Table 4 |
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|
The core components of shared care models for severe and/or persistent mental disorders (contd) |
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|
Harrison-Read 2002 |
Lester 2003 |
ACCESS Rosenheck 2002 |
Rosenheck 2003 |
van Orden 2009 |
Warner 2000 |
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|
|
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|
Process of care |
Enhanced Community Management/Assertive Community Treatment |
Patient-held record |
Integration of service systems with outreach and case management |
Housing + Intensive Case Management |
Collaborative care involving access to a mental health worker in primary care |
Shared care record |
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|
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|
Condition |
"Heavy users" of psychiatric services |
Schizophrenia |
SMI and associated co-morbidities + homelessness |
Psychiatric and/or substance abuse disorders |
Mental disorder (not described) |
Long term mental illness- psychosis, personality disorder or other condition requiring long term supervision |
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|
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|
Length of follow-up |
2 years |
1 year |
5 years |
1 year |
1 year |
1 year |
|
|
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|
Screening |
no |
no |
yes |
unclear |
yes |
Patients selected at hospital discharge |
|
|
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|
Additional training for staff |
unclear |
yes - in use of the record |
yes - inter-agency |
yes - with written materials |
no |
|
|
|
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|
Treatment algorithm |
unclear |
no |
unclear |
no |
no |
|
|
|
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|
Formal stepped care |
unclear |
no |
unclear |
no |
no |
|
|
|
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|
Enhanced communication between health providers |
yes |
yes - shared care record and flagging of patient records in both general practice and specialist settings |
yes |
yes - inter-agency agreement |
yes |
yes - shared care record linked to other communication processes |
|
|
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|
Care management location |
community |
general practice and community |
community |
community |
general practice/primary care |
general practice and community |
|
|
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|
Patient education/self management |
unclear |
no |
unclear |
no |
yes - CBT |
no -instruction on use of the booklet only |
|
|
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|
Case management |
yes |
unclear |
yes |
yes |
? |
unclear |
|
|
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|
Specialist supervision |
yes |
unclear |
yes |
unclear |
yes |
unclear |
|
|
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|
Care coordination |
yes |
unclear |
yes |
yes |
no - referral only |
unclear |
|
|
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|
Follow up provided to patient |
unclear |
unclear |
yes |
unclear |
unclear |
unclear |
|
|
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|
Crisis support |
no |
unclear |
unclear |
yes |
unclear |
unclear |
|
|
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|
Standardised outcome measure |
yes |
yes |
yes |
yes |
yes |
yes |
|
|
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|
Kelly et al. International Journal of Mental Health Systems 2011 5:31 doi:10.1186/1752-4458-5-31 |
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