TY - JOUR
KW - Female
KW - Health Promotion/methods
KW - Humans
KW - Male
KW - Mental Disorders/therapy
KW - Oral Health
KW - Qualitative Research
KW - Queensland
KW - Risk Reduction Behavior
KW - Severity of Illness Index
AU - C. Ehrlich
AU - S. Kisely
AU - E. Kendall
AU - D. Crompton
AU - E. Crowe
AU - A. M. Liddy
A1 - 
AB - OBJECTIVE: Our health systems are failing to provide optimal physical care for people with severe mental illness. To address this gap, Queensland Health and General Practice Queensland in partnership developed a comprehensive package of guidelines and health messages. However, guidelines alone are likely to be inadequate motivators of change. The objective of this research was to qualitatively explore key stakeholders' expectations about the implementation of guidelines, with the purpose of identifying interventions to support practice change. METHOD: Participants wer recruited from the partnership governance committee. A semistructured interview guide was used to gather data. Using grounded-theory techniques, the data were analysed to identify key themes. RESULTS: All stakeholders agreed that the purpose of developing comprehensive guidelines and health messages was to achieve change through innovation and the promotion of early intervention, reduction of avoidable admissions and sectoral integration. However, existing structures within the system were considered to be insurmountable barriers. CONCLUSION: Key stakeholders sought broader change than just guidelines and health messages developed by the partnership focused specifically on awareness-raising about the physical care of people with severe mental illness. However, there was no clear consensus as to what that change should be. This mismatch between the goals and actions of such a large-scale initiative is problematic. Suggestions are made about how to address change.
BT - Australian Health Review : A Publication of the Australian Hospital Association
C5 - Education & Workforce
CP - 4
CY - Australia
DO - 10.1071/AH13062
IS - 4
JF - Australian Health Review : A Publication of the Australian Hospital Association
N2 - OBJECTIVE: Our health systems are failing to provide optimal physical care for people with severe mental illness. To address this gap, Queensland Health and General Practice Queensland in partnership developed a comprehensive package of guidelines and health messages. However, guidelines alone are likely to be inadequate motivators of change. The objective of this research was to qualitatively explore key stakeholders' expectations about the implementation of guidelines, with the purpose of identifying interventions to support practice change. METHOD: Participants wer recruited from the partnership governance committee. A semistructured interview guide was used to gather data. Using grounded-theory techniques, the data were analysed to identify key themes. RESULTS: All stakeholders agreed that the purpose of developing comprehensive guidelines and health messages was to achieve change through innovation and the promotion of early intervention, reduction of avoidable admissions and sectoral integration. However, existing structures within the system were considered to be insurmountable barriers. CONCLUSION: Key stakeholders sought broader change than just guidelines and health messages developed by the partnership focused specifically on awareness-raising about the physical care of people with severe mental illness. However, there was no clear consensus as to what that change should be. This mismatch between the goals and actions of such a large-scale initiative is problematic. Suggestions are made about how to address change.
PP - Australia
PY - 2013
SN - 0156-5788; 0156-5788
SP - 423
EP - 429
EP - 
T1 - Active steps towards a healthier life for people with severe mental illness: a qualitative approach to understanding the potential for implementing change
T2 - Australian Health Review : A Publication of the Australian Hospital Association
TI - Active steps towards a healthier life for people with severe mental illness: a qualitative approach to understanding the potential for implementing change
U1 - Education & Workforce
U2 - 23850063
U3 - 10.1071/AH13062
VL - 37
VO - 0156-5788; 0156-5788
Y1 - 2013
ER -