Continuity of Care in Mental Health Services: Toward Clarifying the Construct-Reference-Cited by-同舟云学术

Continuity of Care in Mental Health Services: Toward Clarifying the Construct

Published:2004-08 Issue:8 Volume:49 Page:539-550
ISSN:0706-7437
Container-title:The Canadian Journal of Psychiatry
language:en
Short-container-title:Can J Psychiatry

Author:

Joyce Anthony S¹,Wild T Cameron²,Adair Carol E³,McDougall Gerald M⁴,Gordon Alan⁵,Costigan Norman⁶,Beckie Anora⁷,Kowalsky Laura⁷,Pasmeny Gloria⁸,Barnes Fran⁷

Affiliation:

1. Professor, Department of Psychiatry, University of Alberta, Edmonton, Alberta

2. New Investigator, Canadian Institutes of Health Research; Investigator, Alberta Heritage Foundation for Medical Research (Population Health); Assistant Professor, Centre for Health Promotion Studies and Department of Public Health Sciences, University of Alberta, Edmonton, Alberta; Affiliate Scientist, Centre for Addiction and Mental Health, Toronto, Ontario

3. Adjunct Associate Professor, Departments of Community Health Sciences and Psychiatry, University of Calgary, Calgary, Alberta

4. Professor Emeritus, Department of Psychiatry, University of Calgary, Calgary, Alberta

5. Senior Administrative Psychiatrist, Edmonton Mental Health Clinic, Edmonton, Alberta; Clinical Professor, Department of Psychiatry, University of Alberta, Edmonton, Alberta

6. Clinical Professor, Department of Psychiatry, University of Alberta, Edmonton, Alberta

7. Research Associate, Alberta Mental Health Board, Calgary, Alberta

8. Research Associate, Alberta Mental Health Board, Edmonton, Alberta

Abstract

Objective: To clarify “continuity of care” (COC), a construct associated with the delivery of services for persons suffering from severe and persistent mental illness (SPMI), with attention to the service recipient's perception of COC. Method: The study involved a systematic appraisal of the literature on COC, supplemented by interviews with 36 SPMI patients and their families. Statements highlighting attributes of COC were extracted from both sources. Results: Comments by patients and families corresponded to descriptions of COC in the mental health literature. Attribute classifications by independent teams of judges showed good consistency. The following 4 attribute domains of the COC construct were identified: service delivery, accessibility, relationship base, and individualized care. Conclusions: Service recipients' perceptions of COC overlapped with representations of the construct in the mental health literature. The qualitative inquiry resulted in a draft, 47-item, self-report questionnaire for use in studies of interventions designed to facilitate COC.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Link

http://journals.sagepub.com/doi/pdf/10.1177/070674370404900805

Reference31 articles.

1. The Nordic Comparative Study on Sectorized Psychiatry: continuity of care related to characteristics of the psychiatric services and the patients

2. Defining and measuring continuity of care.

3. Strategies of measurement and analyses

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