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Implementing personalisation in integrated mental health teams in England.
- Source :
-
Journal of interprofessional care [J Interprof Care] 2015; Vol. 29 (5), pp. 488-93. Date of Electronic Publication: 2015 Jul 14. - Publication Year :
- 2015
-
Abstract
- This article explores how role boundaries and professional priorities in integrated mental health teams have impacted on the implementation of personalised approaches to social care support. We focus on the use of personal budgets to meet mental health-related social care needs as a key mechanism for personalised care. Drawing on 28 qualitative interviews with mental health practitioners from three local authorities in England undertaken in 2013, we report nurses', social workers', and occupational therapists' attitudes towards, and engagement with, personal budgets. Professional boundaries and competing priorities heavily influenced the extent to which personal budgets were perceived as a legitimate part of their roles. Across different professional groups, a sense emerged that personal budgets should be somebody else's job. A focus on attention to treatment, stability, and risk management often resulted in low prioritisation of personal budgets and led practitioners to avoid recommending them or to exclude service users from the process as a way to save time. Implications of the dominant medical model and the protection of traditional professional roles for the implementation of new, person-centred models of practice are discussed.
- Subjects :
- Delivery of Health Care, Integrated organization & administration
England epidemiology
Female
Health Services Accessibility
Humans
Male
Mental Disorders epidemiology
Mental Health Services organization & administration
Nurses
Social Support
Delivery of Health Care, Integrated economics
Financing, Personal
Mental Disorders economics
Mental Disorders therapy
Mental Health Services economics
Professional Role
State Medicine economics
Subjects
Details
- Language :
- English
- ISSN :
- 1469-9567
- Volume :
- 29
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of interprofessional care
- Publication Type :
- Academic Journal
- Accession number :
- 26171867
- Full Text :
- https://doi.org/10.3109/13561820.2015.1035777