Continuity of care in mental health: understanding and measuring a complex phenomenon

@article{Burns2008ContinuityOC,
  title={Continuity of care in mental health: understanding and measuring a complex phenomenon},
  author={Tom Burns and Jocelyn Catty and Sue White and Sue Clement and G Ellis and Ian Rees Jones and Pascale Lissouba and Susan McLaren and D. Rose and Til Wykes},
  journal={Psychological Medicine},
  year={2008},
  volume={39},
  pages={313 - 323}
}
Background Continuity of care is considered by patients and clinicians an essential feature of good quality care in long-term disorders, yet there is general agreement that it is a complex concept. Most policies emphasize it and encourage systems to promote it. Despite this, there is no accepted definition or measure against which to test policies or interventions designed to improve continuity. We aimed to operationalize a multi-axial model of continuity of care and to use factor analysis to… Expand
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TLDR
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TLDR
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TLDR
Service planning and delivery should be better adapted to patient profiles in order to improve continuity of care, and increased access to services prioritized. Expand
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TLDR
The concept of the 'patient career' is utilised to frame patient accounts of their experiences of the mental health care system to capture the experiences and views of users and carers focusing on the meanings associated with particular (dis)continuities and transitional episodes that occurred over their illness career. Expand
Continuity of care as experienced by mental health service users - a qualitative study
TLDR
A discrepancy between aspects of continuity that are essential for service users and their experiences of actual practice was revealed and knowledge is offered to policy makers, professionals and service users that may be of help in their future efforts in orienting primary care, mental health, addiction and welfare services towards recovery. Expand
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TLDR
Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores, and higher Meeting Needs scores were associated with a decrease in symptoms. Expand
Obstacles to continuity of care in young mental health service users' pathways - an explorative study
TLDR
Continuity of care should be more explicitly linked to aspirations for development and progress in the users' care pathways, and how service providers can cooperate with users to actually develop and make progress. Expand
Understanding service user-defined continuity of care and its relationship to health and social measures: a cross-sectional study
TLDR
Service-user defined continuity of care is a measurable construct underpinned by three sub-constructs (preconditions, staff-related and care contacts) that demonstrate a range of relationships with health and social measures. Expand
Continuity of care for youth in foster care with serious emotional disturbances
TLDR
Study findings underscore the need for quality improvement initiatives that improve access to care, care coordination, and continuity of care for youth in foster care diagnosed with schizophrenia and bipolar disorder. Expand
Continuity of care for carers of people with severe mental illness: Results of a longitudinal study
TLDR
The vast majority of the carers had not had a carer’s assessment provided by the CMHT despite this being a clear national priority and being an intervention with obvious potential to increase carers’ reported low levels of continuity of care. Expand
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