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Volume 10
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10.3390/healthcare10050831
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Article

Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders

by
Michele Foster
1,
Julia Weaver
2,
Reham Shalaby
1,
Ejemai Eboreime
1,
Kimberly Poong
2,
April Gusnowski
2,
Mark Snaterse
2,
Shireen Surood
2,
Liana Urichuk
1,2 and
Vincent I. O. Agyapong
1,3,*
1
Department of Psychiatry, Faculty of Medicine, University of Alberta, Edmonton, AB T6G 2B7, Canada
2
Alberta Health Services, Addiction and Mental Health, Edmonton, AB T5J 0G5, Canada
3
Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada
*
Author to whom correspondence should be addressed.
Healthcare 2022, 10(5), 831; https://doi.org/10.3390/healthcare10050831
Submission received: 11 March 2022 / Revised: 23 April 2022 / Accepted: 28 April 2022 / Published: 30 April 2022
(This article belongs to the Section Health Policy)
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Abstract

Shared care involves collaboration between primary care, secondary and tertiary care that enables the allocation of responsibilities of care according to the treatment needs of patients over the course of a mental illness. This study aims to determine stakeholders’ perspectives on the features of an ideal shared care model and barriers to practicing shared care within addiction and mental health programs in Edmonton, Canada. This is a qualitative cross-sectional study with data collected through focus group discussions. Participants included patients, general practitioners, psychiatrists, management, and therapists working in primary and secondary addiction and mental health. Responses were audio-recorded, transcribed, and analyzed thematically. Perceived barriers to the implementation of an ideal shared care model identified by participants include fragmented communication between primary and secondary healthcare providers, patient and family physician discomfort with discussing addiction and mental health, a lack of staff capacity, confidentiality issues, and practitioner buy-in. Participants also identified enablers to include implementing shared electronic medical record systems, improving communication and collaboration, physical co-location, and increasing practitioner awareness of appropriate referrals and services. This original research provides stakeholders’ perspectives on the features of an ideal shared care model and barriers to practicing shared care within addiction and mental health programs.
Keywords: addiction and mental health; shared care; stakeholders addiction and mental health; shared care; stakeholders

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MDPI and ACS Style

Foster, M.; Weaver, J.; Shalaby, R.; Eboreime, E.; Poong, K.; Gusnowski, A.; Snaterse, M.; Surood, S.; Urichuk, L.; Agyapong, V.I.O. Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders. Healthcare 2022, 10, 831. https://doi.org/10.3390/healthcare10050831

AMA Style

Foster M, Weaver J, Shalaby R, Eboreime E, Poong K, Gusnowski A, Snaterse M, Surood S, Urichuk L, Agyapong VIO. Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders. Healthcare. 2022; 10(5):831. https://doi.org/10.3390/healthcare10050831

Chicago/Turabian Style

Foster, Michele, Julia Weaver, Reham Shalaby, Ejemai Eboreime, Kimberly Poong, April Gusnowski, Mark Snaterse, Shireen Surood, Liana Urichuk, and Vincent I. O. Agyapong. 2022. "Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders" Healthcare 10, no. 5: 831. https://doi.org/10.3390/healthcare10050831

APA Style

Foster, M., Weaver, J., Shalaby, R., Eboreime, E., Poong, K., Gusnowski, A., Snaterse, M., Surood, S., Urichuk, L., & Agyapong, V. I. O. (2022). Shared Care Practices in Community Addiction and Mental Health Services: A Qualitative Study on the Experiences and Perspectives of Stakeholders. Healthcare, 10(5), 831. https://doi.org/10.3390/healthcare10050831

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