TY - JOUR
KW - Integrated teams
KW - Mental Health
KW - personal budgets
KW - personalisation
KW - social care
AU - S. Hamilton
AU - J. Manthorpe
AU - P. Szymczynska
AU - N. Clewett
AU - J. Larsen
AU - V. Pinfold
AU - J. Tew
A1 - 
AB - This article explores how role boundaries and professional priorities in integrated mental health teams have impacted on the implementation of personalised approaches to social care support. We focus on the use of personal budgets to meet mental health-related social care needs as a key mechanism for personalised care. Drawing on 28 qualitative interviews with mental health practitioners from three local authorities in England undertaken in 2013, we report nurses', social workers', and occupational therapists' attitudes towards, and engagement with, personal budgets. Professional boundaries and competing priorities heavily influenced the extent to which personal budgets were perceived as a legitimate part of their roles. Across different professional groups, a sense emerged that personal budgets should be somebody else's job. A focus on attention to treatment, stability, and risk management often resulted in low prioritisation of personal budgets and led practitioners to avoid recommending them or to exclude service users from the process as a way to save time. Implications of the dominant medical model and the protection of traditional professional roles for the implementation of new, person-centred models of practice are discussed.
BT - Journal of interprofessional care
C5 - Education & Workforce; Financing & Sustainability
DO - 10.3109/13561820.2015.1035777
JF - Journal of interprofessional care
N2 - This article explores how role boundaries and professional priorities in integrated mental health teams have impacted on the implementation of personalised approaches to social care support. We focus on the use of personal budgets to meet mental health-related social care needs as a key mechanism for personalised care. Drawing on 28 qualitative interviews with mental health practitioners from three local authorities in England undertaken in 2013, we report nurses', social workers', and occupational therapists' attitudes towards, and engagement with, personal budgets. Professional boundaries and competing priorities heavily influenced the extent to which personal budgets were perceived as a legitimate part of their roles. Across different professional groups, a sense emerged that personal budgets should be somebody else's job. A focus on attention to treatment, stability, and risk management often resulted in low prioritisation of personal budgets and led practitioners to avoid recommending them or to exclude service users from the process as a way to save time. Implications of the dominant medical model and the protection of traditional professional roles for the implementation of new, person-centred models of practice are discussed.
PY - 2015
SN - 1469-9567; 1356-1820
SP - 1
EP - 6
EP - 
T1 - Implementing personalisation in integrated mental health teams in England
T2 - Journal of interprofessional care
TI - Implementing personalisation in integrated mental health teams in England
U1 - Education & Workforce; Financing & Sustainability
U2 - 26171867
U3 - 10.3109/13561820.2015.1035777
VO - 1469-9567; 1356-1820
Y1 - 2015
ER -