Shared care at times primary and specialist mental

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Shared care At times, primary and specialist mental health services will share in the management of patients or service users. Shared care is a demonstration of an effective working relationship between primary and specialist mental health services and shared care models have been developed in the last 20 years throughout the world. A comprehensive evaluation of mental health/primary health care shared services in New Zealand was published in 2003. The review found that there was limited knowledge about the effectiveness of shared care programmes in improving health outcomes. However, the review did report that all programmes that had undertaken any form of evaluation had reported positively on the benefits of their programmes. While there is no agreed definition of what constitutes shared care, there are three basic models. Consultation liaison: this is where a consultant psychiatric professional works alongside the primary health care team. This is common in the UK, with psychiatric nurses most likely to be the professional that links to the primary health care provider. The focus tends to be on mental health problems in the general practice population rather than on those people with an ongoing mental illness.
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Primary Health Organisations: 41 Service development toolkit for mental health services in primary health care Shifted outpatient: here, the psychiatric professional team runs specialist clinics within practices. The aim is to improve accessibility and acceptability to people. In general, this seems successful in terms of delivering increased outpatient services. Formal shared care arrangement: responsibility for the mental health care is shared between different providers including housing, primary health care, NGOs and specialist mental health services.
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42 Primary Health Organisations: Service development toolkit for mental health services in primary health care Examples of service linkages 1. The WIPA primary health care and specialist mental health liaison programme aims to ensure that clinical care for people with severe mental health needs is arranged so that the patient receives the treatment in the right place, at the right time, from the right practitioner with the right skills and with the right support systems in place. This programme has addressed the barriers to mental health consumers accessing primary health care through an effective transfer process including new roles and capitation funding. It ensured that consumers were involved in every step of developing the programme and has maximised the consumer’s choice as the capitation follows them. The programme delivered training to all practice staff and was positively evaluated by consumers. 2. The Newtown Union Health Centre provides a primary health care health service to people on low incomes. The primary mental health programme is delivered by the GP and a primary mental health nurse based at the centre. Consultations are
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  • Fall '19
  • primary health care, Primary Health Organisations

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