Coordination of services for dual diagnosis clients in the interface between specialist and community care
Catharina Bjørkquist, Gunnar Vold Hansen Faculty of Health and Welfare, Østfold University College, Halden, Norway Purpose: The aim of this article is to study the coordination of comprehensive services for clients with concurrent substance abuse and mental health disorders (d...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-05-01
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| Series: | Journal of Multidisciplinary Healthcare |
| Subjects: | |
| Online Access: | https://www.dovepress.com/coordination-of-services-for-dual-diagnosis-clients-in-the-interface-b-peer-reviewed-article-JMDH |
| _version_ | 1819089675407589376 |
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| author | Bjørkquist C Hansen GV |
| author_facet | Bjørkquist C Hansen GV |
| author_sort | Bjørkquist C |
| collection | DOAJ |
| description | Catharina Bjørkquist, Gunnar Vold Hansen Faculty of Health and Welfare, Østfold University College, Halden, Norway Purpose: The aim of this article is to study the coordination of comprehensive services for clients with concurrent substance abuse and mental health disorders (dual diagnosis), which is a very complex client group. In order to achieve comprehensive care and treatment, the service providers need to cooperate and coordinate, but the questions here, are how this is done and how appropriate the coordination is. Data and methods: Data were collected from group interviews during a 1-day workshop with clients, relatives, and employees from the various services involved. Results: Information exchange between the services was generally in writing. Coordination between substance abuse and mental health services was experienced as fragmented. ­Employees had an unclear perception of the work and expertise of the other service providers involved. There were examples of disparity between the services a municipality could offer and client needs. A coordinator, if available, was emphasized by both clients and service providers as serving an important function in coordination and relationship building. Conclusion: Predominantly written communication and unclear division of responsibilities and duties resulted in employees creating stereotypes of each other, both within specialist health services and between specialist and municipal health services. A coordinator was able to coordinate various inputs, often through informal contact, with a view to establishing appropriate services for individual clients. Coordination in interagency meeting points, such as “responsibility teams”, was the most successful solution, but this will involve a greater degree of networking than is common today. Keywords: addiction and mental health issues, collaboration, coordination, specialist health services, primary care |
| first_indexed | 2024-12-21T22:11:42Z |
| format | Article |
| id | doaj.art-4c680252643e4a80a56b53f383cc90ee |
| institution | Directory Open Access Journal |
| issn | 1178-2390 |
| language | English |
| last_indexed | 2024-12-21T22:11:42Z |
| publishDate | 2018-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj.art-4c680252643e4a80a56b53f383cc90ee2022-12-21T18:48:33ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902018-05-01Volume 1123324338306Coordination of services for dual diagnosis clients in the interface between specialist and community careBjørkquist CHansen GVCatharina Bjørkquist, Gunnar Vold Hansen Faculty of Health and Welfare, Østfold University College, Halden, Norway Purpose: The aim of this article is to study the coordination of comprehensive services for clients with concurrent substance abuse and mental health disorders (dual diagnosis), which is a very complex client group. In order to achieve comprehensive care and treatment, the service providers need to cooperate and coordinate, but the questions here, are how this is done and how appropriate the coordination is. Data and methods: Data were collected from group interviews during a 1-day workshop with clients, relatives, and employees from the various services involved. Results: Information exchange between the services was generally in writing. Coordination between substance abuse and mental health services was experienced as fragmented. ­Employees had an unclear perception of the work and expertise of the other service providers involved. There were examples of disparity between the services a municipality could offer and client needs. A coordinator, if available, was emphasized by both clients and service providers as serving an important function in coordination and relationship building. Conclusion: Predominantly written communication and unclear division of responsibilities and duties resulted in employees creating stereotypes of each other, both within specialist health services and between specialist and municipal health services. A coordinator was able to coordinate various inputs, often through informal contact, with a view to establishing appropriate services for individual clients. Coordination in interagency meeting points, such as “responsibility teams”, was the most successful solution, but this will involve a greater degree of networking than is common today. Keywords: addiction and mental health issues, collaboration, coordination, specialist health services, primary carehttps://www.dovepress.com/coordination-of-services-for-dual-diagnosis-clients-in-the-interface-b-peer-reviewed-article-JMDHaddiction and mental health issuescollaborationcoordinationspecialist health servicesprimary care |
| spellingShingle | Bjørkquist C Hansen GV Coordination of services for dual diagnosis clients in the interface between specialist and community care Journal of Multidisciplinary Healthcare addiction and mental health issues collaboration coordination specialist health services primary care |
| title | Coordination of services for dual diagnosis clients in the interface between specialist and community care |
| title_full | Coordination of services for dual diagnosis clients in the interface between specialist and community care |
| title_fullStr | Coordination of services for dual diagnosis clients in the interface between specialist and community care |
| title_full_unstemmed | Coordination of services for dual diagnosis clients in the interface between specialist and community care |
| title_short | Coordination of services for dual diagnosis clients in the interface between specialist and community care |
| title_sort | coordination of services for dual diagnosis clients in the interface between specialist and community care |
| topic | addiction and mental health issues collaboration coordination specialist health services primary care |
| url | https://www.dovepress.com/coordination-of-services-for-dual-diagnosis-clients-in-the-interface-b-peer-reviewed-article-JMDH |
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