supportive operational and funding policies for collective long-term care settings.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3848622","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Urban–Rural Health Insurance Integration on Mental Health Among Rural Adults in China: Evidence From a Quasiexperimental Study","authors":"Qin Zhou,&nbsp;Yue-Hui Yu,&nbsp;Karen Eggleston,&nbsp;Gordon G. Liu","doi":"10.1155/hsc/1601163","DOIUrl":"https://doi.org/10.1155/hsc/1601163","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> Few studies have examined the psychological effects of expanding and integrating health insurance programmes. This study aimed to examine the effects of health insurance on mental health based on a large natural experiment in China: the integration of the rural and urban resident health insurance programmes.</p>\u0000 <p><b>Methods:</b> Using four waves of data from the China Health and Retirement Longitudinal Study (CHARLS) collected in 2011, 2013, 2015 and 2018, this study adopted a time-varying DID approach to capture the effect of urban–rural health insurance integration on depressive symptoms among rural residents in China. The group heterogeneity of the policy effect and possible mechanisms through which the reform produced psychological effects were further analysed.</p>\u0000 <p><b>Results:</b> The average CES-D score of rural adults decreased by 0.424 and the likelihood of depressive symptoms decreased by 3.5% after the implementation of the urban–rural health insurance integration policy. The positive effects may be due to the reduced cost sharing rates as well as improvements in health satisfaction, social interactions and physical activity. However, the integration reform had a limited impact on improving the mental health of those with the lowest economic status, the worst health status and those aged 40–49 or over 70.</p>\u0000 <p><b>Conclusion:</b> Urban–rural health insurance integration had a positive psychological effect among rural residents in China. Additional improvements in mental health could flow from further expanding the beneficiary population and improving benefit equity under urban–rural integrated basic medical insurance.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1601163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Insecurity, Diabetes Self-Management and Support for Self-Management in High-Income Countries: A Qualitative Systematic Review and Synthesis (2008 to 2024)","authors":"Flora Douglas,&nbsp;Emma MacIver,&nbsp;Catriona Kennedy","doi":"10.1155/hsc/7249750","DOIUrl":"https://doi.org/10.1155/hsc/7249750","url":null,"abstract":"<div>\u0000 <p>People living with diabetes and food insecurity in high-income countries have poorer health-related outcomes than those who are food secure. Diabetes is a significant global health challenge. At the same time, the prevalence of household food insecurity continues to increase. This qualitative systematic review and synthesis explored the lived experience of diabetes self-management and support for self-management for people living with diabetes and food insecurity in high-income countries. Keywords and search terms were developed using the PICo framework with searches conducted between January 2008 and August 2024. Titles and abstracts were screened against inclusion and exclusion criteria, and the methodological quality of included papers was assessed using the Critical Appraisal Checklist for Qualitative Research and CERQual. Findings from 18 articles (detailing 17 studies) identified four interlinked themes: structural challenges, day-to-day challenges, ways of being for people living with food insecurity and diabetes, and self and support for self-management needs. Structural challenges (poverty, sociocultural and discrimination) were identified as the main determinants of the day-to-day challenges for people living with diabetes and food insecurity. Those challenges included the following: (i) limited access to suitable foods and food management resources; (ii) stress, (iii) poverty and diabetes stigma, (iv) limited informal support, (v) perceived lack of appropriate support from healthcare practitioners, and limited knowledge, confidence and understanding and access to information. The resulting ways of being for people affected were characterised by experiences of subsisting, avoiding, balancing and prioritising. Self and support for self-management needs were characterised by two themes improve[ing] clinical conversations and, support beyond health <i>services</i>. People living with diabetes and food insecurity are adopting methods of self-management, due to economic necessity, which may not be appropriate from a healthcare perspective, and which may be impacting their short and long-term health. There is an urgent need to address these issues in the post COVID-19 pandemic context for effective diabetes prevention and management.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7249750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Digital Divide of Older People in Communities: Urban-Rural, Gender, and Health Disparities and Inequities","authors":"Kai Zhang,&nbsp;Xiaoting Cheng,&nbsp;Dan Li,&nbsp;Xueling Meng","doi":"10.1155/hsc/1361214","DOIUrl":"https://doi.org/10.1155/hsc/1361214","url":null,"abstract":"<div>\u0000 <p>The digital divide (DD) of older people is widening due to the rapid adoption of information and communication technologies (ICT) and the effects of COVID-19. This study aims to explore the impact of urban-rural, gender, and health inequalities on the DD of older people. First, the survey collected data on the use of ICT and the DD of older people (<i>N</i> = 624) in urban-rural communities. Then, an evaluation index system for the DD of older people was constructed. The DD indices for older people and the weights of indicators can be calculated via the entropy weight method (EWM). Next, linear and hierarchical regressions were applied to analyze the disparities in the DD of older people in urban-rural areas, gender, and health. Finally, the heterogeneity of the access divide (AD), use divide (UD), and knowledge divide (KD) were analyzed. The results indicated that the DD and KD of older people in rural communities are significantly higher than those in urban communities, mainly because of the poor infrastructure conditions in rural areas. Moreover, the migration of youth to work also reduced opportunities for intergenerational support. DD, AD, and UD were higher for older females than for older males because older females are more restricted by access to and use of digital technology. In addition, the poorer the health of older people is, the higher the AD and UD. Focusing on urban-rural, gender, and health disparities helps bridge the DD among older people and is critical to the sustainable development of digitally inclusive aging societies.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1361214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Responding to the Global Pandemic: Delivering Social Prescribing in an Ever-Shifting Landscape","authors":"Susan Potter,&nbsp;Sarah Hotham,&nbsp;Simon Bailey","doi":"10.1155/hsc/6761255","DOIUrl":"https://doi.org/10.1155/hsc/6761255","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social prescribing programmes across the United Kingdom were obliged to adapt and change as a result of COVID-19. However, as we emerge from the pandemic and only now begin to witness the extent to which service users and providers continue to be affected, is it realistic to expect social prescribing services to meet the increasing demands placed upon them? How might schemes manage to deliver effectively against a backlog of referrals, escalating mental health issues and growing health inequalities across the population? This paper explores the challenges faced by service providers and service users of social prescribing programmes during the global pandemic. Drawing from primary and secondary research, the discussion considers how the implementation of one social prescribing programme was impacted by COVID-19, how service providers responded, how service users were affected and, finally, what questions have been raised for the development and delivery of social prescribing in a postpandemic landscape.</p>\u0000 <p><b>Methods:</b> Using the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework, this discrete qualitative case study sits within the wider evaluation of <i>Community Connect,</i> London Borough of Bexley’s social prescribing programme. To investigate the impacts upon the programme through the key domains of implementation, maintenance and effectiveness, data were collected between April 2020 and November 2022. One reflexive discussion group and 26 semistructured interviews were conducted with a purposive sample of stakeholders, including social prescribers (<i>n</i> = 6), service users (<i>n</i> = 12), service provider organisations (<i>n</i> = 6), volunteer telephone befrienders (<i>n</i> = 6) and service commissioners (<i>n</i> = 2). Framework analysis was subsequently used to code and analyse the resulting qualitative data.</p>\u0000 <p><b>Results:</b> Following a period of programme interruption, <i>Community Connect</i> adapted to remote delivery in support of both existing and new service users. Service users experiencing multimorbidity, combined with mental health problems, loneliness and isolation were adversely affected physically, emotionally and socially. Volunteers likewise reported feelings of isolation and uselessness, motivating them to support those in need. An interim ‘telephone befriending’ intervention engendered feelings of self-worth and reduced social isolation, having a positive impact on mental wellbeing. However, social prescribers experienced challenges in working from home, while attempting to build relationships with new referrals and/or providing meaningful support to digitally excluded individuals. Limited capacity meant many service users experienced intermittent contact with social prescribers, while few were offered consistent support in managing worsening health and/or mental health conditions. In addition, restricted acce","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6761255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Fear of Crime on Social Acceptance Under Social Conflict Perceptions Toward Ex-Prisoners: A Cross-Sectional Study","authors":"Chun Xia,&nbsp;Jia Xu,&nbsp;Lu Ma","doi":"10.1155/hsc/7964639","DOIUrl":"https://doi.org/10.1155/hsc/7964639","url":null,"abstract":"<div>\u0000 <p>Fear of crime (FOC) decreases a person’s social acceptance of ex-prisoners (SAX). However, the extent to which FOC impacts SAX is unclear. Using a national sample, this study aimed to explore the extent to which (1) FOC impacts SAX by elevating social conflict perception and (2) social equality moderates the association between FOC and social conflict perception. Using bootstrapping, a moderated mediation effect model was constructed to analyze the extent to which FOC impacts SAX and the potential mediating and possible moderating effects of social conflict perception and social equality, respectively. The findings reveal that FOC significantly and negatively impacts SAX after controlling for sex, age, educational level, marital and subjective socioeconomic statuses, Internet utilization, and victimization experience factors. The results indicate that people with high FOC are less willing to accept ex-prisoners, an effect partly explained by the mediation of social conflict perception, and that social equality plays a moderating role between FOC and social conflict perception. This study contributes to the literature by extending research on the social effects of FOC, as to date, most research has focused on the FOC attitude that favors the punishment of offenders, and there is hardly any research on whether a hostile FOC attitude could spill over toward ex-prisoners in society. In addition, this study explains the association between FOC and the social acceptance of targeted social groups and provides an innovative explanation for a precondition based on the inner relationship between FOC and SAX, supported by empirical evidence.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7964639","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanisms to Support Interventions Involving the Police When Responding to Persons Experiencing a Mental Health Crisis: A Realist Review","authors":"Sam Redgate,&nbsp;Nicola Clibbens,&nbsp;Catherine Haighton,&nbsp;Sonia Dalkin,&nbsp;Angela Bate,&nbsp;Melissa Girling,&nbsp;Stephen McCarthy,&nbsp;Tobyn Eagles,&nbsp;Joanne Gray,&nbsp;Iain McKinnon","doi":"10.1155/hsc/7445445","DOIUrl":"https://doi.org/10.1155/hsc/7445445","url":null,"abstract":"<div>\u0000 <p>Mental health crisis interventions involving police originated in the United States. In England and Wales, street triage services (a UK term used to describe urgent mental health and police interventions) were piloted in 2013. These models involve police and mental health services working together to ensure individuals receive the required support. Evaluation findings have shown inconsistent outcomes based on studies predominately limited to single sites. Evaluations to date have lacked theoretical consideration of the contexts and mechanisms triggering outcomes for service users. This review used a realist approach to develop an explanatory understanding of what happens in interventions involving the police responding to individuals experiencing a mental health crisis (underlying mechanisms), the contextual conditions surrounding the implementation of these interventions (context) and the outcomes produced as a result. The review was conducted using a two-stage process. Stage one generated initial programme theories, which informed a systematic literature search (stage two), which further developed, tested theories. From 6461 potentially relevant papers identified in stage two, 19 papers were included. Extracted data were themed, prior to developing narrative and formulating programme theories. In six programme theories, spanning four themes were developed: role legitimacy of police as responders to mental health crises, using technology, complex decision-making and responding to distress. Findings indicate that central to successful interventions involving the police in mental health crisis responses is the requirement of social relationships and joint working between police and mental health services to foster trust. Presented findings contribute to a more detailed understanding of mechanisms within interventions involving the police in mental health crisis responses. By generating evidence-based understandings of the effective components of these support interventions, this research has potential to inform development of future such support at a time of significant policy changes impacting on the role of police as responders to mental health crises.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7445445","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}