Relationships Among Structures, Team Processes, and Outcomes for Service Users in Quebec Mental Health Service Networks.

TitleRelationships Among Structures, Team Processes, and Outcomes for Service Users in Quebec Mental Health Service Networks.
Publication TypeJournal Article
Year of Publication2020
AuthorsFleury M-J, Grenier G, Bamvita J-M
JournalInt J Integr Care
Volume20
Issue2
Pagination12
Date Published2020 Jun 11
ISSN1568-4156
Abstract

Background: Few studies have identified and compared profiles of mental health service networks (MHSN) in terms of structures, processes, and outcomes, based on cluster analyses and perceptions of team managers, MH professionals and service users. This study assessed these associations in Quebec metropolitan, urban and semi-urban MHSN.Methods: A framework adapted from the Donabedian model guided data management, and cluster analyses were used to identify categories. Study participants included team managers (n = 45), MH professionals (n = 311) and service users (n = 327).Results: For all three MHSN, a common outcome category emerged: service users with complex MH problems and negative outcomes. The Metropolitan network reported two categories for structures (specialized MH teams, primary care MH teams) and processes (senior medical professional, psychosocial professionals), and outcomes (middle-age men with positive outcomes, older women with few MH problems). The Urban and Semi-urban networks revealed one category for structures (all teams) and service user (young service users with drug disorders), but two for processes (psychosocial professionals: urban, all professionals: semi-urban).Conclusion: The Metropolitan MHSN showed greater heterogeneity regarding structures and team processes than the other two MHSN. Service user outcomes were largely associated with clinical characteristics, regardless of network configurations for structures and team processes.

DOI10.5334/ijic.4718
Alternate JournalInt J Integr Care
PubMed ID32565762
PubMed Central IDPMC7292103