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Integration: implications for people who use services, practitioners, organisations and researchers
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- London
This At a glance summarises the key messages identified in SCIE research briefing 41 'Factors that promote and hinder joint and integrated working between health and social care services' which focused on jointly-organised services for older people and people with mental health problems. The At a glance summarises the key messages, and then lists different models of joint working and what can support or hinder it. The implications for people who use services and their carers; practitioners; and organisations are then briefly discussed.
From the service user association's perspective: what contributes to value in integrated mental health and social care services?
- Authors:
- KLINGA Charlotte, et al
- Journal article citation:
- Journal of Integrated Care, 28(2), 2020, pp.53-63.
- Publisher:
- Emerald
The aim of this study was to identify key components of integrated mental health and social care services that contribute to value for service users in Sweden.Design/methodology/approach: An explorative research study design was used, based on data from four group interviews conducted in June and August 2017 with service user representatives.Findings: The analysis resulted in eight subcategories reflecting components that were reported to contribute to value for service users. These subcategories were grouped into three main categories: (1) professionals who see and support the whole person, (2) organizational commitment to holistic care and (3) support for equal opportunities and active participation in society.Research limitations/implications: The findings are primarily transferable to integrated mental health and social care services, as they emphasize key components that contribute to value for service users in these specific settings.Practical implications: The complexity of integrated mental health and social care services requires coordination across the individual and organizational levels as well as ongoing dialogue and partnerships between service users, service user associations and health and social care organizations. In this integration, it is important that service users and service user associations not only are invited but also keen to participate in the design of care and support efforts.Originality/value: Service User Associations (SUAs) can act as a bridge between county and municipal services through their participation in the development of local activities; at the regional and national levels, SUAs can help achieve more equitable integrated services. It is important that SUAs are not only invited but encouraged to actively participate in the design of such care and support efforts. (Edited publisher abstract)
Patient, co-producer and consumer in one person: Identity facets of the user in integrated health care
- Author:
- EWERT Benjamin
- Journal article citation:
- Journal of Integrated Care, 24(3), 2016, pp.161-172.
- Publisher:
- Emerald
Purpose: Integrated health care lacks a theoretical concept of the user figure that is appropriate to reflect users’ various claims and multi-dimensional interrelations in the care process. The paper aims to discuss this issue. Design/methodology/approach: Key goals of integrated health care, such as a continuity of care, seamless services and better health outcomes depend strongly on users’ capabilities to engage themselves in the care process. These goals are hardly reachable if integrated health care schemes operate with a one-dimensional understanding of users’ identity. Findings: The suggested concept of users’ identity facets suggests that users draw from different sources while receiving integrated health care. Thus, users are patients, co-producers, citizens, consumers and community members in one person and at the same time. Each facet of the user identity gains or loses relevance depending on health care contexts, health statuses, personal values and the design of service arrangements. As demonstrated by the example of disease management programmes (DMPs), care schemes for chronically ill persons, users have to apply different facets of their identities in order to benefit best from service provision. Moreover, addressing users’ identity may facilitate the extent of integration in DMPs. Originality/value: Integrated health care schemes are challenged to invent strategies that facilitate and support coherence among users’ diverse identities in the process of service provision. Lessons could be learned from small-scale and localised integrated health care networks. (Publisher abstract)
Deploying telehealth with sheltered housing tenants living with COPD: a qualitative case study
- Authors:
- BAILEY Cathy, COOK Glenda
- Journal article citation:
- Housing Care and Support, 18(3/4), 2015, pp.136-148.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report on a small telehealth pilot in local authority sheltered housing in north east England. This explored the training and capacity building needed to develop a workforce/older person, telehealth partnership and service that is integrated within existing health, social care and housing services. Design/methodology/approach: A qualitative case study approach on the implementation and deployment of a pilot telehealth service, supporting sheltered housing tenants with chronic obstructive pulmonary disease (n=4). Findings: Telehealth training and capacity building, needs to develop from within the workforce/older person partnership, if a usable and acceptable telehealth service is to be developed and integrated within existing health, care and housing services. To be adaptable to changing circumstances and individual need, flexible monitoring is also required. Practical implications: Service users and workforces, need to work together to provide flexible telehealth monitoring, that in the longer term, may improve service user, quality of life. (Edited publisher abstract)
Integration of health and social care: promoting social care perspectives within integrated mental health services
- Author:
- SOCIAL PERSPECTIVES NETWORK
- Publisher:
- Social Perspectives Network
- Publication year:
- 2004
- Pagination:
- 36
- Place of publication:
- London
Note of a Social Perspectives Network study day on promoting social care perspectives within integration. The paper includes details of the three main speakers Tony Gardener, Peter Gilbert and Ann Davis and feedback from group workshops. The speakers covered: the experience of integration of health and social care in Cornwall Partnership NHS Trust; how integration can produce better outcomes for service users and carers within mental health; and what integration has to offer mental health services. (Edited publisher abstract)
No health without mental health: a guide for health and wellbeing boards
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- London
Poor mental health affects people of all ages yet with effective promotion, prevention and early intervention its impact can be reduced dramatically. Following the publication of the implementation framework for the Government’s mental health strategy, this briefing sets out the crucial role Health and Wellbeing Boards can play in improving the mental health of everyone in their communities and in enhancing the support offered to some of the most vulnerable and excluded members of society, to deliver duties enshrined in the Health and Social Care Act and relevant Outcomes Frameworks. These actions will help deliver the Government’s commitment to ensuring ‘parity of esteem’ between physical and mental health across the full range of health, social care and other local services. Recommendations include: ensure local mental health needs are properly assessed and are given appropriate weight in comparison with physical health needs; consider how to ensure mental health receives priority equal to physical health; and bring together local partnerships to improve mental health and enhance life chances.
No health without mental health: a guide for local authorities
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- London
Poor mental health affects people of all ages yet with effective promotion, prevention and early intervention its impact can be reduced dramatically. Following the publication of the implementation framework for the Government’s mental health strategy, this briefing sets out the crucial role of local authorities in ensuring that action is taken locally to achieve the strategy’s objectives and improve both mental health for all and the quality of support offered to people using mental health services. These actions will help deliver the Government’s commitment to ensuring ‘parity of esteem’ between physical and mental health across the full range of health, social care and other local services. Recommendations included: appoint an elected member as ‘mental health champion’; access how their strategies, commissioning decisions and directly provided services support and improve mental health and wellbeing; and involve the local community, including those with mental health problems, their families and carers, in the co-production of service pathways and in service design.
It's a matter of clear principles
- Author:
- REDDING Don
- Journal article citation:
- Health Service Journal, 17.11.11, 2011, pp.28-29.
- Publisher:
- Emap Healthcare
Drawing on the publication Principles for Integrated Care, from the charity coalition National Voices, this article discusses the principles that should guide commissioners, regulators and professional groups when providing integrated care. It highlights a number of key issues, including: ensuring that care services work better for their users; including community and voluntary sector organisations, both as providers and in identifying community needs; working with carers as full partners and providing better services for people with long term conditions.
Case management for high-intensity service users: towards a relational approach to care co-ordination
- Authors:
- McEVOY Phil, ESCOTT Diane, BEE Penny
- Journal article citation:
- Health and Social Care in the Community, 19(1), January 2011, pp.60-69.
- Publisher:
- Wiley
This paper evaluated a case management service for high-intensity service users in Northern England. The evaluation assessed the quality of the organisational infrastructure, obtained a better understanding of the key influences that played a role in shaping the development of the service, and identified potential changes in practice that may help to improve the quality of service provision. Interviews with staff were conducted to explore key influences that shaped the development of the service. Findings revealed a high level of strategic commitment and political support for integrated working. However, the quality of care co-ordination was variable. The co-ordination of patient care was more effective in integrated co-ordination networks. Key features included clearly defined, task focussed, relational workspaces with interactive forums where case managers could engage with workers in discussions about the management of interdependent care activities. In dispersed co-ordination networks with fewer relational workspaces, the case managers struggled to work as effectively. In conclusion, the creation of flexible and efficient task focused relational workspaces that are adequately managed and resourced help to improve the quality of care co-ordination.
From the ground up: a guide to integrate service delivery and infrastructure: part 1: context
- Authors:
- DH CARE NETWORKS. Integrated Care Network, COMMUNITY HEALTH PARTNERSHIPS
- Publisher:
- DH Care Networks. Integrated Care Network
- Publication year:
- 2010
- Pagination:
- 9p.
- Place of publication:
- London
The principal purpose of this guide, which is in 3 parts (part 1: context, part 2: toolkit, part 3: case studies) and is based on the 'From the ground up: a report on integrated care design and delivery' report jointly commissioned by Community Health Partnerships and the Integrated Care Network, is to support commissioners across health and social care services, including those involved in planning, service delivery, finance, infrastructure and local partnerships, who are looking to develop integrated care services. This part describes what integrated care is, the context in which it should be considered, the challenges and opportunities associated with developing and delivering an integrated care service, and looks at how to get started, the key characteristics of managing integrated care, and the dos and don'ts of delivering integrated care.