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Education programs for medical psychiatry collaborative care: A scoping review
Nelson Shen1, Sanjeev Sockalingam2, Rebecca Charow3
1Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, Ontario M5T 3M6, Canada; University Health Network, 200 Elizabeth Street, 8 Eaton South, Toronto, Ontario M5G 2C4, Canada; Education, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada.
Few collaborative care education programs are documented, highlighting a need for more research. Key elements for successful programs include multidisciplinary interaction and leadership support to improve patient care.
Area of Science:
- Healthcare Education
- Interprofessional Collaboration
- Program Evaluation
Background:
- Collaborative care models are increasingly recognized for improving patient outcomes.
- A gap exists in understanding the current landscape of collaborative care education programs.
- This review synthesizes existing literature on such educational initiatives.
Purpose of the Study:
- To systematically review and understand the current state of collaborative care education programs reported in the literature.
- To identify common program structures, delivery methods, and reported outcomes.
- To analyze factors influencing the implementation of these programs.
Main Methods:
- A scoping review methodology based on Arksey and O'Malley was employed.
- Data abstraction included article details, program specifics, outcomes, and implementation factors.
- Qualitative thematic analysis was used for implementation factors.
Main Results:
- Forty unique collaborative care education programs were identified.
- Most programs utilized didactic and/or in vivo training for multidisciplinary learners.
- Programs primarily focused on clinical knowledge/skill acquisition, with fewer addressing attitudes towards mental health and collaboration.
Conclusions:
- Despite evidence supporting collaborative care, few educational programs are documented.
- Essential elements for effective programs include routine multidisciplinary interaction and a focus on attitudes.
- Clinical change agents, leadership, and user-centered design are crucial for successful implementation and broader adoption.
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