McSherry Pamela, Manti Anna Maria, Crellin Amy, Lane Colette, Foulds Georgina
Surrey and Borders Partnership NHS Foundation Trust, Leatherhead, England.
Community Ment Health J. 2025 May;61(4):716-723. doi: 10.1007/s10597-024-01393-1. Epub 2024 Dec 20.
Individuals with significant mental health problems (SMHP) have historically faced challenges accessing mental health care due to gaps between primary and secondary care services. The National Health Service (NHS) Long Term Plan aims to bridge this gap through the introduction of integrated primary care services that provide holistic, person-centred, multidisciplinary support for people with SMHP. This evaluation aimed to explore the experience of service users, carers and staff working within this new model of care. A qualitative approach was employed, and semi-structured interviews were conducted with N = 123 participants (n = 106 staff, n = 15 service users, n = 2 carers). Thematic analysis identified three themes: 'opening doors and improving experiences', 'tailored and timely care' and 'connected communities'. Findings showed that the Integrated Primary Care Mental Health Service enabled earlier and easier access to mental health support for people with SMHP and supported community engagement and cross-collaboration between the NHS and partner agencies. The findings underscore the value of the Integrated Service in providing accessible, comprehensive, and person-centred mental health support at a primary care level, highlighting the benefits of cross-partnership working.
由于初级和二级护理服务之间存在差距，有严重心理健康问题（SMHP）的人在获取心理健康护理方面历来面临挑战。国民保健制度（NHS）长期计划旨在通过引入综合初级护理服务来弥合这一差距，该服务为有严重心理健康问题的人提供全面的、以人为本的多学科支持。本次评估旨在探索服务使用者、护理人员以及在这种新护理模式下工作的工作人员的体验。采用了定性研究方法，对N = 123名参与者进行了半结构化访谈（n = 106名工作人员，n = 15名服务使用者，n = 2名护理人员）。主题分析确定了三个主题：“打开大门并改善体验”、“量身定制且及时的护理”以及“联系紧密的社区”。研究结果表明，综合初级护理心理健康服务使有严重心理健康问题的人能够更早、更便捷地获得心理健康支持，并促进了社区参与以及国民保健制度与合作伙伴机构之间的跨部门协作。研究结果强调了综合服务在初级护理层面提供可及、全面且以人为本的心理健康支持方面的价值，突出了跨伙伴合作的益处。
