TY - JOUR
AU - T. Silvonen
A1 - 
AB - This qualitative service evaluation aims to provide in-depth insights of service providers' perspectives of a new integrated community mental health service piloted in one NHS Integrated Care Board locality in South West England, UK, considering to what extent the service is meeting the mental health support needs of adults who are in between primary and secondary care services. In total, 21 semi-structured remote interviews were carried out in June-August 2023 with service providers and lived experience representatives. The evaluation was carried out through a researcher in residence -placement. Qualitative analysis drew on framework and thematic analysis, which was completed using Nvivo 20. Thematic analysis drew on a framework of context, mechanisms and intended or unintended consequences. These showed that service providers' positive expectations of the service were undermined by insufficient integration, which was evident from the imbalances in information flow and presence of pre-existing provider specific practices. The evaluation found several improvement opportunities: a need for deepening integration beyond the initial service development phase; aligning working practices with service delivery aims and ensuring that new services are not rolled out prematurely before service delivery practices have been fully developed.
AD - Population Health Sciences, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK. taru.silvonen@bristol.ac.uk.; Faculty of Science & Engineering; School of Electrical, Electronic and Mechanical Engineering, Queens Building; University Walk, Bristol, BS8 1TR, UK. taru.silvonen@bristol.ac.uk.
AN - 39269571
BT - Community Ment Health J
C5 - Education & Workforce
CP - 2
DA - Feb
DO - 10.1007/s10597-024-01352-w
DP - NLM
ET - 20240913
IS - 2
JF - Community Ment Health J
LA - eng
N2 - This qualitative service evaluation aims to provide in-depth insights of service providers' perspectives of a new integrated community mental health service piloted in one NHS Integrated Care Board locality in South West England, UK, considering to what extent the service is meeting the mental health support needs of adults who are in between primary and secondary care services. In total, 21 semi-structured remote interviews were carried out in June-August 2023 with service providers and lived experience representatives. The evaluation was carried out through a researcher in residence -placement. Qualitative analysis drew on framework and thematic analysis, which was completed using Nvivo 20. Thematic analysis drew on a framework of context, mechanisms and intended or unintended consequences. These showed that service providers' positive expectations of the service were undermined by insufficient integration, which was evident from the imbalances in information flow and presence of pre-existing provider specific practices. The evaluation found several improvement opportunities: a need for deepening integration beyond the initial service development phase; aligning working practices with service delivery aims and ensuring that new services are not rolled out prematurely before service delivery practices have been fully developed.
PY - 2025
SN - 0010-3853 (Print); 0010-3853
SP - 329
EP - 336+
ST - Service Providers' Perspectives of an Integrated Community Mental Health Service in the UK
T1 - Service Providers' Perspectives of an Integrated Community Mental Health Service in the UK
T2 - Community Ment Health J
TI - Service Providers' Perspectives of an Integrated Community Mental Health Service in the UK
U1 - Education & Workforce
U3 - 10.1007/s10597-024-01352-w
VL - 61
VO - 0010-3853 (Print); 0010-3853
Y1 - 2025
ER -