Community mental health funding, stakeholder engagement and outcomes: a realist synthesis
Objectives This study sought to understand how stakeholder engagement impacts outcomes when there is a change in public funding within community mental health settings.Design A realist synthesis approach was used to address the research question to fully understand the role of stakeholder engagement...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e063994.full |
| _version_ | 1797934990032371712 |
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| author | Walter P Wodchis Vicky Stergiopoulos Katie N Dainty Maritt Kirst Andrea Duncan |
| author_facet | Walter P Wodchis Vicky Stergiopoulos Katie N Dainty Maritt Kirst Andrea Duncan |
| author_sort | Walter P Wodchis |
| collection | DOAJ |
| description | Objectives This study sought to understand how stakeholder engagement impacts outcomes when there is a change in public funding within community mental health settings.Design A realist synthesis approach was used to address the research question to fully understand the role of stakeholder engagement as a mechanism in achieving outcomes (system and service user) in the context of community mental health service reform. An iterative process was used to identify programme theories and context–mechanism–outcome configurations within the literature.Results Findings highlight that in the absence of stakeholder engagement, funding changes may lead to negative outcomes. When stakeholders were engaged in some form, funding changes were more often associated with positive outcomes. Stakeholder engagement is multifaceted and requires considerable time and investment to support achieving intended outcomes when funding changes are implemented.Conclusions To support successful transformation of community mental health programmes, it is important that stakeholders are meaningfully engaged during funding allocation changes. Stakeholder engagement may entail connecting around a shared purpose, individual participation and meaningful interactions and dialogue. |
| first_indexed | 2024-04-10T18:07:34Z |
| format | Article |
| id | doaj.art-cd8bb162eba749f3830ab0788c6d0474 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-10T18:07:34Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-cd8bb162eba749f3830ab0788c6d04742023-02-02T12:30:07ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-063994Community mental health funding, stakeholder engagement and outcomes: a realist synthesisWalter P Wodchis0Vicky Stergiopoulos1Katie N Dainty2Maritt Kirst3Andrea Duncan4Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaLeadership Team, Centre for Addiction and Mental Health, Toronto, Ontario, CanadaPatient Centred Outcomes, North York General Hospital, Toronto, Ontario, CanadaCommunity Psychology, Wilfrid Laurier University, Waterloo, Ontario, CanadaDepartment of Occupational Sciences & Occupational Therapy, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, CanadaObjectives This study sought to understand how stakeholder engagement impacts outcomes when there is a change in public funding within community mental health settings.Design A realist synthesis approach was used to address the research question to fully understand the role of stakeholder engagement as a mechanism in achieving outcomes (system and service user) in the context of community mental health service reform. An iterative process was used to identify programme theories and context–mechanism–outcome configurations within the literature.Results Findings highlight that in the absence of stakeholder engagement, funding changes may lead to negative outcomes. When stakeholders were engaged in some form, funding changes were more often associated with positive outcomes. Stakeholder engagement is multifaceted and requires considerable time and investment to support achieving intended outcomes when funding changes are implemented.Conclusions To support successful transformation of community mental health programmes, it is important that stakeholders are meaningfully engaged during funding allocation changes. Stakeholder engagement may entail connecting around a shared purpose, individual participation and meaningful interactions and dialogue.https://bmjopen.bmj.com/content/13/2/e063994.full |
| spellingShingle | Walter P Wodchis Vicky Stergiopoulos Katie N Dainty Maritt Kirst Andrea Duncan Community mental health funding, stakeholder engagement and outcomes: a realist synthesis BMJ Open |
| title | Community mental health funding, stakeholder engagement and outcomes: a realist synthesis |
| title_full | Community mental health funding, stakeholder engagement and outcomes: a realist synthesis |
| title_fullStr | Community mental health funding, stakeholder engagement and outcomes: a realist synthesis |
| title_full_unstemmed | Community mental health funding, stakeholder engagement and outcomes: a realist synthesis |
| title_short | Community mental health funding, stakeholder engagement and outcomes: a realist synthesis |
| title_sort | community mental health funding stakeholder engagement and outcomes a realist synthesis |
| url | https://bmjopen.bmj.com/content/13/2/e063994.full |
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