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Shared care in mental illness: A rapid review to inform implementation
Brian J Kelly1, David A Perkins2, Jeffrey D Fuller3
1Centre for Brain and Mental Health Research, School of Medicine and Public Health, Faculty of Health University of Newcastle, University Drive, Callaghan 2308, Australia.
International Journal of Mental Health Systems
|November 23, 2011
Summary
Shared care models improve outcomes for severe mental illness but require careful implementation. Effective models need cross-organizational commitment and tailored approaches for diverse patient groups.
Area of Science:
- Mental Health Services Research
- Primary Care Integration
- Psychotic Disorders Management
Background:
- Models for primary care of severe psychotic disorders are under-researched, unlike depression.
- A 2010 review examined "shared care" for ambulatory mental health services in NSW, Australia.
- The review focused on implementation factors and excluded dementia, substance use, and personality disorders.
Purpose of the Study:
- To review evidence on "shared care" models for ambulatory mental health services.
- To identify critical factors for implementing shared care in clinical practice.
- To inform policy direction for mental health service delivery.
Main Methods:
- Rapid review methodology.
- Searched Cochrane Database of Systematic Reviews and DARE for systematic reviews.
- Supplemented with Medline searches and reference list reviews.
Main Results:
- Shared care shows potential for improved mental/physical health, social function, and reduced hospitalisation.
- Benefits include enhanced access, engagement, and acceptability of mental health services.
- Effective implementation requires cross-organizational commitment, staff training, and integrated service levels.
Conclusions:
- Shared care models necessitate multi-level attention and complex service redesign.
- Re-evaluating specialist mental health roles is crucial.
- No single shared care model fits all clinical groups; local trials are recommended.
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