Integration in a nurse practitioner-led mental health service in rural Australia.

Barraclough, F; Longman, J; Barclay, L

Integration in a nurse practitioner-led mental health service in rural Australia.

Barraclough, F Longman, J Barclay, L

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Aust J Rural Health, 2016, 24, (2), pp. 144-150
Issue Date:: 2016-04

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Field	Value	Language
dc.contributor.author	Barraclough, F
dc.contributor.author	Longman, J
dc.contributor.author	Barclay, L https://orcid.org/0000-0002-9345-3468
dc.date.accessioned	2022-08-19T04:01:44Z
dc.date.available	2015-07-24
dc.date.available	2022-08-19T04:01:44Z
dc.date.issued	2016-04
dc.identifier.citation	Aust J Rural Health, 2016, 24, (2), pp. 144-150
dc.identifier.issn	1038-5282
dc.identifier.issn	1440-1584
dc.identifier.uri	http://hdl.handle.net/10453/160513
dc.description.abstract	OBJECTIVE: Integration of mental health services is a prominent Australian mental health policy goal; however, there is little detail in the literature of how integrated mental health services are established or function. This study aimed to describe a nurse practitioner-led primary healthcare rural mental health service and evidence of how the service was integrated with other services and the community. DESIGN: This pragmatic exploratory study used case study methodology and analysed documents, quantitative data and qualitative data from individual and group semi-structured interviews and a 'stakeholder meeting'. The study was part of a formal evaluation of this nurse practitioner service. SETTING: Rural New South Wales. PARTICIPANTS: Twenty-one service providers and stakeholders. INTERVENTIONS: Introduction of a nurse practitioner led mental health service. MAIN OUTCOME MEASURES: Not applicable. RESULTS: Purposely sampled participants were interviewed. Documentary evidence included briefing notes, minutes and progress reports and provided important background information. Non-identifiable aggregated client data were analysed. Thematic analysis of the qualitative data produced a description of how and why the service was established, a description of the service and its impact and three analytic themes providing evidence of integration. Challenges to integrating this service are also discussed. CONCLUSIONS: The service was highly regarded. It addressed the drug and alcohol and mental health needs of a vulnerable rural community. The inception and implementation of the service were community driven, led by a number of agencies supported by a steering committee and underpinned by a Partnership Agreement. The service demonstrated key features of integration alongside experiencing challenges in optimising integration with acute mental health services.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Aust J Rural Health
dc.relation.isbasedon	10.1111/ajr.12233
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society
dc.subject.mesh	Humans
dc.subject.mesh	Interviews as Topic
dc.subject.mesh	Mental Health Services
dc.subject.mesh	New South Wales
dc.subject.mesh	Practice Patterns, Nurses'
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Rural Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Mental Health Services
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Rural Health Services
dc.subject.mesh	Primary Health Care
dc.subject.mesh	New South Wales
dc.subject.mesh	Interviews as Topic
dc.subject.mesh	Practice Patterns, Nurses'
dc.title	Integration in a nurse practitioner-led mental health service in rural Australia.
dc.type	Journal Article
utslib.citation.volume	24
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-08-19T04:01:43Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	24
utslib.citation.issue	2

Abstract:

OBJECTIVE: Integration of mental health services is a prominent Australian mental health policy goal; however, there is little detail in the literature of how integrated mental health services are established or function. This study aimed to describe a nurse practitioner-led primary healthcare rural mental health service and evidence of how the service was integrated with other services and the community. DESIGN: This pragmatic exploratory study used case study methodology and analysed documents, quantitative data and qualitative data from individual and group semi-structured interviews and a 'stakeholder meeting'. The study was part of a formal evaluation of this nurse practitioner service. SETTING: Rural New South Wales. PARTICIPANTS: Twenty-one service providers and stakeholders. INTERVENTIONS: Introduction of a nurse practitioner led mental health service. MAIN OUTCOME MEASURES: Not applicable. RESULTS: Purposely sampled participants were interviewed. Documentary evidence included briefing notes, minutes and progress reports and provided important background information. Non-identifiable aggregated client data were analysed. Thematic analysis of the qualitative data produced a description of how and why the service was established, a description of the service and its impact and three analytic themes providing evidence of integration. Challenges to integrating this service are also discussed. CONCLUSIONS: The service was highly regarded. It addressed the drug and alcohol and mental health needs of a vulnerable rural community. The inception and implementation of the service were community driven, led by a number of agencies supported by a steering committee and underpinned by a Partnership Agreement. The service demonstrated key features of integration alongside experiencing challenges in optimising integration with acute mental health services.

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http://hdl.handle.net/10453/160513