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Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study

Marieke De Sutter, An De Sutter (UGent) , Nora Sundahl (UGent) , Tom Declercq (UGent) and Peter Decat (UGent)
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Abstract
Background:The implementation of primary care for mental health is often insufficient, whichleaves its mark on staff. A team-based approach of mental healthcare prevents poor staff mor-ale. A community health centre (CHC), therefore, set up a project promoting interprofessionalcollaboration with a mental health team (MHT).Objectives:This study aimed to understand how an MHT would influence staff morale in a pri-mary care setting, aiming to formulate some recommendations for future projects.Methods:In 2017, interviews and a focus group discussion were conducted among the staff ofa CHC. Using a qualitative approach, we aimed to unravel contextual factors and mechanismsthat determine the effect of an MHT on staff morale.Results:The project relieved the burden of the patient encounters and staff members felt morevaluable to patients. Underlying mechanisms were recognition, altered attitudes towards patientsand role clarity. Facilitating factors were intercultural care mediators and a positive team atmos-phere, whereas inhibiting factors were inefficient time management and communicative issues.Conclusion:Our study elucidated mechanisms and the contextual factors by which an MHT ingeneral practice improves staff morale.
Keywords
Family Practice, Community mental health, staff morale, collaborativecare, interprofessionalrelations, qualita-tive approach

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MLA
De Sutter, Marieke, et al. “Inter-Professional Collaboration Reduces the Burden of Caring for Patients with Mental Illnesses in Primary Healthcare. A Realist Evaluation Study.” European Journal of General Practice, vol. 25, no. 4, TAYLOR & FRANCIS LTD, 2019, pp. 236–42.
APA
De Sutter, M., De Sutter, A., Sundahl, N., Declercq, T., & Decat, P. (2019). Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study. European Journal of General Practice, 25(4), 236–242.
Chicago author-date
De Sutter, Marieke, An De Sutter, Nora Sundahl, Tom Declercq, and Peter Decat. 2019. “Inter-Professional Collaboration Reduces the Burden of Caring for Patients with Mental Illnesses in Primary Healthcare. A Realist Evaluation Study.” European Journal of General Practice 25 (4): 236–42.
Chicago author-date (all authors)
De Sutter, Marieke, An De Sutter, Nora Sundahl, Tom Declercq, and Peter Decat. 2019. “Inter-Professional Collaboration Reduces the Burden of Caring for Patients with Mental Illnesses in Primary Healthcare. A Realist Evaluation Study.” European Journal of General Practice 25 (4): 236–242.
Vancouver
1.
De Sutter M, De Sutter A, Sundahl N, Declercq T, Decat P. Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study. European Journal of General Practice. 2019;25(4):236–42.
IEEE
[1]
M. De Sutter, A. De Sutter, N. Sundahl, T. Declercq, and P. Decat, “Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study,” European Journal of General Practice, vol. 25, no. 4, pp. 236–242, 2019.
@article{8656702,
  abstract     = {Background:The implementation of primary care for mental health is often insufficient, whichleaves its mark on staff. A team-based approach of mental healthcare prevents poor staff mor-ale. A community health centre (CHC), therefore, set up a project promoting interprofessionalcollaboration with a mental health team (MHT).Objectives:This study aimed to understand how an MHT would influence staff morale in a pri-mary care setting, aiming to formulate some recommendations for future projects.Methods:In 2017, interviews and a focus group discussion were conducted among the staff ofa CHC. Using a qualitative approach, we aimed to unravel contextual factors and mechanismsthat determine the effect of an MHT on staff morale.Results:The project relieved the burden of the patient encounters and staff members felt morevaluable to patients. Underlying mechanisms were recognition, altered attitudes towards patientsand role clarity. Facilitating factors were intercultural care mediators and a positive team atmos-phere, whereas inhibiting factors were inefficient time management and communicative issues.Conclusion:Our study elucidated mechanisms and the contextual factors by which an MHT ingeneral practice improves staff morale.},
  author       = {De Sutter, Marieke and De Sutter, An and Sundahl, Nora and Declercq, Tom and Decat, Peter},
  issn         = {1381-4788},
  journal      = {European Journal of General Practice},
  keywords     = {Family Practice,Community mental health,staff morale,collaborativecare,interprofessionalrelations,qualita-tive approach},
  language     = {eng},
  number       = {4},
  pages        = {236--242},
  publisher    = {TAYLOR & FRANCIS LTD},
  title        = {Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study},
  url          = {http://dx.doi.org/10.1080/13814788.2019.1640209},
  volume       = {25},
  year         = {2019},
}

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