TY - JOUR
KW - Collaborative care model grounded thematic analysis
KW - implementation
KW - interprofessional teamwork
KW - Interviews
KW - team-based care
AU - B. Kim
AU - C. J. Miller
AU - A. R. Elwy
AU - S. K. Holmes
AU - C. M. Coldwell
AU - M. S. Bauer
A1 - 
AB - The US Veterans Health Administration (VHA) in 2013 mandated a nationwide implementation of interprofessional team-based care in the general mental health setting and officially endorsed the collaborative care model in 2015 to guide the coordinated and anticipatory care to be delivered by these teams. Front-line clinic staff are major stakeholders whose practices are most directly affected by this implementation and may or may not view teams as useful or feasible for their practice. Our objective was to examine their perspectives on delivering team-to-patient care in order to understand what system-level efforts can best support the transition to such care from the more conventional provider-to-patient care. We conducted 14 semi-structured interviews with staff from general mental health clinics across three different VHA medical facilities. The interview questions focused on asking how care is organised and delivered at their clinic, their experiences in collaborating with other staff, and how the clinic handles changes. Four recurrent themes were identified: navigating workplace supervision, organisation, and role structures; continuing professional growth and relationships; delivering patient-focused care through education and connection to resources; and utilising information technology for communication and panel-based management. Quality improvement efforts were rarely discussed during the interviews. Our results indicate that staff's endorsement of the implementation of interprofessional care teams in general mental health settings may be strengthened through associated efforts targeted at enhancing their experiences aligned to these emergent themes.
BT - Journal of interprofessional care
C5 - Education & Workforce
CP - 3
CY - England
DO - 10.1080/13561820.2017.1283302
IS - 3
JF - Journal of interprofessional care
N2 - The US Veterans Health Administration (VHA) in 2013 mandated a nationwide implementation of interprofessional team-based care in the general mental health setting and officially endorsed the collaborative care model in 2015 to guide the coordinated and anticipatory care to be delivered by these teams. Front-line clinic staff are major stakeholders whose practices are most directly affected by this implementation and may or may not view teams as useful or feasible for their practice. Our objective was to examine their perspectives on delivering team-to-patient care in order to understand what system-level efforts can best support the transition to such care from the more conventional provider-to-patient care. We conducted 14 semi-structured interviews with staff from general mental health clinics across three different VHA medical facilities. The interview questions focused on asking how care is organised and delivered at their clinic, their experiences in collaborating with other staff, and how the clinic handles changes. Four recurrent themes were identified: navigating workplace supervision, organisation, and role structures; continuing professional growth and relationships; delivering patient-focused care through education and connection to resources; and utilising information technology for communication and panel-based management. Quality improvement efforts were rarely discussed during the interviews. Our results indicate that staff's endorsement of the implementation of interprofessional care teams in general mental health settings may be strengthened through associated efforts targeted at enhancing their experiences aligned to these emergent themes.
PP - England
PY - 2017
SN - 1469-9567; 1356-1820
SP - 360
EP - 367
EP - 
T1 - Staff perceptions implementing interprofessional team-based behavioural healthcare
T2 - Journal of interprofessional care
TI - Staff perceptions implementing interprofessional team-based behavioural healthcare
U1 - Education & Workforce
U2 - 28276840
U3 - 10.1080/13561820.2017.1283302
VL - 31
VO - 1469-9567; 1356-1820
Y1 - 2017
ER -