Patient and public involvement in integrated psychosocial care

Io Vassiliadou; Esther Tolani; Lindsay Ip; Abigail Smith; Iliatha Papachristou Nadal

doi:10.1108/JICA-06-2019-0027

Patient and public involvement in integrated psychosocial care

Io Vassiliadou, Esther Tolani, Lindsay Ip, Abigail Smith, Iliatha Papachristou Nadal^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Purpose: Recent models of care incorporate service user involvement within the development and sustainability of a quality improvement project. The purpose of this paper is to demonstrate the significance of working with patients and members of the public for the integration of psychosocial care into long-term condition (LTC) management. Design/methodology/approach: Research shows that mental health difficulties are more prevalent in people with LTC. The three Dimensions for Long-term Conditions (3DLC) is a patient-centred multidisciplinary service which integrates psychological and social care into the usual physical care. Thematic analysis was conducted on the discussions of the two patient and public involvement workshops that were facilitated by the service. The workshops included healthcare professionals, patients with LTC and their carers. Findings: Several themes and subthemes emerged which highlighted the importance of discussing and treating mental health in a physical health setting, the challenges that both the patients and healthcare professionals encounter and the ways in which an integrated care service may address these barriers. The findings show that there was an emphasis on patient-centeredness, accessibility of services and the need for better communication. Practical implications: People with LTC can be empowered to better self-manage their condition, whilst having access to all types of care, physical, social and psychological. By involving service users in the implementation process of the 3DLC service, the components of an effective integrated service are delineated. Originality/value: The service users have identified barriers and facilitators of integrating a biopsychosocial model in care pathways. This has helped the 3DLC team to further develop the model to ensure improvements in condition-specific outcomes, quality of life and healthcare utilisation.

Original language	English
Pages (from-to)	135-143
Number of pages	9
Journal	Journal of Integrated Care
Volume	28
Issue number	2
DOIs	https://doi.org/10.1108/JICA-06-2019-0027
Publication status	Published - 11 May 2020

Keywords

Integrated care
Long-term conditions

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1108/JICA-06-2019-0027

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title = "Patient and public involvement in integrated psychosocial care",

abstract = "Purpose: Recent models of care incorporate service user involvement within the development and sustainability of a quality improvement project. The purpose of this paper is to demonstrate the significance of working with patients and members of the public for the integration of psychosocial care into long-term condition (LTC) management. Design/methodology/approach: Research shows that mental health difficulties are more prevalent in people with LTC. The three Dimensions for Long-term Conditions (3DLC) is a patient-centred multidisciplinary service which integrates psychological and social care into the usual physical care. Thematic analysis was conducted on the discussions of the two patient and public involvement workshops that were facilitated by the service. The workshops included healthcare professionals, patients with LTC and their carers. Findings: Several themes and subthemes emerged which highlighted the importance of discussing and treating mental health in a physical health setting, the challenges that both the patients and healthcare professionals encounter and the ways in which an integrated care service may address these barriers. The findings show that there was an emphasis on patient-centeredness, accessibility of services and the need for better communication. Practical implications: People with LTC can be empowered to better self-manage their condition, whilst having access to all types of care, physical, social and psychological. By involving service users in the implementation process of the 3DLC service, the components of an effective integrated service are delineated. Originality/value: The service users have identified barriers and facilitators of integrating a biopsychosocial model in care pathways. This has helped the 3DLC team to further develop the model to ensure improvements in condition-specific outcomes, quality of life and healthcare utilisation.",

keywords = "Integrated care, Long-term conditions",

author = "Io Vassiliadou and Esther Tolani and Lindsay Ip and Abigail Smith and {Papachristou Nadal}, Iliatha",

note = "Funding Information: This work was supported by The Health Foundation. 3.5 Funding Information: The authors would like to thank the funding body of 3DLC, The Health Foundation, for providing the team with the opportunity to develop and implement this service in both secondary care and the community. Publisher Copyright: {\textcopyright} 2019, Emerald Publishing Limited.",

year = "2020",

month = may,

day = "11",

doi = "10.1108/JICA-06-2019-0027",

language = "English",

volume = "28",

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AU - Vassiliadou, Io

AU - Tolani, Esther

AU - Ip, Lindsay

AU - Smith, Abigail

AU - Papachristou Nadal, Iliatha

N1 - Funding Information: This work was supported by The Health Foundation. 3.5 Funding Information: The authors would like to thank the funding body of 3DLC, The Health Foundation, for providing the team with the opportunity to develop and implement this service in both secondary care and the community. Publisher Copyright: © 2019, Emerald Publishing Limited.

PY - 2020/5/11

Y1 - 2020/5/11

N2 - Purpose: Recent models of care incorporate service user involvement within the development and sustainability of a quality improvement project. The purpose of this paper is to demonstrate the significance of working with patients and members of the public for the integration of psychosocial care into long-term condition (LTC) management. Design/methodology/approach: Research shows that mental health difficulties are more prevalent in people with LTC. The three Dimensions for Long-term Conditions (3DLC) is a patient-centred multidisciplinary service which integrates psychological and social care into the usual physical care. Thematic analysis was conducted on the discussions of the two patient and public involvement workshops that were facilitated by the service. The workshops included healthcare professionals, patients with LTC and their carers. Findings: Several themes and subthemes emerged which highlighted the importance of discussing and treating mental health in a physical health setting, the challenges that both the patients and healthcare professionals encounter and the ways in which an integrated care service may address these barriers. The findings show that there was an emphasis on patient-centeredness, accessibility of services and the need for better communication. Practical implications: People with LTC can be empowered to better self-manage their condition, whilst having access to all types of care, physical, social and psychological. By involving service users in the implementation process of the 3DLC service, the components of an effective integrated service are delineated. Originality/value: The service users have identified barriers and facilitators of integrating a biopsychosocial model in care pathways. This has helped the 3DLC team to further develop the model to ensure improvements in condition-specific outcomes, quality of life and healthcare utilisation.

AB - Purpose: Recent models of care incorporate service user involvement within the development and sustainability of a quality improvement project. The purpose of this paper is to demonstrate the significance of working with patients and members of the public for the integration of psychosocial care into long-term condition (LTC) management. Design/methodology/approach: Research shows that mental health difficulties are more prevalent in people with LTC. The three Dimensions for Long-term Conditions (3DLC) is a patient-centred multidisciplinary service which integrates psychological and social care into the usual physical care. Thematic analysis was conducted on the discussions of the two patient and public involvement workshops that were facilitated by the service. The workshops included healthcare professionals, patients with LTC and their carers. Findings: Several themes and subthemes emerged which highlighted the importance of discussing and treating mental health in a physical health setting, the challenges that both the patients and healthcare professionals encounter and the ways in which an integrated care service may address these barriers. The findings show that there was an emphasis on patient-centeredness, accessibility of services and the need for better communication. Practical implications: People with LTC can be empowered to better self-manage their condition, whilst having access to all types of care, physical, social and psychological. By involving service users in the implementation process of the 3DLC service, the components of an effective integrated service are delineated. Originality/value: The service users have identified barriers and facilitators of integrating a biopsychosocial model in care pathways. This has helped the 3DLC team to further develop the model to ensure improvements in condition-specific outcomes, quality of life and healthcare utilisation.

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KW - Long-term conditions

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DO - 10.1108/JICA-06-2019-0027

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VL - 28

SP - 135

EP - 143

JO - Journal of Integrated Care

JF - Journal of Integrated Care

IS - 2

ER -

Patient and public involvement in integrated psychosocial care

Abstract

Keywords

UN SDGs

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