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Assessing a PSP (primary care support programme) from the point of view of the professionals involved: A joint-effort between primary care and psychiatric ward

Published online by Cambridge University Press:  13 August 2021

S.F. Contaldo*
Affiliation:
Psychiatry, Parc Sanitari Sant Joan de Deu, Esplugues de Llobregat, Spain
D. Carbonell Simeon
Affiliation:
General Practice, ICS, Gavá, Spain
B. Rodriguez Ferraz
Affiliation:
General Practice, ICS, Gavá, Spain
E. Blanco García
Affiliation:
General Practice, ICS, Gavá, Spain
R. Fernandez Vergel
Affiliation:
General Practice, ICS, Gavá, Spain
M. Iglesias Gonzalez
Affiliation:
Psychiatry, ICS, Badalona, Spain
M. Rubio Valera
Affiliation:
Consortium For Biomedical Research In Epidemiology And Public Health Network (ciberesp), Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
M. Gil Girbau
Affiliation:
Group On Health Technologies And Results In Primary Care And Mental Health (prisma), Fundació Sant Joan de Deu, Sant Boi de Llobregat, Spain
M.T. Peñarrubia Maria
Affiliation:
General Practice, ICS, Gavá, Spain
*
*Corresponding author.

Abstract

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Introduction

The PSP has been implemented in Catalonia in 2006 in an attempt to improve the Primary Care treatment of the most common mental disorders and addictions. It’s based on a collaborative model, made up between Primary Care and Mental Health professionals.

Objectives

To identify the strengths and limitations of the PSP from the perspective of Primary Care and Mental Health professionals.

Methods

Qualitative, exploratory and interpretive study based on Grounded Theory, made between 2018 and 2019 with Primary Care and Mental Health professionals. Group interviews were conducted with triangulated analysis. The study got the approval from the Research Ethics Committee of the Sant Joan de Deu’s foundation.

Results

11 group interviews were conducted in 6 primary care centers and 5 mental health centers in Barcelona. Intrinsic and extrinsic factors impacting the programme functioning were detected. Within the extrinsic factors, elements related to professionals, patients and public health system have been observed. All the professionals agree that the PCSP has a favorable impact on inter-professional relationships and patients, facilitating the management of cases. In contrast the heterogeneity implementation, the lack of training, and the health care burden in is considered to negatively influence an optimal development of the programme. Professionals suggest communication and inter-professional collaboration would be improved by creating more a horizontal structure that eliminates vertical lines of command and disagreements in clinical judgement, thus facilitating shared decisions.

Conclusions

PrimaryCare and MentalHealth professionals value the PSP positively, but conclude there are communication and organizative barriers that should be addressed in order to improve the overall programme’s efficiency.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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