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Mental health consumers' with medical co-morbidity experience of the transition through tertiary medical services to primary care.
- Source :
-
International journal of mental health nursing [Int J Ment Health Nurs] 2016 Apr; Vol. 25 (2), pp. 127-35. Date of Electronic Publication: 2016 Jan 05. - Publication Year :
- 2016
-
Abstract
- Medical comorbidity in people with long-term mental illness is common and often undetected; however, these consumers frequently experience problems accessing and receiving appropriate treatment in public health-care services. The aim of the present study was to understand the lived experience of mental health consumers with medical comorbidity and their carers transitioning through tertiary medical to primary care services. An interpretative, phenomenological analysis approach was used, and semistructured, video-recorded, qualitative interviews were used with 12 consumers and four primary caregivers. Four main themes and related subthemes were abstracted from the data, highlighting consumer's and carers' experience of transition through tertiary medical to primary care services: (i) accessing tertiary services is difficult and time consuming; (ii) contrasting experiences of clinician engagement and support; (iii) lack of continuity between tertiary medical and primary care services; and (iv) Mental Health Hospital Admission Reduction Programme (MH HARP) clinicians facilitating transition. Our findings have implications for organisational change, expanding the role of MH HARP clinicians (whose primary role is to provide consumers with intensive support and care coordination to prevent avoidable tertiary medical hospital use), and the employment of consumer and carer consultants in tertiary medical settings, especially emergency departments.<br /> (© 2016 The Authors International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd. on behalf of Australian College of Mental Health Nurses Inc.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Comorbidity
Continuity of Patient Care
Female
Health Services Accessibility
Humans
Interview, Psychological
Male
Middle Aged
Patient Readmission
Patient Satisfaction
Social Support
Victoria
Chronic Disease nursing
Chronic Disease psychology
Mental Disorders nursing
Mental Disorders psychology
Patient Transfer
Primary Health Care
Tertiary Healthcare
Subjects
Details
- Language :
- English
- ISSN :
- 1447-0349
- Volume :
- 25
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- International journal of mental health nursing
- Publication Type :
- Academic Journal
- Accession number :
- 26735771
- Full Text :
- https://doi.org/10.1111/inm.12174