Kroon Suzanne J C, Alma Manna A, Bak Meike, van der Krieke Lian, Bruggeman Richard
Department of Psychiatry, Rob Giel Research Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Health Sciences, Applied Health Research , University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Int J Ment Health Syst. 2023 Jun 8;17(1):15. doi: 10.1186/s13033-023-00584-9.
To offer optimal care, the mental health system needs new routes for collaboration, involving both interprofessional and interorganizational aspects. The transition from intramural to extramural mental health care has given rise to new dynamics between public and mental health care, introducing a challenge for interprofessional and interorganizational collaboration. This study aims to determine values and expectations of collaboration and to understand how collaboration in mental health care organizations takes shape in daily practice.
We conducted a qualitative study using semi-structured interviews and a focus group, in the setting of the Program for Mentally Vulnerable Persons (PMV). Data were analysed following thematic analysis.
We found three aspect that were considered important in collaboration: commonality, relationships, and psychological ownership. However, our findings indicate a discrepancy between what is considered essential in collaboration and how this materializes in day-to-day practice: collaboration appears to be less manageable than anticipated by interviewees. Our data suggest psychological ownership should be added as value to the interorganizational collaboration theory.
Our study offers a new definition of collaboration and adding "psychological ownership" to the existing literature on collaboration theory. Furthermore, we gained insight into how collaboration between different organizations works in practice. Our research points to a discrepancy between what all the partners find important in collaboration, and what they actually do in practice. Finally, we expressed ways to improve the collaboration, such as choosing between a chain or a network approach and acting on it and re-highlighting the goal of the Program Mentally Vulnerable persons.
为了提供最佳护理，心理健康系统需要新的合作途径，包括跨专业和跨组织层面。从机构内心理健康护理向机构外心理健康护理的转变引发了公共医疗与心理健康护理之间的新动态，给跨专业和跨组织合作带来了挑战。本研究旨在确定合作的价值观和期望，并了解心理健康护理组织中的合作在日常实践中是如何形成的。
我们在精神脆弱人群项目（PMV）的背景下，采用半结构化访谈和焦点小组进行了一项定性研究。数据采用主题分析法进行分析。
我们发现合作中有三个方面被认为很重要：共性、关系和心理所有权。然而，我们的研究结果表明，合作中被认为至关重要的因素与在日常实践中的具体体现之间存在差异：合作似乎比受访者预期的更难管理。我们的数据表明，心理所有权应作为一种价值补充到跨组织合作理论中。
我们的研究为合作提供了一个新的定义，并在现有的合作理论文献中增加了“心理所有权”。此外，我们深入了解了不同组织之间的合作在实践中是如何运作的。我们的研究指出了所有合作伙伴在合作中认为重要的因素与他们在实践中实际所做的之间的差异。最后，我们提出了改进合作的方法，例如在链式或网络式方法之间进行选择并付诸行动，以及重新强调精神脆弱人群项目的目标。
