Exposing the key functions of a complex intervention for shared care in mental health: case study of a process evaluation
2008

Understanding Shared Care in Mental Health

Sample size: 46 publication Evidence: moderate

Author Information

Author(s): Richard Byng, Ian Norman, Sally Redfern, Roger Jones

Primary Institution: University of Plymouth

Hypothesis

How does a complex health services intervention improve shared care for people with long-term mental illness?

Conclusion

The key functions of shared care were case discussions and improved liaison during crises, which contributed to the success of the intervention.

Supporting Evidence

  • Case discussions improved individual care and helped integrate link workers into primary care teams.
  • The intervention catalyzed the allocation of link workers in nearly all practices.
  • Facilitators provided advice and manpower to help introduce successful systems for reviewing care.

Takeaway

This study looked at how a program helped doctors and mental health workers work better together to take care of patients with long-term mental health issues.

Methodology

A retrospective qualitative interview study was conducted alongside a randomized controlled trial, involving interviews with practitioners and managers.

Potential Biases

Potential bias due to the interviewer being involved in the development of the intervention.

Limitations

The study relied on retrospective interviews, which may introduce bias and selective recall.

Participant Demographics

Participants included 21 GPs, 8 community mental health workers, 7 practice managers, and others from 12 primary health care teams.

Statistical Information

P-Value

0.003

Confidence Interval

-0.74 - -0.18

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-8-274

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