Utilising the Implementation of Integrated Care to Develop a Pragmatic Framework for the Sustained Uptake of Service Innovations (SUSI)

Author:

Foley Catherine1ORCID,Allan Julaine12ORCID,Lappin Julia13ORCID,Courtney Ryan1ORCID,Farnbach Sara1ORCID,Henderson Alexandra1ORCID,Shakeshaft Anthony14ORCID

Affiliation:

1. National Drug and Alcohol Research Centre (NDARC), University of NSW (UNSW), Sydney, NSW 2052, Australia

2. Rural Health Research Institute, Charles Sturt University (CSU), Orange, NSW 2800, Australia

3. Department of Psychiatry and Mental Health, University of NSW (UNSW), Sydney, NSW 2052, Australia

4. Poche Centre for Indigenous Health, University of Queensland (UQ), Toowong, QLD 4066, Australia

Abstract

The provision of integrated care (IC) across alcohol and other drug (AOD) and mental health (MH) services represents the best practice, yet the consistent delivery of IC in routine practice rarely occurs. Our hypothesis is that there is no practical or feasible systems-change approach to guide staff, researchers, or consumers through the complex transition that is required for the sustained uptake of IC across diverse clinical settings. To address this gap, we combined clinical and consumer expertise with the best available research evidence to develop a framework to drive the uptake of IC. The goal was to develop a process that is both standardised by the best available evidence and can be tailored to the specific characteristics of different health services. The result is the framework for Sustained Uptake of Service Innovation (SUSI), which comprises six core components that are applied in a specified sequence and a range of flexible activities that staff can use to deliver the core components according to their circumstances and preferences. The SUSI is evidence-based and practical, and further testing is currently underway to ensure it is feasible to implement in different AOD and MH services.

Funder

Australian Government under the Substance Misuse Prevention

NDARC post-graduate scholarship

NHMRC Career Development Fellowship

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference47 articles.

1. Integrated care pathway for cooccurring major depressive and alcohol use disorders: Outcomes of the first two years;Samokhvalov;Am. J. Addict.,2017

2. Recommendations for integrated systems and services for people with co-occurring mental health and substance use conditions;Minkoff;Psychiatr. Serv.,2022

3. Substance Abuse and Mental Health Services Administration (SAMHSA) (2022, October 12). Treating Concurrent Substance Use among Adults, Available online: https://store.samhsa.gov/sites/default/files/pep21-06-02-002.pdf.

4. National Institute for Health and Care Excellence (2016). Coexisting Severe Mental Illness and Substance Misuse: Community Health and Social Care Services, National Institute for Health and Care Excellence. Available online: https://www.nice.org.uk/guidance/ng58.

5. NSW Mental Health Commission (2014). Living Well: A Strategic Plan for Mental Health in NSW 2014–2024, NSW Mental Health Commission. Available online: https://www.nswmentalhealthcommission.com.au/report/living-well-strategic-plan-mental-health-nsw-2014-2024.

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