Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward
Introduction The PSP has been implemented in Catalonia in 2006 in an attempt to improve the Primary Care treatment of the most common mental disorders and addictions. It’s based on a collaborative model, made up between Primary Care and Mental Health professionals. Objectives To identify the str...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2021-04-01
|
| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821010786/type/journal_article |
| _version_ | 1797617412146724864 |
|---|---|
| author | S.F. Contaldo D. Carbonell Simeon B. Rodriguez Ferraz E. Blanco García R. Fernandez Vergel M. Iglesias Gonzalez M. Rubio Valera M. Gil Girbau M.T. Peñarrubia Maria |
| author_facet | S.F. Contaldo D. Carbonell Simeon B. Rodriguez Ferraz E. Blanco García R. Fernandez Vergel M. Iglesias Gonzalez M. Rubio Valera M. Gil Girbau M.T. Peñarrubia Maria |
| author_sort | S.F. Contaldo |
| collection | DOAJ |
| description |
Introduction
The PSP has been implemented in Catalonia in 2006 in an attempt to improve the Primary Care treatment of the most common mental disorders and addictions. It’s based on a collaborative model, made up between Primary Care and Mental Health professionals.
Objectives
To identify the strengths and limitations of the PSP from the perspective of Primary Care and Mental Health professionals.
Methods
Qualitative, exploratory and interpretive study based on Grounded Theory, made between 2018 and 2019 with Primary Care and Mental Health professionals. Group interviews were conducted with triangulated analysis. The study got the approval from the Research Ethics Committee of the Sant Joan de Deu’s foundation.
Results
11 group interviews were conducted in 6 primary care centers and 5 mental health centers in Barcelona. Intrinsic and extrinsic factors impacting the programme functioning were detected. Within the extrinsic factors, elements related to professionals, patients and public health system have been observed. All the professionals agree that the PCSP has a favorable impact on inter-professional relationships and patients, facilitating the management of cases. In contrast the heterogeneity implementation, the lack of training, and the health care burden in is considered to negatively influence an optimal development of the programme. Professionals suggest communication and inter-professional collaboration would be improved by creating more a horizontal structure that eliminates vertical lines of command and disagreements in clinical judgement, thus facilitating shared decisions.
Conclusions
PrimaryCare and MentalHealth professionals value the PSP positively, but conclude there are communication and organizative barriers that should be addressed in order to improve the overall programme’s efficiency.
|
| first_indexed | 2024-03-11T07:55:36Z |
| format | Article |
| id | doaj.art-52d5fe3f7cdd42ca8aea4510c7f56656 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:55:36Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-52d5fe3f7cdd42ca8aea4510c7f566562023-11-17T05:05:52ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S402S40210.1192/j.eurpsy.2021.1078Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric wardS.F. Contaldo0D. Carbonell Simeon1B. Rodriguez Ferraz2E. Blanco García3R. Fernandez Vergel4M. Iglesias Gonzalez5M. Rubio Valera6M. Gil Girbau7M.T. Peñarrubia Maria8Psychiatry, Parc Sanitari Sant Joan de Deu, Esplugues de Llobregat, SpainGeneral Practice, ICS, Gavá, SpainGeneral Practice, ICS, Gavá, SpainGeneral Practice, ICS, Gavá, SpainGeneral Practice, ICS, Gavá, SpainPsychiatry, ICS, Badalona, SpainConsortium For Biomedical Research In Epidemiology And Public Health Network (ciberesp), Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, SpainGroup On Health Technologies And Results In Primary Care And Mental Health (prisma), Fundació Sant Joan de Deu, Sant Boi de Llobregat, SpainGeneral Practice, ICS, Gavá, Spain Introduction The PSP has been implemented in Catalonia in 2006 in an attempt to improve the Primary Care treatment of the most common mental disorders and addictions. It’s based on a collaborative model, made up between Primary Care and Mental Health professionals. Objectives To identify the strengths and limitations of the PSP from the perspective of Primary Care and Mental Health professionals. Methods Qualitative, exploratory and interpretive study based on Grounded Theory, made between 2018 and 2019 with Primary Care and Mental Health professionals. Group interviews were conducted with triangulated analysis. The study got the approval from the Research Ethics Committee of the Sant Joan de Deu’s foundation. Results 11 group interviews were conducted in 6 primary care centers and 5 mental health centers in Barcelona. Intrinsic and extrinsic factors impacting the programme functioning were detected. Within the extrinsic factors, elements related to professionals, patients and public health system have been observed. All the professionals agree that the PCSP has a favorable impact on inter-professional relationships and patients, facilitating the management of cases. In contrast the heterogeneity implementation, the lack of training, and the health care burden in is considered to negatively influence an optimal development of the programme. Professionals suggest communication and inter-professional collaboration would be improved by creating more a horizontal structure that eliminates vertical lines of command and disagreements in clinical judgement, thus facilitating shared decisions. Conclusions PrimaryCare and MentalHealth professionals value the PSP positively, but conclude there are communication and organizative barriers that should be addressed in order to improve the overall programme’s efficiency. https://www.cambridge.org/core/product/identifier/S0924933821010786/type/journal_articlequalitative studymental healthCollaborative care |
| spellingShingle | S.F. Contaldo D. Carbonell Simeon B. Rodriguez Ferraz E. Blanco García R. Fernandez Vergel M. Iglesias Gonzalez M. Rubio Valera M. Gil Girbau M.T. Peñarrubia Maria Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward European Psychiatry qualitative study mental health Collaborative care |
| title | Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward |
| title_full | Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward |
| title_fullStr | Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward |
| title_full_unstemmed | Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward |
| title_short | Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward |
| title_sort | assessing a psp primary care support programme from the point of view of the professionals involved a joint effort between primary care and psychiatric ward |
| topic | qualitative study mental health Collaborative care |
| url | https://www.cambridge.org/core/product/identifier/S0924933821010786/type/journal_article |
| work_keys_str_mv | AT sfcontaldo assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT dcarbonellsimeon assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT brodriguezferraz assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT eblancogarcia assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT rfernandezvergel assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT miglesiasgonzalez assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT mrubiovalera assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT mgilgirbau assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward AT mtpenarrubiamaria assessingapspprimarycaresupportprogrammefromthepointofviewoftheprofessionalsinvolvedajointeffortbetweenprimarycareandpsychiatricward |