Stepped, Collaborative, Coordinated Care for Somatic Symptom and Related Disorders (Sofu-Net)

Author:

Shedden-Mora Meike C.1,Kuby Amina2,Tönnies Justus3,Piontek Katharina4,Löwe Bernd1

Affiliation:

1. Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

2. Department of Nursing and Management, Hamburg University of Applied Sciences, Hamburg, Germany

3. Clinic for General Internal Medicine and Psychosomatics, University Medical Center Heidelberg, Germany

4. Institute for Social Medicine and Health Systems Research, Medical Faculty, Otto-von-Guericke University Magdeburg, Germany

Abstract

Abstract. To improve early detection and adequate treatment for patients with somatic symptom and related disorders (SSRD), we implemented Sofu-Net, a stepped, collaborative, and coordinated health care network. This mixed-methods study aimed to evaluate Sofu-Net from the health care professionals’ perspective. Network partners (primary care physicians (PCPs), psychotherapists, inpatient mental health clinics) completed an evaluation survey. Following, qualitative analysis of focus groups explored facilitating factors and barriers of Sofu-Net. Of 66 network partners who completed the survey (response 83.5%), the majority was satisfied with Sofu-Net, and perceived improvements regarding management, early detection, and referral to mental health care. Both survey and focus groups identified interdisciplinary collaboration and diagnostic screening as most relevant facilitating factors. Important barriers to implementation included challenges in patient referral and structural factors. Necessary prerequisites for future stepped collaborative care for SSRD include structures facilitating diagnosis, inter-professional collaboration and referral, availability of mental health care, inclusion of comorbidities, and adequate reimbursement.

Publisher

Hogrefe Publishing Group

Subject

General Psychology,Arts and Humanities (miscellaneous)

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