Testing a model of facilitated reflection on network feedback: a mixed method study on integration of rural mental healthcare services for older people

dc.contributor.author Fuller, Jeffrey
dc.contributor.author Oster, Candice
dc.contributor.author Muir-Cochrane, Eimear Caitlin
dc.contributor.author Dawson, Suzanne
dc.contributor.author Lawn, Sharon Joy
dc.contributor.author O'Kane, Deb
dc.contributor.author Gerace, Adam
dc.contributor.author McPhail, Ruth
dc.contributor.author Sparkes, Deb
dc.contributor.author Fuller, Michelle
dc.contributor.author Reed, Richard Lewis
dc.date.accessioned 2015-12-22T04:31:16Z
dc.date.available 2015-12-22T04:31:16Z
dc.date.issued 2015
dc.description This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ en
dc.description.abstract OBJECTIVE: To test a management model of facilitated reflection on network feedback as a means to engage services in problem solving the delivery of integrated primary mental healthcare to older people. DESIGN: Participatory mixed methods case study evaluating the impact of a network management model using organisational network feedback (through social network analysis, key informant interviews and policy review). INTERVENTION: A model of facilitated network reflection using network theory and methods. SETTING: A rural community in South Australia. PARTICIPANTS: 32 staff from 24 services and 12 senior service managers from mental health, primary care and social care services. RESULTS: Health and social care organisations identified that they operated in clustered self-managed networks within sectors, with no overarching purposive older people's mental healthcare network. The model of facilitated reflection revealed service goal and role conflicts. These discussions helped local services to identify as a network, and begin the problem-solving communication and referral links. A Governance Group assisted this process. Barriers to integrated servicing through a network included service funding tied to performance of direct care tasks and the lack of a clear lead network administration organisation. CONCLUSIONS: A model of facilitated reflection helped organisations to identify as a network, but revealed sensitivity about organisational roles and goals, which demonstrated that conflict should be expected. Networked servicing needed a neutral network administration organisation with cross-sectoral credibility, a mandate and the resources to monitor the network, to deal with conflict, negotiate commitment among the service managers, and provide opportunities for different sectors to meet and problem solve. This requires consistency and sustained intersectoral policies that include strategies and funding to facilitate and maintain health and social care networks in rural communities. en
dc.identifier.citation Fuller J, Oster C, Muir Cochrane E, Dawson S, Lawn S, Henderson J, O'Kane D, Gerace A, McPhail R, Sparkes D, Fuller M, Reed RL. Testing a model of facilitated reflection on network feedback: a mixed method study on integration of rural mental healthcare services for older people. BMJ Open. 2015 Nov 11;5(11):e008593. doi: 10.1136/bmjopen-2015-008593. en
dc.identifier.doi https://doi.org/10.1136/bmjopen-2015-008593 en
dc.identifier.issn 2044-6055
dc.identifier.uri http://hdl.handle.net/2328/35849
dc.language.iso en
dc.publisher BMJ Publishing Group en
dc.rights Copyright (c) 2015 The Authors en
dc.rights.holder The Authors en
dc.rights.license CC-BY-NC
dc.title Testing a model of facilitated reflection on network feedback: a mixed method study on integration of rural mental healthcare services for older people en
dc.type Article en
local.contributor.authorOrcidLookup Lawn, Sharon Joy: https://orcid.org/0000-0002-5464-8887 en_US
local.contributor.authorOrcidLookup Gerace, Adam: https://orcid.org/0000-0001-8272-8799 en_US
local.contributor.authorOrcidLookup Reed, Richard Lewis: https://orcid.org/0000-0002-5115-4726 en_US
local.contributor.authorOrcidLookup O'Kane, Deb: https://orcid.org/0000-0003-3005-8169 en_US
local.contributor.authorOrcidLookup Muir-Cochrane, Eimear Caitlin: https://orcid.org/0000-0002-5036-4908 en_US
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