Silvonen Taru
Population Health Sciences, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK.
Faculty of Science & Engineering; School of Electrical, Electronic and Mechanical Engineering, Queens Building; University Walk, Bristol, BS8 1TR, UK.
Community Ment Health J. 2025 Feb;61(2):329-336. doi: 10.1007/s10597-024-01352-w. Epub 2024 Sep 13.
This qualitative service evaluation aims to provide in-depth insights of service providers' perspectives of a new integrated community mental health service piloted in one NHS Integrated Care Board locality in South West England, UK, considering to what extent the service is meeting the mental health support needs of adults who are in between primary and secondary care services. In total, 21 semi-structured remote interviews were carried out in June-August 2023 with service providers and lived experience representatives. The evaluation was carried out through a researcher in residence -placement. Qualitative analysis drew on framework and thematic analysis, which was completed using Nvivo 20. Thematic analysis drew on a framework of context, mechanisms and intended or unintended consequences. These showed that service providers' positive expectations of the service were undermined by insufficient integration, which was evident from the imbalances in information flow and presence of pre-existing provider specific practices. The evaluation found several improvement opportunities: a need for deepening integration beyond the initial service development phase; aligning working practices with service delivery aims and ensuring that new services are not rolled out prematurely before service delivery practices have been fully developed.
这项定性服务评估旨在深入了解服务提供者对英国英格兰西南部一个国民保健服务综合护理委员会辖区试行的新型综合社区心理健康服务的看法，考量该服务在多大程度上满足了处于初级和二级护理服务之间的成年人的心理健康支持需求。2023年6月至8月期间，总共对服务提供者和有实际体验的代表进行了21次半结构化远程访谈。评估是通过驻点研究人员进行的。定性分析采用了框架分析和主题分析，并使用Nvivo 20完成。主题分析借鉴了一个包含背景、机制以及预期或非预期后果的框架。这些分析表明，服务提供者对该服务的积极期望因整合不足而受到影响，这从信息流的不平衡以及现有特定于提供者的做法中明显可见。评估发现了几个改进机会：需要在初始服务开发阶段之后进一步深化整合；使工作实践与服务交付目标保持一致，并确保在服务交付实践充分发展之前，新服务不会过早推出。
